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Submitted URL: https://thehill.com/policy/healthcare/4548098-medicare-obesity-drugs-weight-loss/amp/
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Submission: On May 29 via manual from US — Scanned from US
Effective URL: https://thehill.com/policy/healthcare/4548098-medicare-obesity-drugs-weight-loss/
Submission: On May 29 via manual from US — Scanned from US
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More by Joseph Choi - 03/21/24 4:52 PM ET Facebook Share Post ... More Share ✕ Twitter Twitter Facebook Facebook LinkedIn LinkedIn Whatsapp Whatsapp Email Email not for weight loss purposes the Video Player is loading. Play Video Unmute Current Time 0:05 / Duration 0:31 Loaded: 100.00% 0:05 Stream Type LIVE Seek to live, currently behind liveLIVE 1x Playback Rate Chapters * Chapters Descriptions * descriptions off, selected Captions * captions settings, opens captions settings dialog * captions off * Subtitles (en), selected Audio Track * default, selected * Quality * 360p * 720p * 1080p * Auto, selected FullscreenSharePause This is a modal window. Beginning of dialog window. Escape will cancel and close the window. 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Medicare to cover obesity drugs - The Daily Debrief The Hill's Headlines, May 28, 2024 Top UN court demands Israel halt military operations in Rafah Trump tops Biden by 2 points in new national survey Closing arguments in Trump hush money trial set for Tuesday NCAA, Power Five approve antitrust settlement, paving way for college athlete revenue model Justice Department sues Live Nation, Ticketmaster, alleging monopoly over live entertainment industry Highways, airports likely to be jammed ahead of Memorial Day weekend Sununu calls Cuomo ‘complete jacka–,’ Newsom ‘just a prick’ RFK Jr.: 'It's not the piece of paper called the Bill of Rights' itself that safeguards freedom Biden canceling student debt for more than 160,000 borrowers Advertisement The Centers for Medicare and Medicaid Services (CMS) issued guidance allowing for the coverage of anti-obesity medications, but only in cases they are indicated for treating conditions other than obesity. The CMS cited the recent expanded indication of the anti-obesity medication Wegovy as having informed its decision. The Food and Drug Administration (FDA) granted Wegovy approval earlier this month for reducing the risk of cardiovascular death, heart attack and stroke in patients with cardiovascular disease and obesity. “With the recent change in the FDA approved use for Wegovy (semaglutide), current Medicare Part D and Medicaid coverage rules apply,” a CMS spokesperson said in a statement. “CMS has issued guidance to Medicare Part D plans stating that anti-obesity medications (AOMs) that receive FDA approval for an additional medically accepted indication can be considered a Part D drug for that specific use,” the spokesperson added, specifying that drugs that are FDA-approved for only weight loss do not fall under this consideration. Medicare has long been barred from covering weight loss treatments for beneficiaries due to the Medicare Modernization Act of 2003. At the time, there were concerns that the weight loss drugs on the market — specifically fenfluramine/phentermine — carried dangerous side effects. The Treat and Reduce Obesity Act introduced in Congress would allow for more health care providers, services and drugs to be covered under Medicare. Obesity medicine groups and drugmakers such as Novo Nordisk have heavily lobbied for the bill to be passed. Wegovy falls within the newer class of drugs known as GLP-1 agonists, which mimic a hormone produced in the gut that stimulates insulin production and suppresses appetite. In a multi-national study of 17,600 participants, Wegovy was found to statistically reduce risk of a major adverse cardiovascular events by 20 percent. Tags CMS medicare Novo Nordisk wegovy -------------------------------------------------------------------------------- Copyright 2024 Nexstar Media Inc. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed. 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