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Jay Michael Snows approach is rooted in individualized care

These medications don't replace healthy habits

GLP-1s suppress appetite and alter hunger cues, which means they carry real risks for individuals with certain medical conditions or a history of eating disorders

What CMS is planning to do Through the BALANCE Model, CMS plans to: Work with voluntary GLP-1 manufacturers to establish pricing and access terms Create a standardized pathway for participating Medicaid programs and Medicare plans to cover these medications Pair medication access with lifestyle and nutrition supports grounded in current scientific evidence Evaluate how the model affects access to care, health outcomes, costs and peoples experiences Key dates to know What we dont know yet Several important details have not been finalized, including: When beneficiaries will know whether their state Medicaid program or Medicare plan is participating What the enrollment process will look like The exact clinical criteria for individual eligibility to the programs What lifestyle and nutrition supports will be offered Whether lifestyle and nutrition supports will differ by drug manufacturer Because participation is voluntary for manufacturers and plans, we dont know how many people will participate in the programs An important first step Most people living with obesity who rely on Medicare or Medicaid face barriers to accessing obesity treatments

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