For about two, three weeks, I felt nauseous the whole time
For the PBM reforms in the recently-enacted appropriations law, CBO estimated a total federal deficit reduction of $2.12 billion over 10 years (2026-2035): A reduction of $444 million from delinking PBM compensation from the cost of medications for drugs under Part D and establishing PBM transparency and reporting requirements for Part D plans An increase of $188 billion from assuring pharmacy access and choice for Medicare beneficiaries A reduction of $1.865 billion from increasing oversight of PBMs that work with employer health plans, including $1.843 billion in additional revenues and savings of $22 million For the provision to increase oversight of PBMs that work with employer health plans, a prior CBO estimate of this provision assumed that because insurers had more information about the operations of their PBMs, it would lead to a reduction in prescription costs, and therefore a modest reduction in premiums charged in the group health insurance market, though savings would likely diminish over time
The announcement builds on work Cigna has already done through its EncircleRx product, which was launched under its Express Scripts unit in response to the challenges clients faced around the GLP-1 class
Another option: fractional CO2 laser resurfacing, which creates controlled micro-injuries to spark the bodys healing process, boosting collagen and improving skin texture
Following legal challenges, DHHS reversed these reductions entirely, including the restoration of coverage for GLP-1 medications used for weight management effective December 12, 2025, by direct order of the governor
The AI is being used in the discovery and design of next-generation GLP-1 analogs
