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CMS calls off program to cover GLP-1s April 23, 2026 Summary: CMS has indefinitely postponed its BALANCE program that would have subsidized GLP-1 obesity medications for Medicare members, a predictable outcome given the adverse selection risks and short-term cost challenges that make coverage financially untenable for health plans even at negotiated prices
Clinical guidelines generally support longer-term use for sustained outcomes, but the appropriate duration for how long to take GLP-1 medication should be guided by a prescriber based on individual goals, response to treatment, and overall health
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doi: 10.1016/j.neuint.2019.04.010 15
