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The GLP-1 Coverage Conundrum: Managing Costs for Group Health Plans
Verrill Dana LLP
Mar. 20, 2025 "Many plans [1] do not wish to cover GLP-1 medications or [2] seek to curb overprescribing due to the cost of the medication and uncertainty regarding the side effects associated with long-term use.... After summarizing potential litigation risks for group health plans that seek to control costs by excluding or limiting GLP-1 coverage for weight loss, this post identifies and discusses medical management techniques that a group health plan could consider using to manage costs should it decide to provide GLP-1 coverage for weight loss." MORE >> |
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