Medicare/Medicaid might pay for GLP1s again

GLP1s might be covered under Medicare/medicaid again. The Trump administration introduces a new experiment under the CMMI.

Medicare/Medicaid might pay for GLP1s again

It’s simple — if more people can afford GLP-1s (possibly as part of a subsidized program) more companies are incentivized to continue making, innovating on and distributing GLP1s, and that’s great for society as a whole.

This news was first reported on by the Washington Post:

📰 Washington Post Exclusive

Below, we’ll dive in to a quick summary of what happened and how we think it’ll change the landscape.

🏛️ What is the White House proposing?

The White House wants to move the responsibility of evaluating GLP-1s for coverage under Medicare/Medicaid to the Center for Medicare and Medicaid Innovation (CMMI).

This means that the CMMI would create a pilot program to investigate the efficacy and efficiency of GLP-1s relative to cost. If successful that would then lead to longer term changes to the availability of the drug under medicare/medicaid.


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