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ACA/Exchange CareFirst plans explicitly exclude Wegovy this is a benefit exclusion with no PA path

Removal of the Hospital Commitment to Health Equity (HCHE) Measure From the Hospital OQR and REHQR Programs and the Facility Commitment to Health Equity (FCHE) Measure From the ASCQR Program Beginning With the CY 2025 Reporting Period/CY 2027 Payment or Program Determination We refer readers to the CY 2025 OPPS/ASC final rule with comment period where we adopted the Hospital Commitment to Health Equity (hereafter referred to as HCHE) measure into the Hospital OQR and REHQR Programs and the Facility Commitment to Health Equity (hereafter referred to as FCHE) measure into the ASCQR Program (89 FR 94368 through 94381)

If the cause is irreversible then parental therapy should be continued for life

* The Herbalife GLP-1 Nutrition Companion is not a drug and has not been clinically evaluated in GLP-1 patients

The enhanced weight loss observed among engaged participants highlights the potential of digital platforms to augment traditional treatment modalities