Guest columnist: Congress can put decision-making back where it belongs

An insurer’s decision should not outrank a provider’s diagnosis. But under step therapy, that is exactly what happens. After years of treating patients as a rheumatologist, I still face moments where I feel powerless to provide the care my patients need and deserve. Far too often, the medication I’ve prescribed isn’t the medication my patient will receive because I don’t actually have the final say — their insurer does. Due to a formulary set by their insuranc