(a) By the end of plan year 2017, the State Board of Finance shall explore the evidence supporting opportunities for benefit modification informed by: (1) The Choosing Wisely initiative; (2) Emerging therapies; and (3) Therapeutic alternatives to invasive surgical procedures, such as regenerative injection therapy. (b) By July 2018, the board shall: (1) Identify and consider implementation of pilot programs that include stepped therapy or center of excellence approaches, or both, for which evidence demonstrates cost savings to the plan; and (2) Identify opportunities to stimulate conversations between patients and providers about appropriate and necessary treatment, including treatment recommendations identified by the Choosing Wisely initiative. Amended by Act 2021, No. 1004,§ 24, eff. 4/28/2021. Added by Act 2017, No. 1089,§ 2, eff. 8/1/2017. (a) By the end of plan year 2017, the State Board of Finance shall explore the evidence supporting opportunities for benefit modification informed by: (1) The Choosing Wisely initiative; (2) Emerging therapies; and (3) Therapeutic alternatives to invasive surgical procedures, such as regenerative injection therapy. (b) By July 2018, the board shall: (1) Identify and consider implementation of pilot programs that include stepped therapy or center of excellence approaches, or both, for which evidence demonstrates cost savings to the plan; and (2) Identify opportunities to stimulate conversations between patients and providers about appropriate and necessary treatment, including treatment recommendations identified by the Choosing Wisely initiative. Amended by Act 2021, No. 1004,§ 24, eff. 4/28/2021. Added by Act 2017, No. 1089,§ 2, eff. 8/1/2017. (a) By the end of plan year 2017, the State Board of Finance shall explore the evidence supporting opportunities for benefit modification informed by: (1) The Choosing Wisely initiative; (2) Emerging therapies; and (3) Therapeutic alternatives to invasive surgical procedures, such as regenerative injection therapy. (b) By July 2018, the board shall: (1) Identify and consider implementation of pilot programs that include stepped therapy or center of excellence approaches, or both, for which evidence demonstrates cost savings to the plan; and (2) Identify opportunities to stimulate conversations between patients and providers about appropriate and necessary treatment, including treatment recommendations identified by the Choosing Wisely initiative. Amended by Act 2021, No. 1004,§ 24, eff. 4/28/2021. Added by Act 2017, No. 1089,§ 2, eff. 8/1/2017. (a) By the end of plan year 2017, the State Board of Finance shall explore the evidence supporting opportunities for benefit modification informed by: (1) The Choosing Wisely initiative; (2) Emerging therapies; and (3) Therapeutic alternatives to invasive surgical procedures, such as regenerative injection therapy. (1) The Choosing Wisely initiative; (2) Emerging therapies; and (3) Therapeutic alternatives to invasive surgical procedures, such as regenerative injection therapy. (b) By July 2018, the board shall: (1) Identify and consider implementation of pilot programs that include stepped therapy or center of excellence approaches, or both, for which evidence demonstrates cost savings to the plan; and (2) Identify opportunities to stimulate conversations between patients and providers about appropriate and necessary treatment, including treatment recommendations identified by the Choosing Wisely initiative. (1) Identify and consider implementation of pilot programs that include stepped therapy or center of excellence approaches, or both, for which evidence demonstrates cost savings to the plan; and (2) Identify opportunities to stimulate conversations between patients and providers about appropriate and necessary treatment, including treatment recommendations identified by the Choosing Wisely initiative.
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