They discuss for-profit HMO’s being banned from participating in Minnesota Medicaid products. They also discuss the economic impact and future of insurance coverage for GLP-1 weight loss drugs such as Wegovy and Zepbound. Also on the program: UnitedHealthcare has announced they will increase their usage of artificial intelligence. Plus: a former AstraZeneca executive is charged with cyber stalking after he sent threatening messages to leadership at CVS Health and Aetna.
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Articles mentioned in this program:
For-profit HMOs will, again, be blocked from Minnesota's Medicaid program - Minneapolis Star Tribune
Weight loss drug coverage gets more complicated - Becker's Payer Issues
Real-World Trends in GLP-1 Treatment Persistence and Prescribing for Weight Management - BlueCross BlueShield
UnitedHealth testing 500 AI use cases - Becker's Hospital Review
Patient’s Dark Fantasy About Aetna Lands Him in Jail - The Daily Beast
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Fulcrum Strategies is a healthcare consulting firm specializing in payer contract negotiation and strategic planning for physician practices. Our firm has helped over 5,000 physicians in groups of all sizes and specialties across the country to significantly improve their contract language and reimbursement rates, strategically plan for the future, and achieve business success. Learn more at FSDOC.com.
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