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Single comment threadYou are looking at one branch of unpopular opinion: step therapy is massively overrated — 23 comments in the full submission. View in context.
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c/insurancefights·submitted 1 months ago by u/plain_titration_2024

unpopular opinion: step therapy is massively overrated

Deniedbranch of 7 comments

denial. That is the whole post, but I will justify it. Everything else people worry about in c/meta is downstream of it. Titration speed, reflux, the endless dose arguments — most of it resolves if you sort denial out first, and almost nobody does. I say this having got it wrong for 10 months. My fasting insulin was…

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7 comments, started 1 months ago
u/greta_chukwu22 points·1 months ago

Inter-lab variance on this kind of assay is routinely 1–2 points. Different column, different gradient, different integration.

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u/line_petrov32 points·1 months ago

say which country and which plan type

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u/nadia_trevino11 points·1 months ago

Inter-lab variance on this kind of assay is routinely 1–2 points.

Adding to this: copay is doing more work than the comment implies.

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u/liv_kuipers15 points·1 months ago

Strongly agree. Step therapy is predictable if you have the criteria.

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u/valeria_grimaldi6 points·1 months ago

No. This is the kind of confident post that gets copied into a screenshot and repeated for years. Where is the evidence.

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[removed]4 points·1 months ago

[removed by moderator]

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u/plain_titration_2024OP6 points·1 months ago

Strongly agree. Step therapy is predictable if you have the criteria.

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The paperwork war. Prior-authorisation criteria, denial reason codes, step-therapy documentation, external review, employer carve-outs, and the appeal letter templates the community has iterated on for three years. Mostly US-shaped but the tactics generalise.

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