Addressing insurance‐related barriers to novel antiobesity medications: Lessons to be learned from bariatric surgery
Open accessAbstract
The past decade has witnessed significant progress in the development of new antiobesity medications, with several having greater efficacy than pharmacological agents previously approved by the Food and Drug Administration (FDA). Despite the potential of new medications to combat America's obesity crisis, access to these agents is severely limited. This Perspective presents the current coverage landscape for antiobesity medications, including the recent requirement by the US Office of Personnel Management for Federal Employees Health Benefits Program carriers to offer adequate coverage of FDA‐approved antiobesity medications, and it makes parallels with conditions that made expanded insurance coverage for bariatric surgery possible, as well as emphasizes the need for additional action by the legislature and the Centers for Medicare and Medicaid Services to expand coverage of evidence‐based obesity treatments.
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Private insurance coverage for AOMs varies by carrier and often requires strict preauthorization.
“Among those with private insurance, coverage for AOMs varies by carrier and often involves strict preauthorization (23).”
From Regional trends and disparities in newer <scp>GLP1</scp> receptor agonist initiation among real‐world adult patients eligible for obesity treatment (2025) · cites this paper as [23]
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References 12 · Cited by 26
- Authors
- Gasoyan, H., & Sarwer, D. B.
- Affiliations
- Cleveland Clinic (US)
- Temple University (US)
- Corresponding author
- Gasoyan, Hamlet
- Venue
- Obesity
- Publisher
- Wiley
- Published
- 2022-10-03
- Volume
- 30
- Issue
- 12
- Pages
- 2338-2339
- ISSN
- 1930-7381 (ISSN-L)
- 1930-739X
- PMC
- PMC9691525
- OpenAlex
- W4300689103
- Cited by
- 26
- References
- 12
- Citations by year
- 2026: 8 · 2025: 11 · 2024: 4 · 2023: 2 · 2022: 1
- FWCI
- 2.69
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Obesity (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Dental and Craniofacial Research (1R01DE026603‐01A1)
- Topics
- Health Sciences › Medicine › Pharmacology › Pharmacology and Obesity Treatment
- Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
- Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
- Keywords
- anti-obesity drugs, insurance coverage, bariatric surgery, health insurance barriers, Office of Personnel Management
- MeSH terms
- Aged, Medicare, Humans, Medicaid, Obesity, United States, Anti-Obesity Agents, Insurance Coverage, Bariatric Surgery
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