A severe tendon tear, fracture, infection, nerve compression, progressive weakness, unexplained swelling, or rapidly worsening pain needs appropriate evaluation
And with retatrutide producing some of the most dramatic weight loss results ever seen in clinical trials, up to 24% body weight reduction at the highest doses, the question of what happens to lean tissue deserves a serious answer
You can obtain eligibility and benefit information for out-of-area BCBS Medicaid members using the same tools as you would for other out-of-area Blue Plan members: Providers can also request prior authorization for out-of-area Blue Plan Medicaid members using the same tools available for BlueCard: Although BCBS Medicaid claims are processed through the BCBS Inter-Plan system, Medicaid is not officially part of the BlueCard Program since there is no network reciprocity and the locally negotiated rates do not apply to Medicaid claims
Expect gradual improvement rather than overnight transformation
For example, in CY 2020, which represented the fourth year of the transition period, the applicable GPCI values for counties that were previously in the rest-of-state locality or locality 3 and are now in MSAs were a blend of two-thirds of the GPCI value calculated for the year under the MSA-based locality structure, and one-third of the GPCI value calculated for the year under the locality structure that was in place prior to CY 2017
