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Older Adults' Views on Insurance Coverage for Weight Management Medications.
Lauren Oshman1,2, Matthias Kirch2, Erica Solway2
1Department of Family Medicine, University of Michigan, Ann Arbor.
JAMA Network Open
|March 26, 2025
Summary
Most older adults support Medicare coverage for weight management medications. Over half of those with a BMI of 30+ are interested in using these FDA-approved drugs.
Area of Science:
- Gerontology
- Health Services Research
- Pharmacoeconomics
Background:
- Many FDA-approved weight management medications lack coverage by Medicare and commercial insurers.
- Weight management medications, including incretin mimetics, are crucial for addressing obesity in older adults.
Purpose of the Study:
- To evaluate interest in weight management medications among older adults.
- To understand perceptions of insurance coverage for these medications, particularly Medicare.
Main Methods:
- Cross-sectional survey data from a nationally representative sample of US adults aged 50-80.
- Analysis of interest in weight management medications and perceptions of insurance coverage.
Main Results:
- 35.1% of participants expressed interest in weight management medications, rising to 59.1% for those with a BMI ≥ 30.
- Past medication use and higher BMI were strongly associated with interest.
- 83.2% believed health insurance should cover these medications, with 75.7% supporting Medicare coverage.
Conclusions:
- A majority of older adults favor Medicare coverage for weight management drugs.
- Findings support inclusion of these medications in insurance programs to manage obesity and healthcare costs.
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