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poorgradstudent

11/21/12 9:59 PM

#152879 RE: ilpapa #152878

Obesity drug coverage:

Compliance is the wild card. If people comply and finish their 6 month term, then the other triggers are pretty easy.

Nothing guaranteed, but these providers are undoubtedly projecting / modeling possible benefits of weight loss and how that could impact their bottom line. This may be the initial step in exploring that question.

DewDiligence

11/22/12 1:52 PM

#152887 RE: ilpapa #152878

…after at least 6 months on a weight loss regimen that includes a low calorie diet, increased physical activity, and behavioral therapy.

Technically, this allows AET to deny coverage to almost everyone.

Many people who sign up for a gym membership in January are never seen again as soon as February.