Connect with us

North Carolina

Wegovy is too expensive for NC; state health plan to cut coverage April 1

Published

on

Wegovy is too expensive for NC; state health plan to cut coverage April 1


Enlarge / Wegovy is an injectable prescription weight loss medicine that has helped people with obesity.

The health plan for North Carolina state employees will stop covering blockbuster GLP-1 weight-loss drugs, including Wegovy and Zepbound, because—according to the plan’s board of trustees—the drugs are simply too expensive.

Last week, the board voted 4-3 to end all coverage of GLP-1 medications for weight loss on April 1. If the coverage is dropped, it is believed to be the first major state health plan to end coverage of the popular but pricey weight-loss drugs. The plan will continue to pay for GLP-1 medications prescribed to treat diabetes, including Ozempic.

The North Carolina State Health Plan covers nearly 740,000 people, including teachers, state employees, retirees, and their family members. In 2023, monthly premiums from the plan ranged from $25 for base coverage for an individual to up to $720 for premium family coverage. Members prescribed Wegovy paid a co-pay of between $30 and $50 per month for the drug, while the plan’s cost was around $800 a month.

Advertisement

In 2021, just under 2,800 members were taking the drugs for weight loss, but in 2023, the number soared to nearly 25,000 members, costing the plan $102 million. That’s about 10 percent of what the plan pays for all prescription drugs combined. If the current coverage continued, the plan’s pharmacy benefit manager, CVS Caremark, estimated that by 2025, the plan’s premiums would have to rise $48.50 across the board to offset the costs of the weight-loss drugs.

Without insurance, the list price of Wegovy is $1,349 per month, totaling $16,188 for a year of treatment. The average reported salary for members of North Carolina’s health plan is $56,431.

Last October, the board voted to grandfather the 25,000 or so current users, maintaining coverage for them moving forward, but then to stop offering new coverage to members. However, according to CVS Caremark, the move would mean losing a 40 percent rebate from Wegovy’s maker, Novo Nordisk. This would be a loss of $54 million, bringing projected 2024 costs to $139 million.

A spokesperson for Novo Nordisk called the vote to end coverage entirely “irresponsible,” according to a statement given to media. “We do not support insurers or bureaucrats inserting their judgment in these medically driven decisions,” the statement continued.

Advertisement

While the costs of weight-loss drugs are high everywhere, the pricing is particularly bitter for North Carolinians—Novo Nordisk manufactures Wegovy in Clayton, North Carolina, southeast of Raleigh.

“It certainly adds insult to injury,” Ardis Watkins, executive director of the State Employees Association of North Carolina, a group that lobbies on behalf of state health plan members, according to The New York Times. “Our economic climate that has been made so attractive to businesses to locate here is being used to manufacture a drug that is wildly marked up.”

While it appears to be the first time such a large state health plan has dropped coverage of the weight-loss drugs, North Carolina is not alone in wrestling with the costs. The University of Texas’ employee plan ceased coverage of Wegovy and Saxenda, another weight-loss drug, in September. Connecticut’s state health plan, meanwhile, added restrictions on how members could get a prescription covered. Some state health plans that cover GLP-1 medications for weight-loss have prior authorization procedures to try to limit use.

“Every state has been wrestling with it, every professional association that my staff is a part of has had some discussion about it,” Sam Watts, director of the North Carolina State Health Plan, told Bloomberg. “But to our knowledge, we’re the first major state health plan to act on it.”

Advertisement



Source link

North Carolina

Concord resident, candidate for North Carolina House dies unexpectedly, officials say

Published

on

Concord resident, candidate for North Carolina House dies unexpectedly, officials say


CONCORD, N.C. (WBTV) – A Concord resident and a candidate for the North Carolina House District died Monday afternoon, according to the North Carolina Democratic Party.

Kim Delaney, a Democratic candidate for the North Carolina House District 73, died unexpectedly around 2:05 p.m. on Monday, Jan 26, according to officials.

In a statement by the North Carolina Democratic Party they said Delaney was surrounded by family when she died and left behind two children.

You can read the full statement below:

Advertisement

“We are deeply saddened to share the passing of Kim Delaney of Concord, a candidate for North Carolina House District 73, who passed away unexpectedly on January 26, 2026.”

“Kim passed away at 2:05 PM, surrounded by her family.”

“Kim was a devoted mother and leaves behind two children. Our thoughts are with them, as well as with Kim’s family and loved ones, during this incredibly difficult time.”

“Kim was a kind, sincere, and caring person who believed in community and in showing up for others.”

The family established a Spotfund to assist with funeral expenses and to support her children. To donate you can click here.

Advertisement



Source link

Continue Reading

North Carolina

Iced-over North Carolina faces grid preparedness questions after other states enact stricter laws

Published

on

Iced-over North Carolina faces grid preparedness questions after other states enact stricter laws


North Carolinians scrambled to find generators ahead of this weekend’s ice and snow.

Now questions are resurfacing about whether the state should adopt laws to better protect the power grid. The answers may lie in other states, such as Texas, which also dealt with winter storms this weekend.

Winter Storm Uri in 2021 left at least 200 people dead and more than 4 million homes and businesses without power when it hit Texas five years ago. 

The crisis caused Texas lawmakers to pass laws requiring public utilities to better prepare power infrastructure for extreme weather. The law also created penalties for noncompliance and allowed funding for backup power at hospitals and other critical facilities.

Advertisement

The new requirements appear to be working: As of Monday, there were few to no power outages reported in nearly all Texas counties, according to KDFW-TV, a Dallas news station, even though this weekend’s storm brought record-breaking snowfall to the state.

North Carolina, which faces winter storms occasionally, still relies primarily on emergency response and voluntary utility measures, raising the question: Should the state wait for disaster before taking certain proactive actions?

“This storm reaffirmed that preparation is key and can make a real difference in saving lives,” Gov. Josh Stein told WRAL Monday.

Duke Energy, which provides power to nearly all North Carolina businesses and residents, says that even without mandates it still regularly takes voluntary action to prepare and improve the state’s power grid.

North Carolina has had more power outages than all but three other states since 2000, according to U.S. Department of Energy data. 

Advertisement

“The Texas situation should have sprung us into action, to think about this in advance,” North Carolina state Rep. Pricey Harrison, D-Guilford, said, adding that she’s not aware of any rules here similar to what Texas instituted. 

Measures in North Carolina

Harrison said there were some measures she believed were beneficial but they are no longer laws. There is weatherization funding available for individual homeowners under the federal Low Income Home Energy Assistance Program. “Unfortunately, that funding has been cut pretty dramatically at the federal level,” Harrison told WRAL.

WRAL asked Senate Leader Phil Berger, R-Rockingham, and House Speaker Destin Hall, R-Caldwell, whether the state should adopt new laws to better protect the power grid from future storms. Neither indicated they’d support new requirements on utilities.

A spokesperson for Hall says he’s focused on “maintaining a strong rainy-day fund to ensure we are prepared to weather future natural disasters if necessary.”

Berger said he’s been in touch with emergency officials and that “since we’re still in the middle of the storm and do not have damage estimates, it is premature to discuss details of potential legislative action.”

Advertisement

When storms approach the state, state and federal officials routinely declare states of emergency, have state transportation crews treat icy roads, activate the National Guard, and provide temporary Medicaid flexibilities such as early prescription refills.

Duke Energy says its emergency response strategy doesn’t only consist of sending crews out after a storm to repair downed lines. “We have a very robust multi-year grid improvement strategy that we’ve worked with our regulators to establish that helps us to strengthen the grid, to make it more resistant to outages from severe weather,” Jeff Brooks, a Duke Energy spokesman, said in an interview Monday.

The company plans its spending five years out.

“Roughly half of what we’re spending in our current five-year plan is for modernizing and improving the electric grid. And that would include reliability and resiliency improvements,” Brooks said.

Money spent on improving the state’s power grid might simply be passed onto customers in the form of higher power bills. Texas, unlike North Carolina, requires utilities to weatherize generation, transmission and natural gas facilities for extreme weather. And Texans also have higher power bills.

Advertisement

According to the website Choose Energy, which analyzes electricity costs nationwide, Texans pay more for their power than North Carolinians do, although both states are below the national average.

Other states have taken different approaches to power-outage worries. Virginia has a state program — the Emergency Shelter Upgrade Assistance Grant Fund — that provides matching funds to localities to install or repair backup energy generation infrastructure at emergency shelters.

Brooks said Duke Energy takes it upon itself to make sure it is cost effective for customers. Duke has what it calls self-healing technology across the state that can help automatically detect power outages and reroute power to restore service faster, Brooks added.

The energy giant has also buried some of its power lines, another strategy that comes with added expense but has been proven to lessen power outages.

These are voluntary measures since North Carolina doesn’t require utilities to do the work. 

Advertisement

Substation vulnerabilities

Extreme weather isn’t the only risk to power infrastructure. Lawmakers considered new measures after a December 2022 incident in which Duke Energy substations in Moore County were shot at, knocking out power for thousands for several days and contributing to at least one death, according to authorities.

The state legislature responded by raising criminal penalties for damaging utility equipment. But lawmakers did nothing to take proactive measures to prevent similar attacks in the future. A bipartisan bill that would have required Duke to put in place security upgrades at its facilities — potentially cameras, fences, sensors or guards — wasn’t allowed up for a vote at the state legislature, where Duke spends substantial amounts of money on lobbying and campaign contributions. 

“Our objective was appreciating people wanting to help and trying to find good solutions, but making sure that we could find the right solution that met our unique needs as a utility,” Brooks said.

Technologies and Costs

Duke Energy has deployed self-healing grid technology in pilot areas to automatically reroute electricity around outages. The technology prevented millions of hours of power outages for people and businesses statewide in 2025, Duke told WRAL last week.

Burying power lines is another option, but Duke says it’s expensive and can take longer to repair. Burying lines might also be difficult in places with rocky terrain or other difficult soil or topography.

Advertisement

Do Proactive Measures Make Sense?

Duke energy said mandates could raise costs for customers, and that current technology and emergency response may suffice.

The current measures appeared to be enough for this weekend’s storm. At its height Sunday, 31,000 utility customers across the state lost power, which is a small percentage of the state’s 11 million residents and thousands of businesses.

Duke Energy says it is evaluating more advanced grid resilience technologies. The company is also a financial backer of a public-private push to boost university research, called NC Innovation, whose projects include research from UNC-Charlotte on improving power grid efficiency.

But without legal requirements, large-scale infrastructure investments are left to the utility’s discretion.

Stein said last week, ahead of the storm, that he was confident in Duke’s ability to respond quickly to power outages.

Advertisement

“They are taking this storm very seriously, and they are bringing in assets from other states that are not as threatened as North Carolina is,” Stein said.



Source link

Continue Reading

North Carolina

Syracuse women’s basketball rallies late to force OT, but falls to North Carolina

Published

on

Syracuse women’s basketball rallies late to force OT, but falls to North Carolina


The Syracuse women’s basketball team staged a furious late rally to force overtime, but lost to the North Carolina Tar Heels 77-71 Sunday in Chapel Hill, N.C.

The Orange trailed by eight points with less than 3:30 remaining in regulation, but held the Tar Heels scoreless for the rest of the quarter. A jumper and a free throw by Journey Thompson, a layup and then a pair of free throws by Uche Izoje and a free throw by Sophie Burrows tied the game.

The Tar Heels scored the first seven points of overtime, though, five of them by Nyla Harris, to come away with the win.

Izoje led the Orange with 27 points, a career high, and 12 rebounds. It’s her ninth double-double of the season.

Advertisement

Dominique Darius added 19 points for SU. Sophie Burrows had 10 points and Journey Thompson 10 rebounds.

Harris led North Carolina with 21 points and 10 rebounds.

Syracuse, now 6-3 in the ACC and 16-4 overall, face Georgia Tech on Thursday at the JMA Wirless Dome. Tipoff is set for 6 p.m.

North Carolina improved to 6-3, 17-5.



Source link

Advertisement
Continue Reading
Advertisement

Trending