Thoughts on Healthcare Markets & Technology
Thoughts on Healthcare Markets & Technology Podcast
The BALANCE Model Pause, the GLP-1 Bridge Extension Thru Dec 2027 & What the 80% Part D Participation Threshold Miss Signals About Medicare's First Real Attempt to Negotiate Anti-Obesity Drug Coverage
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The BALANCE Model Pause, the GLP-1 Bridge Extension Thru Dec 2027 & What the 80% Part D Participation Threshold Miss Signals About Medicare's First Real Attempt to Negotiate Anti-Obesity Drug Coverage

CMS paused the Part D leg of BALANCE one day after the application deadline — the 80 percent participation threshold miss tells you exactly why GLP-1 coverage policy is harder than it looks.

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