Cigna is attempting to increase coverage by capping the amount of money insurance pays for weight loss medications

Cigna is attempting to increase coverage by capping the amount of money insurance pays for weight loss medications
Cigna is attempting to increase coverage by capping the amount of money insurance pays for weight loss medications
Cigna is attempting to increase coverage by capping the amount of money insurance pays for weight loss medications

Cigna claimed that by imposing a cost cap, “financial predictability” would be provided, enabling companies and health plans to more effectively plan for managing GLP-1 spending. Thus, more access for qualified patients would be ensured.

During the company’s investor day, Express Scripts’ head of pharmacy benefits management, Adam Kautzner, predicted that the GLP-1 market might reach $100 billion by the end of the decade. The Evernorth division is the owner of ExpressScripts. He described that as a “totally unsustainable number” and stated that customers of Cigna’s insurance division are “still coming to us for assistance.”

“Many of them seek to maintain or increase patient access to diabetes treatment. However, concurrently, there are also some that appear to be retreating,” Kautzner stated at the occasion.

In October, the International Foundation of Employee Benefit Plans conducted a study with 205 firms and found that 76% of respondents covered GLP-1 drugs for diabetes, whereas only 27% covered weight reduction. However, 13% of plan sponsors said they would think about including coverage for weight loss.

other stories

Related post

Leave a Reply