Becker's Healthcare November 27, 2024
Rylee Wilson

Some insurers are sounding the alarm that Medicare coverage of weight loss drugs could increase premiums.

On Nov. 26, CMS issued its proposed rule for Medicare Advantage plans in 2026. The rule included a proposal to allow the program to pay for weight loss drugs for individuals with obesity.

The coverage would also extend to Medicaid beneficiaries. The White House estimated more than 7 million people would be eligible for weight loss drugs if coverage is expanded.

Ceci Connolly, president of the Alliance of Community Health Plans, called the proposal “irresponsible, without further analysis and stakeholder engagement.”

“We are deeply concerned with the proposed coverage expansion of weight-loss drugs in Medicare and Medicaid,” Ms. Connolly said....

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Topics: Biotechnology, CMS, Govt Agencies, Insurance, Medicare, Payer, Pharma / Biotech
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