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CMS Plans To Implement A New Medicare GLP-1 Payment Demonstration Beginning In July 2026

ReutersDec 23, 2025 10:44 PM

- CMS:

  • CMS BALANCE MODEL AIMS TO EXPAND ACCESS TO GLP-1 MEDICATIONS FOR PEOPLE WITH MEDICARE PART D AND MEDICAID

  • CMS: BALANCE MODEL WILL LAUNCH IN MEDICAID AS EARLY AS MAY 2026 AND IN MEDICARE PART D IN JANUARY 2027

  • CMS: PLANS TO IMPLEMENT A NEW MEDICARE GLP-1 PAYMENT DEMONSTRATION BEGINNING IN JULY 2026

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