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Calculation of OPPS Scaled Payment Weights We established a policy in the CY 2013 OPPS/ASC final rule with comment period (77 FR 68283) of using geometric mean-based APC costs to calculate relative payment weights under the OPPS

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Anthem typically follows FDA label criteria: BMI 30 (obesity) or BMI 27 with at least one weight-related comorbidity such as type 2 diabetes, hypertension, dyslipidemia, or obstructive sleep apnea

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10.1016/j.dsx.2023.102834 80 NakamuraK.RadhakrishnanK.WongY

What It Is Tirzepatide is a dual GIP/GLP-1 receptor agonist