Another commenter suggested CMS maintain the existing policy for ACOs entering their first agreement period with a January 1, 2026 start date (that is, those ACOs should remain eligible for an additional two years under a one-sided model upon entering their second agreement period). A few commenters expressed a similar sentiment, suggesting that CMS apply the proposed policy only to new ACOs as currently participating ACOs entered the Shared Savings Program under the existing glide path and have been using shared savings to build infrastructure and capabilities necessary for risk-bearing arrangements
and The patient is not concurrently being treated with a PBS-subsidised SGLT2 inhibitor, dipeptidyl peptidase-4 (DPP4) inhibitor or another GLP-1 RA for their T2DM For subsequent semaglutide PBS prescriptions, the patient must not be concurrently treated for T2DM with a PBS-subsidised SGLT2 inhibitor, DPP4 inhibitor or another GLP-1 RA
Kaiser's Weight Management Program: The Gateway to GLP-1 Coverage You cannot just walk into your Kaiser PCP appointment, say "I want Wegovy," and walk out with a prescription
How often are GLP-1/Tizerpatide injections
Cartilage has no blood vessels or nerves, and its cells divide very slowly, leaving it unable to heal itself on its own