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Navigating the GLP-1 Wave: A Strategic Guide for Plan Sponsors Pain Point : Theres a lack of clear guidance on how to best incorporate and manage coverage for new and expensive GLP-1 medications into existing health plans

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Patients often report changes in urinary frequency when starting these medications, prompting questions about whether GLP-1 drugs directly cause increased urination

From a scope-of-practice standpoint, health coaches do not prescribe, dose, or manage medications

To be included in the Bridge eligibility analysis, an individual was required to have coverage for Parts A, B, and D for all months of 2023, not have switched between traditional Medicare and Medicare Advantage during the year, and remain living for the entire year

The complexity arises from the individual mechanisms of action of each substance