Most employers covering GLP-1s have no idea if they're working. They see the pharmacy claims. They don't see the return. Obesity is now recognized as a disease, which means employers feel the pressure to treat it. But paying for treatment without measuring it isn't a strategy. It's a blank check. The questions that actually matter: + Are the right members getting these medications? + Is the program driving the clinical outcomes we planned for? + And is any of this showing up in medical claims? Right now, for most plans, the answer is: we don't know. That needs to change. GLP-1s are among the most expensive interventions in benefits today — and also among the least measured. The data exists. We're just not using it.

Solid points. Access matters, but measurement decides whether the investment holds up.

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