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  2. Step therapy - Wikipedia

    en.wikipedia.org/wiki/Step_therapy

    Step therapy, also called step protocol or a fail first requirement, is a managed care approach to prescription.It is a type of prior authorization requirement that is intended increase insurance company profits at the expense of patient health by forcing patients onto lower cost prescription drugs.

  3. Prior authorization - Wikipedia

    en.wikipedia.org/wiki/Prior_authorization

    After a request comes in from a qualified provider, the request will go through the prior authorization process. The process to obtain prior authorization varies from insurer to insurer but typically involves the completion and faxing of a prior authorization form; according to a 2018 report, 88% are either partially or entirely manual.

  4. Specialty drugs in the United States - Wikipedia

    en.wikipedia.org/wiki/Specialty_drugs_in_the...

    "[T]he pharmacy landscape [in the United States] underwent a seismic change, and the budgetary impact to healthcare payers was significant. U.S. prescription drug spend increased 13.1% in 2014 – the largest annual increase since 2003 – and this was largely driven by an unprecedented 30.9% increase in spending on specialty medications.

  5. Drugs.com - Wikipedia

    en.wikipedia.org/wiki/Drugs.com

    In February 2016, comScore stated that Drugs.com was the sixth most popular health network receiving approximately 23 million visitors for the month, while Searchmetrics listed Drugs.com in the top 100 US websites for search visibility. [14] In April 2017, The Harris Poll listed Drugs.com as the Health Information Website Brand of the Year. [15]

  6. Medicare Advantage - Wikipedia

    en.wikipedia.org/wiki/Medicare_Advantage

    MA grew from almost zero in 1998 to 33.8 million subscribers in 2024, or 55% of Medicare recipients. 98%+ were enrolled in a zero-premium MA-PD plan (including prescription drug coverage). [ 5 ] In 2022, 295 plans (up from 256 in 2021) covered all Medicare services, plus Medicaid-covered behavioral health treatment or long term services and ...

  7. Marketing Authorisation Application - Wikipedia

    en.wikipedia.org/wiki/Marketing_authorisation...

    Marketing Authorisation Application (MAA) is an application submitted by a drug manufacturer seeking marketing authorisation, that is permission to bring a medicinal product (for example, a new medicine or generic medicine) to the market.

  8. Humana - Wikipedia

    en.wikipedia.org/wiki/Humana

    Humana pulled out of the acquisition after United stock dropped $2.9 billion in value. [9] In 2001, Humana was a cofounder of Avality. [10] In 2005, Humana entered into a business partnership with Virgin Group, offering financial incentives to members for healthy behavior, such as regular exercise. [11]

  9. Implementation history of the Affordable Care Act - Wikipedia

    en.wikipedia.org/wiki/Implementation_history_of...

    The average beneficiary in the prior coverage gap would have spent $1,504 in 2011 on prescriptions. Such recipients saved an average $603. The 50 percent discount on brand name drugs provided $581 and the increased Medicare share of generic drug costs provided the balance. Beneficiaries numbered 2 million [17]

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