Connect with us

Health

Big Medicare change slashes weight-loss drug costs for eligible seniors

Published

on

Big Medicare change slashes weight-loss drug costs for eligible seniors

NEWYou can now listen to Fox News articles!

Millions of Medicare beneficiaries struggling with obesity could soon see the cost of weight-loss drugs plummet, as a new federal pilot program launching July 1 expands access to GLP-1 medications like Wegovy and Zepbound for eligible seniors.

Advertisement

Through a new trial called Medicare GLP-1 Bridge, the federal government is now offering a selection of the brand-name medications to certain Medicare and Medicare Advantage beneficiaries for $50 a month, The Associated Press reported.

The covered medications include drugmaker Eli Lilly’s Foundayo tablets and Zepbound KwikPens and Novo Nordisk’s Wegovy injections and tablets, all of which have been FDA-approved for weight loss, according to the report.

OZEMPIC USERS MAY BE MAKING A MAJOR WEIGHT-LOSS MISTAKE, NEW STUDY SUGGESTS

The temporary program is set to run until the end of 2027.

This is the first time GLP-1s (glucagon-like peptide-1 receptor agonists) will be covered by insurance when used solely for weight loss.

Advertisement

A new federal pilot program launching July 1 expands access to GLP-1 medications like Wegovy and Zepbound for eligible seniors. (iStock)

Prior to this new Medicare pilot, seniors who wanted to access GLP-1s for obesity alone paid about $1,350-$1,650 per month for Novo Nordisk’s Wegovy (semaglutide) and about $1,086 monthly for Lilly’s Zepbound (tirzepatide). However, both manufacturers offered some cash-pay options that significantly reduced those prices for eligible patients.

GLP-1 WEIGHT LOSS DRUGS ARE RESHAPING THE BRIDAL INDUSTRY AS SHOPS RUSH ORDERS AND REQUIRE NEW WAIVERS

There are some parameters surrounding the coverage — older adults must have had a body mass index (BMI) of 35 or higher when they started GLP-1 therapy, or a BMI of 27 or higher alongside another health condition, such as a past heart attack or stroke or prediabetes.

TEST YOURSELF WITH OUR LATEST LIFESTYLE QUIZ

Advertisement

Those who already have insurance coverage for other diseases, such as diabetes and sleep apnea, are not eligible for the program.

Through a new trial called Medicare GLP-1 Bridge, the federal government is now offering a selection of the brand-name medications to certain Medicare and Medicare Advantage beneficiaries for $50 a month. (iStock)

There are more than 70 million Americans currently enrolled in Medicare, 10 million of whom are overweight or obese, according to Juliette Cubanski, vice president and director of the program on Medicare policy at the healthcare research nonprofit KFF.

CLICK HERE TO SIGN UP FOR OUR HEALTH NEWSLETTER

“For many older Americans living with obesity, this is a moment they and their families have been waiting for,” Jamey Millar, Novo Nordisk’s executive vice president of U.S. operations, said in a press release.

Advertisement

“The Medicare GLP-1 Bridge program offers a new, affordable path to an FDA-approved treatment that was previously not covered.”

CLICK HERE FOR MORE HEALTH STORIES

Dr. Mehmet Oz, administrator of the Centers for Medicare & Medicaid Services, said he hopes the program can help his agency collect data to potentially work toward longer-term coverage, while providing immediate relief to cash-strapped older Americans, AP reported.

“The sheer cost of these medications is a huge barrier to access,” he said in a call with reporters. “That ends today.”

Prior to this new Medicare pilot, seniors who wanted to access GLP-1s for obesity alone paid about $1,350-$1,650 per month for Novo Nordisk’s Wegovy (semaglutide) and about $1,086 monthly for Lilly’s Zepbound (tirzepatide).  (iStock)

Advertisement

Oz told reporters that CMS plans to “carefully track participation and outcomes” to see whether an extension of the Bridge program or another solution is the best way to move forward. He told AP a federal law permanently allowing the coverage is “not essential right now” but something “for Congress to debate amongst themselves.”

“We can’t decide what’s going to happen long term with Bridge until we see some of the data,” he said, adding that there are ongoing talks with drug companies to lower costs.

CLICK HERE TO DOWNLOAD THE FOX NEWS APP

One potential concern is that older patients tend to have more adverse effects to medication in general , according to Dr. Micah Eimer, a clinical assistant professor of cardiology at the Northwestern University Feinberg School of Medicine.

“Specifically, in our research, older patients on blood pressure medications were more likely to experience hypotensive side effects, such as fainting and dizziness, after starting a GLP-1,” he said in a statement.

Advertisement

The Associated Press contributed to this report.

Health

Man turns tragic loss of best friend to suicide into urgent outreach to lonely strangers

Published

on

Man turns tragic loss of best friend to suicide into urgent outreach to lonely strangers

NEWYou can now listen to Fox News articles!

This story discusses suicide. If you or someone you know is having thoughts of suicide, please contact the National Suicide Prevention Lifeline at 988 or 1-800-273-TALK (8255).

A 30-year-old man has been asking people he doesn’t know to sit with him in pubs across the country ever since December of last year, as part of what he calls his “Empty Chairs” campaign.

Dean Perryman came up with the idea after his best friend, Rob Clancy, tragically died by suicide at age 29 just a month earlier.

Wanting to make sure nobody else ever felt alone — even perfect strangers — Perryman started heading out to restaurants and pubs wearing a bright orange hoodie to make his presence obvious to anyone choosing to chat with him. 

Advertisement

SINGLE INFUSION OF CONTROVERSIAL DRUG CHANGED SEVERE DEPRESSION SYMPTOMS WITHIN HOURS, STUDY FINDS

Just a few weeks ago, he held his program’s 1,000th meet-up in Leigh-on-Sea, Essex, featuring about 12 attendees — and said he’s proud of how far it has come.

“It has been such an incredible experience. I am loving every second of it still,” the resident of Stratford in East London told news agency SWNS.

Dean Perryman, second from right, has been inviting strangers to sit with him in pubs to help let people know they aren’t alone in life.  (Dean Perryman/SWNS)

“When I started, it came from such a place of sadness — and to see how this simple idea has been able to help so many people has been really nice,” he said. “I have been able to meet and connect with so many new people and learn about them. It gives people an opportunity to speak openly if they need it.”

Advertisement

COMMON FITNESS SUPPLEMENT COULD HELP FIGHT DEPRESSION, NEW RESEARCH SUGGESTS 

Perryman works for team-building game company Chicken Rush. He used social media, he said, to create interest in the “Empty Chair” idea, he said.

The events started in London and Essex before the founder began recruiting volunteers to host them across the U.K. — and the rest of the world as well.

Events have since been planned in Manchester, Bedford, Cambridge, Skegness, Gloucester, Leeds, York, Wrexham, and more.

CLICK HERE TO SIGN UP FOR OUR HEALTH NEWSLETTER

Advertisement

It has also branched out to other countries, including Colombia, Spain, the United Arab Emirates and Australia.

He said lots of people actually return to the events, especially in smaller rural towns, as people create and build friendships that last long afterward.

Perryman, in orange sweatshirt, back row, has been inviting strangers to sit with him in pubs to encourage connection. “There really isn’t a barrier to entry,” he said. “Whoever needs the space is welcome to come.” (Dean Perryman/SWNS)

Perryman, who has attended 61 himself, said his favorite part of the events is seeing men open up about their troubles, as he feels they need a safe space to do so.

“Some people come because they really want someone to listen to what they have to say,” he said. “Others come because they have the capacity to be there for someone else. Everyone shares their own story, but it stays at the table.”

Advertisement

“No matter who you are, there is a place for you.”

He said the groups have “talked about the difficulty of living in a big city and feeling isolated, but nothing is off the table — we’ve spoken about everything and anything. To give people a place that they can go when they need to talk is incredible.”

TEST YOURSELF WITH OUR LATEST LIFESTYLE QUIZ

Perryman said he has about 200 more events already lined up — and said he has no plans to stop scheduling them, SWNS reported.

He said there is no pattern in terms of who shows up. Usually, it’s a diverse group of people. 

Advertisement

Perryman, right, has been asking people he doesn’t know to sit with him in pubs as part of his “Empty Chairs” suicide prevention campaign. (Dean Perryman/SWNS)

“Every Empty Chairs event you go to, you are going to meet people of different walks of life,” he said. “It is so powerful to show that, no matter who you are, there is a place for you. We have everyone — men, women, young, old. There really isn’t a barrier to entry for this. Whoever needs the space is welcome to come.”

CLICK HERE FOR MORE HEALTH STORIES

He also said, “A lot of people come because they’re feeling lonely in a new area, or they want to make new friends.”

He said he hopes that his Empty Chairs campaign can be a lasting legacy for his best friend, Rob — someone he believes needed a similar space.

Advertisement

CLICK HERE TO DOWNLOAD THE FOX NEWS APP

“He was the kindest, sweetest guy you could ever hope to meet,” said Perryman. “Like a lot of men, he wasn’t the biggest sharer. He was very much the life and soul of anywhere you went, but he wasn’t someone who would be the first to open up about it if he was feeling some type of way.”

“To now be in a position where Empty Chairs looks like it could be a legacy for Rob is amazing,” Perryman added.

Continue Reading

Health

Last American to use an iron lung dies at 78 years old after childhood polio diagnosis

Published

on

Last American to use an iron lung dies at 78 years old after childhood polio diagnosis

NEWYou can now listen to Fox News articles!

A 78-year-old Oklahoma woman who was diagnosed with polio as a child and was the last American to rely on an iron lung to live has died.

Advertisement

Martha Lillard found out she had the once-feared disease when she was 5 years old, which left her paralyzed from the neck down, and required her to use the machine to help her breathe while she slept.

Lillard contracted COVID-19 twice during the pandemic, which left her in the machine nearly 24 hours a day.

DEADLY LEGIONNAIRES’ DISEASE OUTBREAK SPARKS CONCERN IN MAJOR US CITY: KNOW THE SYMPTOMS

“They told her she wasn’t supposed to live past 20 years old,” her younger sister, Cindy McVey, told The Associated Press on Friday. “She had the enthusiasm and the drive to continue living and make the best of her life.”

Despite having polio, Lillard was able to go to school two hours a day as a child, and she had tutors the rest of the time. She also used an intercom phone system that allowed her to interact with her teachers and classmates from home.

Advertisement

Martha Lillard rests in her iron lung in Shawnee, Oklahoma. (Cindy McVey/AP Photo, File)

Lillard was even able to take road trips as a child because of a custom trailer that could accommodate the iron lung and her father making sure their hotels had wide enough doors for the machine.

EXPERIMENTAL VACCINE SHOWS PROMISE AGAINST DANGEROUS INTESTINAL ILLNESS

An iron lung is a negative-pressure ventilator that would help a patient with paralyzed lung muscles breathe.

A row of iron lungs is seen inside in a Los Angeles hospital in 1950. (Bettmann Archive)

Advertisement

The disease once caused thousands of cases of paralysis in children during outbreaks each year in the first part of the 20th century before a vaccine became available in 1955.

By 1979, polio was considered eliminated in the U.S.

THESE LEAFY GREENS COULD HELP PROTECT YOUR LUNGS, STUDY SUGGESTS

Later, Lillard was able to regain the use of her left arm and legs through therapy and was even able to drive for a time.

She lived independently for many years, even getting married earlier this year to a man from Egypt she corresponded with for two decades after he was able to obtain a visa.

Advertisement

A nurse prepares children for a polio vaccine shot as part of a citywide vaccine test on elementary school students. (Bettmann Archive)

“They were really soul mates,” McVey said. “He’s extremely brokenhearted.”

Lillard, who wrote poetry and volunteered with the Humane Society, according to her sister, had just 25% lung capacity before she was diagnosed with COVID.

CLICK HERE TO DOWNLOAD THE FOX NEWS APP

She died of chronic pulmonary failure and post-polio syndrome, according to her death certificate.

Advertisement

CLICK HERE TO SIGN UP FOR OUR HEALTH NEWSLETTER

Her sister added that it was related to the effects of long-haul COVID.

The Associated Press contributed reporting.

Continue Reading

Health

Simple sitting change linked to lower risk of cancer death, study finds

Published

on

Simple sitting change linked to lower risk of cancer death, study finds

NEWYou can now listen to Fox News articles!

Reducing your risk of cancer death may be as simple as taking brief breaks for physical activity throughout the day, according to a new observational study.

Advertisement

The study, led by researchers from the University of Glasgow studying the association between cancer and prolonged sedentary behavior, found that participants who regularly interrupted prolonged sitting with physical activity had a lower risk of cancer death.

TEST YOURSELF WITH OUR LATEST LIFESTYLE QUIZ

“This study adds to growing evidence that prolonged sedentary behavior is an independent health risk,” Dr. Georgia Spear, chief of breast imaging at Northwestern Medicine, told Fox News Digital.

“While it does not prove that sitting causes cancer, it suggests that long, uninterrupted periods of sitting are associated with a higher risk of cancer mortality,” Spear explained. “The findings reinforce existing public-health recommendations that regular movement throughout the day is an important component of cancer prevention.”

Prolonged sedentary periods are associated with increased risk of cancer death, researchers observed. (iStock)

Advertisement

The researchers monitored 91,292 volunteer participants in the U.K. who wore movement-tracking devices on their wrists for seven days to track their sedentary habits. The scientists followed the volunteers’ health outcomes over the course of about 12 years.

The researchers defined prolonged sedentary behavior as any bout that lasted “at least 30 minutes and during which at least 90% of the time was sedentary.”

CLICK HERE FOR MORE LIFESTYLE NEWS

They defined interrupted sitting as sessions that lasted fewer than 30 minutes or were interrupted by brief periods of physical activity.

Each additional hour per day of prolonged sedentary behavior was associated with a 10% higher risk of cancer death, the researchers reported in their study, published by PLOS Medicine.

Advertisement

Light physical activity, including household chores, such as ironing, are associated with reduced cancer death risk. (iStock)

Replacing one hour of sitting each day with light activity was associated with a 12% lower risk of cancer death. Replacing 30 minutes with moderate activity was linked to an 8% lower risk, and replacing just five minutes with vigorous activity was associated with a 22% lower risk.

The researchers classified light physical activity as walking at a low speed and performing household chores, such as ironing a shirt or washing dishes.

These findings should be interpreted with caution, the researchers wrote, “because the study cannot prove causality.”

Advertisement

The volunteers may not represent the wider population, they noted, “and the activity monitor captured behavior only during a limited period without showing the context of sedentary behavior, such as work, television viewing or driving.”

Spear said that existing research has linked sedentary behavior to obesity, diabetes, cardiovascular disease and several cancers.

Breaking up periods of sitting or reclining with physical activity is key to reducing the risk of cancer death, researchers found. (iStock)

“What is notable here is the finding that how people sit appears to matter, not just the total amount,” she said. “Breaking up sitting with regular movement may provide measurable health benefits.”

According to Spear, other simple lifestyle strategies can be highly effective at reducing cancer-death risk.

Advertisement

CLICK HERE TO DOWNLOAD THE FOX NEWS APP

“Stand and move every 30 to 60 minutes, take short walking breaks, including after meals, use the stairs, walk during phone calls and incorporate light activity throughout the day,” she recommended.

“Combined with regular exercise, maintaining a healthy weight, limiting alcohol, not smoking and staying current with recommended cancer screening, these habits can help reduce the risk of breast cancer and other chronic diseases.”

Continue Reading
Advertisement

Trending