Sept 10 (Reuters) - Cigna ( CI ) said on Wednesday the
percentage of employers paying for obesity drugs has remained
flat year-over-year, though the health insurer still sees an
uptick in demand for the wildly popular treatments.
More than 50% of its Evernorth unit's clients, a group that
includes large employers and health plans, cover the drugs for
weight management, Chief Financial Officer Brian Evanko said at
the Morgan Stanley Healthcare Conference.
Within Cigna Healthcare, its health benefits only segment,
which caters more to smaller employers, only about 15% to 20% of
clients offer coverage of the medications, he said.
While there is a lot of interest among employers, the steep
price of the highly effective newer GLP-1 drugs Wegovy from Novo
Nordisk and Eli Lilly's ( LLY ) Zepbound has been a
hurdle for access.
"Some of the employers we cover have higher rates of
turnover on their employee base, and so they have questions
about whether they'll see the return or whether the return will
be the benefit of a different employer in the future," Evanko
said.
Still, demand for the obesity drugs remains high, because
even with the same percentage of employers, more people are
using the medications, he added.
U.S. employers cite these drugs and rising healthcare
services costs as the reasoning behind expectations that they
will need to cut benefits to keep monthly premiums for
employer-based health insurance to an increase of 6% or 7% in
2026 as total costs rise 9%.
In May, Cigna ( CI ) said it will cap out-of-pocket costs at $200
per month for patients using the weight-loss drugs Wegovy and
Zepbound through an add-on to its pharmacy benefit management
plans.
The drugs have list prices that reach $1,000 but are
available for about half that or less on the manufacturers'
websites.