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Committee hears informational presentation on GLP‑1 weight‑loss drugs after Anthem coding error
Summary
Members of the Manchester Board Mayor & Aldermen Committee on Human Resources and Insurance heard an informational presentation on GLP‑1 weight‑loss medications and how they affect the city’s self‑funded health plan.
Members of the Manchester Board Mayor & Aldermen Committee on Human Resources and Insurance heard an informational presentation on GLP‑1 weight‑loss medications and how they affect the city’s self‑funded health plan. Anthem and consultant USI described an Anthem coding error that allowed coverage for weight‑loss GLP‑1s for 44 members and outlined cost estimates and alternatives.
The presentation, given by Anthem executive Milan Rajic and USI consultant Bert Dury, explained that the city’s plan has historically covered GLP‑1 drugs for Type‑2 diabetes but not for weight‑loss. Rajic summarized Anthem’s discovery: “this was our mistake, and we owned the mistake. We paid the city back the monies, and…
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