Dictionary

The Dictionary provides concise definitions of health economics terms, arranged alphabetically for quick reference. Use it to understand unfamiliar terminology or confirm the meaning of a specific term.

3 terms matching “Step Therapy”

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Step Therapy
A utilisation management policy requiring a patient to try and fail lower-cost treatment options before a payer covers a pricier alternative.
Step Therapy Protocol
The specific clinical criteria and sequence an insurer requires a patient to follow before a more expensive treatment will be covered.
Step Therapy Requirement
A plan policy mandating a patient try and fail designated lower-cost treatments before a payer authorises coverage for an alternative therapy.