This article presents a critique of step therapy by medical ethicist Art Caplan. He argues that this insurance practice, which requires patients to try and fail less expensive treatments before accessing necessary care, undermines good medical practice and prioritizes profit over patient well-being.
Caplan criticizes insurance companies for using step therapy in a predatory manner, often denying requests for more expensive treatments even in mental health crises. He emphasizes that physicians, not insurance companies, should determine the best course of treatment for their patients.
While acknowledging the need to control healthcare costs, Caplan argues that step therapy is not the solution. He suggests that retrospective audits and physician education would be more effective in reforming healthcare spending without compromising patient care. Caplan concludes by emphasizing that step therapy ultimately hinders both quality care and effective cost containment in the US healthcare system.
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by Arthur L. Ca... 於 www.medscape.com 10-08-2024
https://www.medscape.com/viewarticle/step-therapy-not-cost-solution-says-ethicist-2024a1000hw2深入探究