Opinion

Video

The Metro Nashville Public Schools Initiative

Experts discuss how to evaluate and communicate the return on investment for continuous glucose monitoring (CGM) coverage to overcome cost-related barriers, explore strategies other payers could adopt based on the success of Metro Nashville Public Schools' initiative to provide CGM devices without prior authorization, and examine the impact of removing prior authorization requirements on appropriate patient selection and utilization, along with which aspects of this model could be adopted by other employers and the resources needed to implement similar programs.

Video content above is prompted by the following:

  • How do you evaluate and communicate the return on investment for CGM coverage to help overcome cost-related barriers?
  • Based on the success of Metro Nashville Public Schools' initiative to provide CGM devices without prior authorization, what which strategies could other payers adopt, and what challenges might arise in scaling these efforts?
  • Based on the success of removing prior authorization requirements in the Metro Nashville initiative:
    • How did this change impact appropriate patient selection and utilization?
    • What Which specific aspects of this model could other employers adopt?
    • What resources or support would employers need to implement similar programs?
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