So on Monday, May 23, 2016 over 60 health organizations visited the Capitol Building in Albany, NY. We were there to persuade New York lawmakers to pass A.2834-B/S.3419-B, to protect patients from harmful impact of Fail First policies. Lawmakers are urged to join the ranks of states like Connecticut, California &Washington. Give back the authority to the doctor and stop insurers from changing the orginal prescription. This method jeopardizes the patient’s health and is wrong in so many ways.
I was honored to be on the Leadership team which consisted of; Marcy Savage, Dani Askin, Joseph Camardo MD, Bill Sherman, Mary Ruth Buchness MD, Patrick Stone, Glenn Liebman, and Liz Dears. We were scheduled for seven meetings at the Capitol Building which were one right after another from 11:30am to 4:00pm. I was scheduled to meet Senate Majority Leader Flanagan at 12:15pm.
These Bills make sense and they put the patient first. Here are some Fast Facts about Step Therapy.
*Fail First is a tool used by insurers to limit spending on patients’ medications.
*Many plans use Fail First – 54% of plans reported using it for cancer drugs in 2012, up from 36% the previous year.
*Fail First is applied by insurers to drugs used to treat psoriatic and rheumatoid arthritis, multiple sclerosis and elipepsy, and many others.
*Fail First undermines prescribing health care providers’ ability to effectively treat patients, can lower quality of care, lead to set backs and disease progression for patients.
*State policymakers should take action & pass A.2834-B/S.3419-B to increase oversight of insurers’ use of Fail First, establish minimum exceptions rules and ensure transparency in exceptions process.
I was extremely impressed with all the people who supported these bills. I’m hoping these bills make it to the floor and get passed. I know they are strongly opposed by the insurance companies who put cost over care. Note to insurers; our health is worth more then your bottom line.
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