A score was developed to measure patient risk from payer utilization management policies and its relationship to real-world US commercial payer utilization management policies.
Donald E. Nichols, PhD
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Articles by Donald E. Nichols, PhD
The frequency with which 7 of the largest Medicare Advantage plans impose step therapy protocols in their Part B drug coverage decisions varies substantially.
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Varied Use of Step Therapy Among Medicare Advantage PlansPublished: September 12th 2023 | Updated:
- Factors That Increase Utilization Management Risk: A Proof of Concept
Published: June 3rd 2025 | Updated:
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