quote:
But why is it okay for person 1, the non compliant diabetic with a BP of 190/110, to get the care he needs at no additional cost but person 2 shouldn’t get his ozempic filled because that is going to break the system

It isn't, that's the point. But Ozempic isn't going to break the system, non compliant patients and a fee for service payment based on services provided not outcomes system will and has. it's ripe for abuse and overuse without enough emphasis opn patient accountability and healthier patients.

There's tons of waste for sure and I don't think it's an either or fix. It's going to take alot of different approaches and a shift in how people think about healthcare and how much burden of responsibility they're willing to accept themselves.

Not too much longer we will have more seniors than kids for the first time in our nations history and we just don't have enough providers to handle the patient load. The model will shift more into the patients home and more into the patients responsibility. If the default is "well, they're non compliant and unhealthy so there's nothing I can do except put them on high cost meds" is the answer without implementing a plan based on patient outcomes and improved health conditions we might as well keep a democrat in the white house for the next 20 years.

This post was edited on 3/8/24 at 1:33 pm

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Posted by WeeWee

Member since Aug 2012

41120 posts

Posted on 3/8/24 at 8:09 pm to LSUfan4444

quote:
without enough emphasis opn patient accountability and healthier patients.

In all due respect. You are talking out of your arse! It costs around $1000 per month. Trust me. Insurance companies are holding patients accountable. Hell Novo Nordisk even offers health coaches to the patients prescribed Ozempic. The compliance data is available to the insurance companies. If a patient does not use the Novo Nordisk health coach then the doctor gets a request for more documentation from the prescribing provider asking for proof that the patient met with nutritionist or dietician and their hemoglobin A1C is improving.

Also I have seen many cases where a noncompliant diabetic and obese patient (what the OT would call a Fatty McLazyass) get put on Ozempic and they lose 10 pounds or so in the first 2-3 months. All of sudden something clicks in their brain and their behavior starts to change. I saw a patient today who I started on Ozempic last year. Dude was the definition of a Fatty McLazzyass. He did not give a shite about his health. He was 26 had a BMI of 58 and hemoglobin A1C of 13.7%. He was on 3 blood pressure medications and it was only borderline controlled. He was so obese that he was getting disability payments just because of his weight and the fact that he could barely walk. He blamed his obesity on the fact that his whole family was fat, had always been fat, and just accepted the fact that he was going to need an amputation of one leg or both and be on dialysis by age 50. After he started losing weight and Ozempic did away with his appetite between meals he realized that he did not have to stay fat. He started really paying attention to what the nutritionist was telling him, joined a gym, hired a personal trainer and has lost over a 120 lbs. He is still obese but his BMI is down into the 40s and his blood pressure is now controlled with only an ARB which I am keeping him on for the renal and cardio protective benefits as much as for blood pressure effects. He has come off insulin and his A1C was 6.2% today. Oh and he is no longer on disability and medicaid because he now has a job with health insurance. His story is also a lot more common than you would think especially among younger diabetics which is the population group to target to lower the rate at which health care costs are increasing.

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