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Pharmaceutical Step-Therapy Use Expands Among HMOs

In almost every year since 2004 (75.1%), the percentage of HMOs using pharmaceutical step-therapy increased, peaking at 91.2% in 2010. A near census of IPA- (94.5%) and network-model (90.2%) HMOs used these protocols; both shares expanded by roughly 20 percentage points over the seven years profiled.





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US.NMH.11.10.064    Last Updated: May 2012