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April 22, 2021: MGMA and other health organizations urge CMS to reinstate step therapy prohibition on Part B drugs in MA plans

- April 22, 2021

April 22, 2021

The Honorable Xavier Becerra
Secretary
Department of Health and Human Services
200 Independence Avenue, S.W.
Washington, D.C. 20201

Re: Step Therapy for Part B Drugs in Medicare Advantage

Dear Secretary Becerra,

The undersigned organizations, representing millions of Medicare beneficiaries with life-threatening, complex, chronic conditions and the physicians who care for them, are asking the Centers for Medicare and Medicaid Services (CMS) to ensure that beneficiaries enrolled in Medicare Advantage plans continue to have appropriate and timely access to the therapies they need to properly manage their conditions. We write to you today regarding the implementation of utilization management protocols and specifically the reinstatement of an important patient protection for beneficiaries in Medicare Advantage (MA) plans.

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