CMS
12 articles on CMS, written by Shotlee and medically reviewed for clinical accuracy.
Medicare's $50 GLP-1 Weight Loss Drug Trial: Who Qualifies?
For many older Americans, the high cost of GLP-1 weight loss medications has been a significant barrier. Now, a new Medicare trial offers a lifeline, potentially making these life-changing drugs accessible for just $50 a month. This article breaks down what you need to know about the Medicare GLP-1 Bridge program, including who qualifies, which medications are covered, and the program's future.
8 min read
Medicare's GLP-1 Weight Loss Drug Bridge: What You Need to Know
For the first time, Medicare is expanding access to GLP-1 medications for weight loss through a new pilot program. Starting July 1, eligible beneficiaries can access popular drugs like Wegovy and Zepbound for a $50 monthly copay. This groundbreaking initiative aims to make these life-changing treatments more accessible, but understanding the specifics is crucial.
7 min read
Ozempic, Wegovy, Mounjaro: Navigating the New GLP-1 Landscape
The landscape of GLP-1 medications for weight loss and chronic disease management is rapidly evolving. From new access programs to shifting pricing dynamics, understanding these advancements is crucial for patients and healthcare providers alike.
6 min read
Wegovy and Zepbound on Medicare: What the $50 Co-Pay Means for Your Health
A new federal agreement could lower the cost of popular weight-loss medications like Wegovy and Zepbound to $50 per month for eligible Medicare beneficiaries. Here is what you need to know about eligibility and clinical impact.
7 min read
Beyond Weight Loss: GLP-1s Show Promise Against Inflammation
Initially celebrated for their weight-loss efficacy, GLP-1 receptor agonists are now revealing a broader therapeutic scope. Emerging research suggests these powerful medications may offer significant benefits in combating inflammation and tissue damage, potentially transforming the management of chronic diseases.
6 min read
Supreme Court Ruling: Medicare Drug Price Negotiations Move Forward
In a significant victory for healthcare cost containment, the Supreme Court has allowed Medicare to proceed with negotiating drug prices. This decision upholds a key provision of the Inflation Reduction Act and could impact the cost of many prescription medications, including widely used GLP-1 agonists.
6 min read
Online GLP-1 Programs: Revolutionizing Medically Supervised Weight Loss
Discover the seismic shift in obesity medicine as online GLP-1 programs leverage telehealth and advanced medications like semaglutide and tirzepatide to provide accessible, medically supervised weight loss solutions.
11 min read
PPH ETF: Drug Pricing Policy & Eli Lilly Risks in 2026
The VanEck Pharmaceutical ETF (PPH) offers broad pharma exposure but faces headwinds from U.S. drug pricing reforms and heavy Eli Lilly weighting. Down 8% in the past month despite 15% one-year gains, PPH's diversification is tested. Key risks include MFN pricing deals and GLP-1 competition.
5 min read
Medicare GLP-1 Coverage 2026: Wegovy, Zepbound Guide
Medicare is breaking its long-standing rule against covering weight loss drugs like Wegovy and Zepbound through a new GLP-1 initiative. Starting with a bridge phase in July 2026, eligible beneficiaries could pay just $50 monthly copays—if they act now. This guide explains the changes, requirements, and clinical context for GLP-1 therapy.
4 min read
Pharmaceutical firms compensate Indiana physicians for discussing GLP-1 medications, data reveals
An analysis of public data shows that pharmaceutical firms paid over $533,000 to Indiana healthcare professionals in 2024 for speaking about GLP-1 medications. The funds covered travel and expenses for conferences. Experts discuss potential influences on prescribing practices, while doctors defend the educational value.
6 min read
CMS Introduces Initiative to Enhance GLP-1 Availability in Medicaid and Medicare Part D
A novel CMS demonstration program seeks to broaden access to GLP-1 receptor agonists for individuals in Medicare Part D and Medicaid, aiming to address weight management and metabolic health. While it promises negotiations with manufacturers for reduced prices, experts remain skeptical about its widespread effectiveness. The initiative builds on prior drug pricing efforts and includes provisions for lifestyle support, with launch timelines set for 2026.
5 min read
Medicare Negotiates Reduced Prices on 15 Common Medications: Will This Save You Money?
The federal government has negotiated lower prices for 15 widely used medications covered by Medicare, potentially cutting spending by 44%. While Medicare enrollees are protected by a cap on drug costs, the new prices could save millions enrolled in the Part D pharmaceutical plan a total of about $685 million.
4 min read