ACAP Webinar: Thursday, July 24th | 2:00PM EST

July 9, 2025

medicaid

As GLP-1 medications like Ozempic, Wegovy and Zepbound surge in popularity for treating diabetes and obesity, Medicaid programs across the U.S. are grappling with unprecedented financial and policy challenges. With patients paying upwards of $11,000 annually for a year supply, and Medicaid spending on these drugs skyrocketing from $577 million in 2019 to nearly $4 billion in 2023, health plans are under immense pressure to balance access, equity and sustainability.

Join Evernorth’s panel of experts from Express Scripts Pharmacy Benefit Services for a discussion on key topics including GLP-1 utilization trends, state-by-state insights, ROI and value assessment and formulary management strategies. REGISTER NOW!

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As we continue to evolve the newsletter, we’d love to hear your thoughts. Your feedback will help us better understand what content is most valuable, whether the current publication frequency is meeting your needs, and how we can improve your overall experience.
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June 19, 2026

EGWP marketplace medicaid Medicare

legislation

Bicameral Patients before Monopolies Act reintroduced

On May 13, bipartisan lawmakers in the House and Senate reintroduced the Patients Before Monopolies (PBM) Act (S.4509/H.R.8779), legislation that would prohibit common ownership of PBMs, insurers, and pharmacies. Sponsored by Sens. Warren (D-MA) and Josh Hawley (R-MO) alongside Reps. Diana Harshbarger (R-TN) and Jake Auchincloss (D-MA), the bill would require impacted organizations to divest […]
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June 10, 2026

EGWP marketplace medicaid Medicare

legislation

CMS announces ePA acceleration initiative, democrats seek to repeal WISeR Model

The Centers for Medicare & Medicaid Services (CMS) is advancing its electronic prior authorization (ePA) efforts through a newly established Electronic Prior Authorization Acceleration initiative to address key challenges and drive solutions ahead of 2027 requirements. To date, 29 health care organizations – including health systems, electronic health record developers, physician practices, networks, and digital health […]
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June 10, 2026

EGWP marketplace medicaid Medicare

ACAP Webinar Replay: Weighing the Costs of GLP-1s in Medicaid

Missed our recent webinar with Association for Community Affiliated Plans (ACAP)? You can now access the recording to learn about key GLP-1 topics including utilization and spending trends among youth and adults, state coverage and reversal considerations, the potential of GLP-1s and sustainability strategies. Watch the Replay!
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September 9, 2025

medicaid

event

ACAP Webinar Replay: How Home-Based Care Can Address the Clinical and SDOH Needs of a Diverse Patient Population

Did you miss our recent webinar with the Association for Community Affiliated Plans (ACAP)? Don’t worry, you can access the full replay now! Watch to learn recommendations for incorporating an integrated home care model in health plan programs from Brendan Kerrigan and Dr. Cheryl Hilton: https://bit.ly/3yE677G
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August 21, 2024

medicaid Medicare

event

ACAP Webinar: July 18th | 1:00PM CT

Join us as we share how to help members get the care and personalized experience they deserve by:
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June 26, 2024

medicaid Medicare

event

2023 AHIP Webinar

Creating Better Health Outcomes with Digital Tools and Artificial Intelligence
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December 8, 2023

event

Regulated Markets Summit

2023 Key Takeaways Missed the 2023 Regulated Markets Summit, or wish you’d taken better notes? We’ve got you covered with detailed notes from all three days.
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October 2, 2023