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Kansas Health Advocates Wary of "Step Therapy" Medication Policies

Rebecca Lyn Phillips is an advocate for Kansans with mental health issues. (Photo: Jim McLean)
Rebecca Lyn Phillips is an advocate for Kansans with mental health issues. (Photo: Jim McLean)

Getting the right medication is critical for people living with mental health disorders or chronic illnesses, such as multiple sclerosis or AIDS. But because prescription drugs can be so costly, many insurance companies don’t allow patients to start with the newest and most expensive drugs. Patients are required to try less expensive alternatives first. Now - despite strong opposition from patient advocacy groups - the Kansas Medicaid program is moving in that direction too. Heartland Health Monitor’s Jim McLean has the story.


Jim McLean is a reporter for the KHI News Service in Topeka and a contributor to Heartland Health Monitor.

Heartland Health Monitor is a reporting collaboration focused on health issues and their impact in Kansas and Missouri. The partners — Kansas Public Radio, KCUR, KMUW,  KCPT Public Television and the KHI News Service — strive to bring listeners and readers timely, accurate and comprehensive coverage of health and health-related issues.

Jim McLean, Executive Editor of KHI News Service, oversees the KHI News Service. From 2005 until 2013, McLean coordinated all communications activities at KHI as Vice President for Public Affairs. The position he now occupies was created as part of a strategic initiative to solidify the editorial and operational independence of the KHI News Service. Prior to coming to KHI, McLean had a distinguished career as a journalist, serving as the news director and Statehouse bureau chief for Kansas Public Radio and a managing editor for the Topeka Capital-Journal. During his more than 20 years in Kansas journalism, McLean won numerous awards for journalistic excellence from the Kansas Press Association, regional chapters of the Society of Professional Journalists and the Kansas Association of Broadcasters. In 1997, McLean and two Capital-Journal colleagues received the Burton W. Marvin News Enterprise Award from the University of Kansas William Allen White School of Journalism for a series of stories on the state’s business climate. McLean holds a bachelor’s degree in political science from Washburn University.