Nobody Owns the Second Fill

Nobody Owns the Second Fill

Patient engagement is the ninth of the 10 Exits of Therapy™, and it is the one where everybody stopped watching because the first part went well. Starting a treatment is measured by almost everyone in the chain. Continuing it is measured by almost no one, and there is...
The Number at the Counter

The Number at the Counter

Affordability is the seventh of the 10 Exits of Therapy™, and it is the only one that can change while you are standing still. If the price jumped and nothing about your medicine changed, your benefit year almost certainly reset. There are three separate places help...
A Wait With No Clock

A Wait With No Clock

Prior authorization is the sixth of the 10 Exits of Therapy™, and it is the one where everybody assumes somebody else is watching the calendar. There is a deadline on your request. It starts when the request reaches your plan, not when your prescriber’s office...
Your Plan Decided Before You Did

Your Plan Decided Before You Did

Coverage is the fifth of the 10 Exits of Therapy™, and it is the one where a decision about your treatment was made by people who never met you. Your plan keeps a list of medicines it will pay for and rules about the order you have to try them in. Both are negotiated...
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