{"id":243571,"date":"2025-10-22T13:12:07","date_gmt":"2025-10-22T13:12:07","guid":{"rendered":"https:\/\/www.newsbeep.com\/us\/243571\/"},"modified":"2025-10-22T13:12:07","modified_gmt":"2025-10-22T13:12:07","slug":"more-and-more-workers-are-using-weight-loss-drugs-its-costing-their-employers-a-fortune","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/us\/243571\/","title":{"rendered":"More and more workers are using weight loss drugs. It\u2019s costing their employers a fortune"},"content":{"rendered":"<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmh15xkcd006o26nkbj3j4emt@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">\n            Weight loss drugs are proving to be super popular among many workers with job-based health insurance. But GLP-1 medications are busting their employers\u2019 budgets, leading some firms to rethink their coverage.\n    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmh15ze54000b356nwyypmzry@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">\n            The share of very large firms covering these drugs for obesity soared to 43% this year, up from 28% last year, according to KFF\u2019s latest annual <a href=\"https:\/\/nam11.safelinks.protection.outlook.com\/?url=http%3A%2F%2Fwww.kff.org%2Fehbs&amp;data=05%7C02%7CTami.Luhby%40cnn.com%7Cc69cf664776b4c40810908de100dc423%7C0eb48825e8714459bc72d0ecd68f1f39%7C0%7C0%7C638965848813438983%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&amp;sdata=IniV8PEDIsA5e3qIr0csq9UENlHcJO0on2bkGaZXtzI%3D&amp;reserved=0\" target=\"_blank\" rel=\"nofollow noopener\">Employer Health Benefits Survey<\/a>, which was released on Wednesday. These employers, who have more than 5,000 workers, are much more likely than their smaller counterparts to offer such a benefit.\n    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmh15ze54000c356n3krydd27@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">\n            Among firms with between 200 and 999 staffers, only 16% provide coverage of drugs for weight loss this year, the same as last year, according to KFF, a nonpartisan health policy research group.\n    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmh15ze54000d356n9k9f6erz@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">\n            GLP-1 drugs, which treat diabetes, obesity and certain other conditions, have been in great demand since they came on the market a few years ago because they help patients shed pounds. While employers typically cover the medications for diabetes, fewer of them do so for weight loss, in part because of the drugs\u2019 high prices \u2014 which have also <a href=\"https:\/\/www.cnn.com\/2024\/01\/08\/health\/weight-loss-drug-insurance-denials\/index.html\" rel=\"nofollow noopener\" target=\"_blank\">limited Americans\u2019 access<\/a> to them. The list price of Wegovy, for instance, is about $1,350 for a month\u2019s supply, though discounts are available.\n    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmh15ze54000e356n474nvlle@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">\n            Employers, however, recognize that covering the medications for weight loss is a valuable benefit to attract and retain talented staffers. Notably, even among firms that don\u2019t do so, nearly half said the benefit is \u201cvery important\u201d or \u201cimportant\u201d for employee satisfaction. More than 36 million people with job-based insurance have a body mass index that would medically qualify them for a GLP-1 drug.\n    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmh15ze54000f356n456eun78@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">\n            \u201cLarge employers know these new high-priced weight-loss drugs are an important benefit for their workers, but their costs often exceed their expectations,\u201d Gary Claxton, KFF senior vice president, said in a statement. \u201cIt\u2019s not a surprise that some are rethinking access to the drugs for weight loss.\u201d\n    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmh15ze54000g356n8fnvp1z6@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">\n            Costs are higher than forecast because more workers are taking advantage of the benefit, KFF found. Nearly 60% of large firms said usage of the medications for weight loss is higher than they predicted, while two-thirds of such employers said the impact on their prescription drug spending was \u201csignificant.\u201d\n    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmh15ze54000h356n8j6boi8f@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">\n            One employer KFF surveyed found that it spent more on GLP-1 medications than any other drug this year, up from 32nd place last year.\n    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmh15ze54000i356nzh04gyih@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">\n            A large retailer told KFF, \u201cBefore we knew it, we spent half a million dollars and we\u2019re projected to go up to $1.2 million the following year.\u201d\n    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmh15ze54000j356nk42d22xt@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">\n            The high costs of GLP-1 drugs have long been a source of frustration for many Americans. President Donald Trump set off a kerfuffle last week when he said that the <a href=\"https:\/\/www.cnn.com\/2025\/10\/17\/health\/ozempic-trump-oz\" rel=\"nofollow noopener\" target=\"_blank\">medications<\/a> would soon be available for $150, prompting Mehmet Oz, the Centers for Medicare and Medicaid Services administrator, to step in and say negotiations are ongoing.\n    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmh15ze54000k356n1wgxwp3o@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">\n            Many employers told KFF they were looking at reducing coverage of the drugs through steps such as limiting eligibility to those with higher body mass indexes or requiring workers to participate in weight management programs.\n    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmh15ze54000l356nweh83jjv@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">\n            \u201cYou have to have a coach, and then you can only stay on it for a certain amount of time before you have to get reevaluated,\u201d one large manufacturer told KFF.\n    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmh15ze54000m356nq90t3bsg@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">\n            Other firms told KFF they have decided to drop the benefit for weight loss.\n    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmh15ze54000n356n05wwvanj@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">\n            However, employers will likely have to reconsider their coverage again in coming years, especially as more workers demand coverage, and the drugs are approved for even more medical conditions. Plus, prices coming down.\n    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmh15ze54000o356n7431ymgd@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">\n            \u201cWe\u2019re still writing the story of what GLP-1 coverage looks like in employer plans,\u201d said Matthew Rae, associate director of the Program on the Health Care Marketplace at KFF.\n    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmh15ze54000q356nsp2gk5xy@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">\n            GLP-1 drug costs \u2013 and prescription drug prices in general \u2013 are also contributing to a rise in premiums.\n    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmh15ze54000r356nawov76si@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">\n            Annual insurance coverage for a family hit $27,000, on average, this year, up 6% from 2024, according to KFF\u2019s survey. Workers contribute $6,850 toward the cost, on average, while employers pick up the rest of the tab.\n    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmh15ze54000s356nfkh0ly5a@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">\n            Meanwhile, individual coverage topped $9,300, on average, this year, up 5% \u2013 with employees shouldering $1,440 of the cost and employers paying the rest.\n    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmh15ze54000t356nvlscox5a@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">\n            Over the past five years, the growth in premiums has been largely in line with inflation and wage increases.\n    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmh15ze54000u356njd36arps@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">\n            But <a href=\"https:\/\/www.cnn.com\/2025\/09\/04\/business\/health-insurance-premiums-cost-increase\" rel=\"nofollow noopener\" target=\"_blank\">coverage for 2026<\/a> could be much pricier, according to several benefits consulting firms. KFF also points to GLP-1 medications, hospital prices and tariffs as factors that could push up premiums and out-of-pocket costs for workers next year.\n    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmh15ze54000v356ncdv3zyr6@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">\n            \u201cThere is a quiet alarm bell going off,\u201d Drew Altman, KFF\u2019s CEO, said in a statement. \u201cEmployers have nothing new in their arsenal that can address most of the drivers of their cost increases, and that could well result in an increase in deductibles and other forms of employee cost sharing again, a strategy that neither employers nor employees like but companies resort to in a pinch to hold down premium increases.\u201d\n    <\/p>\n","protected":false},"excerpt":{"rendered":"Weight loss drugs are proving to be super popular among many workers with job-based health insurance. But GLP-1&hellip;\n","protected":false},"author":2,"featured_media":243572,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[58],"tags":[97,243],"class_list":{"0":"post-243571","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-medication","8":"tag-health","9":"tag-medication"},"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts\/243571","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/comments?post=243571"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts\/243571\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/media\/243572"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/media?parent=243571"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/categories?post=243571"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/tags?post=243571"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}