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Milliman white paper

Questions Surrounding Anti-diabetic GLP-1s in Medicaid

12 November 2024

Continued increases in utilization of glucagon-like peptide-1 agonists (GLP-1s) are exerting pressure on healthcare cost trends and budgets, prompting a critical need for data-driven strategies to manage this growing financial strain. This white paper presents a quantitative analysis of GLP-1 utilization and cost, with a particular emphasis on anti-diabetic indicated GLP-1s in a sample of Medicaid managed care programs. We address the following questions:

  • How does Medicaid preferred drug strategy impact GLP-1 utilization and spending on a gross and net cost basis?
  • What does emerging experience tell us about future utilization?
  • Does emerging experience show medical or pharmacy cost offsets for GLP-1 users?

GLP-1s in Medicaid managed care


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About the Author(s)

Amine Elmeghni

Jim Davidson

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