Takeaway: Replay with timestamps on how GLP-1 drugs make their way into broad coverage

Replay | GLP-1 Drugs: The Path to Reimbursement .... or Not - 2023.12.11 GLP Reimbursement

Yesterday we took a look at three major pathways to insurance coverage of obesity-indicated GLP-1 drugs. We reviewed broad Medicare Part D coverage, a regulatory response and industry initiatives with some politics tossed in there to makes things slightly unpredictable.

Link to replay here.

Timestamps:

0:00 - 6:26 Introduction and three likely paths to reimbursement

6:27 - 8:08 Current law and Medicare Part D Coverage

8:08 - 11:00 Expanding Medicare Coverage; Treat and Reduce Obesity Act of 2023

11:00 - 13:10 The Congressional Budget Office's issues

13:10 - 20:24 Redefining Obesity; possible demos and interagency squabbles between the FDA and CMS; significant tradeoffs with price

20:24 - 24:45 A voluntary private sector demo? Not likely but not impossible

24:45 - 32:26 What to watch 

Let me know if you have any questions or would like to discuss. 

Emily Evans
Managing Director – Health Policy



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