You’ve likely heard about GLP-1s, medications that mimic a naturally occurring hormone to help regulate blood sugar and appetite. These drugs have become popular for their weight-loss benefits. While they show promise, they come at a steep price that can lead to high out-of-pocket costs for members and increased pressure on premiums for employers and individual plan holders.
In addition to costs, there is a lot that people don’t know about GLP-1 medications. There’s a lack of information about their long-term risks and consequences. Also, people who are taking GLP-1s for weight loss often find that they’re not the quick fix as they might’ve hoped. That’s because people need to stick to the treatment and its side effects for a minimum of 12 continuous weeks to achieve a level of weight loss that will positively impact their health.
To navigate these challenges, we are committed to offering solutions that support members and employers. Here is how we’re doing it.
We understand the challenges of weight management and provide employers and members with the support they need. Our offerings include:
Comprehensive Coverage: We offer employer weight-loss and weight-management coverage options that allow them to choose which program works best for them and their employees.
Innovating Plan Design: We offer and update plans that allow for the customization your clients desire.
Data-Driven Decisions: We provide employers with insights to inform their benefits packages.
Additional Wellness Support: Our members have access to tools like Omada for weight management coaching and Learn to Live for emotional well-being.
Utilization Management: We ensure that members can access the right medication while managing high-cost medications, such as GLP-1s, through quantity limits and prior authorization.
Omada connects members with coaches and a supportive community to build healthy habits. While Omada members using GLP-1s often see greater weight loss, the program's impact extends to all users.
Learn to Live offers resources to manage stress, anxiety, and depression, which can be amplified during weight loss journeys.
Ready to take the next step? Visit our Well-being Tools webpage or contact Member Services for more information on available resources and support.
Sources: Omada Health