WOBURN, MA., August 18, 2023 – Validation Institute today conferred its Metrics Validation on what is believed to be the most comprehensive calculator of the full cost of coverage of GLP-1s for weight loss. Whether and at what level to cover weight-loss drugs is arguably the single most controversial and potentially costly decision that most benefits leaders will ever make.
Quizzify’s model is the first publicly available one designed as a decision-support tool for Wegovy (and soon, Mounjaro) coverage decisions. A metrics validation validates a model as clearly sourced, user-friendly, objective, and mathematically sound. This level of validation does not opine on savings, which is just as well because there are none in this case, in any scenario.
The model was largely developed by Al Lewis, Quizzify’s CEO and co-founder of Validation Institute, where he now serves as a Senior Advisor. (He was not involved in this validation.) Lewis, author of the acclaimed trade-bestselling textbook on vendor outcomes measurement and the most often-cited blogger in that niche, is widely considered the leading authority on that subject. This model is a natural outgrowth of that expertise.
Lewis says: “The Wegovy Economics Estimator reveals two key cost and outcomes drivers that are often overlooked: gating and cheating. Quizzify can supply the gating, by requiring a passing score on quizzes, including a Wegovy quiz. By contrast, cheating – gaining enough weight to reach a 30 BMI to qualify for coverage – will negate the impact of traditional precertification. We know that will happen because it happened in outcomes-based wellness to collect a much more modest reward by losing it.”
Benny DiCecca, CEO of the Validation Institute, says: “Any model highlights not just the expense of Wegovy. That’s easy. But this one also provides scenarios for ways to manage that expense, and the sensitivity of different approaches to moderating it. As of now, it is the go-to source or decision support.”
The model will be available gratis to employer attendees of the Validation Institute’s Health Benefits Nation and Disrupting Healthcare conferences, both scheduled for late September.
Registrants for Quizzify’s “Curb Their Enthusiasm” webinar on Wegovy, scheduled for September 7th, will also receive a favorable price.
About Quizzify
Quizzify is the country’s leading employee health literacy company. Its “Jeopardy®-meets-health education-meets-Comedy Central” trivia quizzes make learning fun. Quizzify carries health education into the doctor’s office, with its “self-navigation” tool preparing employees for doctor visits from acne to zoster. Finally, Quizzify slashes bills for non-elective care by up to 50%, through its unique Financial Consent.
About Validation Institute
Validation Institute is an independent, objective, third-party organization on a mission to improve the quality and cost of healthcare. Based in Woburn, MA the organization is made up of a network of health benefits purchasers, health benefits advisors, and healthcare solution providers focused on delivering better health value and stronger outcomes than conventional healthcare. www.validationinstitute.com
