Understanding insurance coverage policies for incretin mimetics for weight management.

ABSTRACT:

Objectives

Given the wide variation in insurance coverage for incretin mimetics for weight management (IMWM) in the US, we aimed to understand (1) coverage policies for IMWM and influencing factors, (2) coverage policies for other weight management treatments, and (3) opportunities to support weight management while constraining health care costs.

Study design

Qualitative study.

Methods

Participants were leaders and high-level employees from large health insurance organizations in the US. Our aim was to survey 20 participants, 10 from organizations that covered IMWM and 10 that excluded coverage for IMWM. Participants completed a 30-minute interview. Interviews were audio recorded, transcribed verbatim, and analyzed using directed content analysis.

Results

Twen

SUBMITTER: Griauzde DH 

PROVIDER: S-EPMC12710463 | biostudies-literature | 2025 Jul

REPOSITORIES: biostudies-literature