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Carrots Or Sticks: Which Way Might Medicare's Protected Classes Reforms Go?

 
• By Cathy Kelly

UnitedHealthcare program for commercial members offers some implications. MyScripRewards encourages less costly HIV treatments using financial rewards, underscoring insurers’ tendency to favor carrots over sticks when it comes to coverage policies for such drugs.

Carrot On a Stick

[UnitedHealthCare]’s recently-launched My ScriptRewards program, which promotes use of less costly HIV drugs to commercial plan members by offering financial incentives, shows insurers continue to be wary of aggressive management tactics like step therapy or formulary exclusions for such drugs.

Unveiled this fall, My ScriptRewards attempts to steer members toward cheaper agents through rewards rather than limiting access to more...

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• By Cathy Kelly

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• By Leslie Small

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• By Alaric DeArment and Cathy Kelly

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