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These plans have the potential to meaningfully affect competition in the small group market because, unlike insured plans, they use health status in rating and underwriting, and are not required to provide all of the essential health benefits that are mandatory for insured plans

Understanding when and why these changes happen can help you actively participate in your diabetes management and set realistic expectations

Methods: Hybrid methodologyan argumentative narrative review anchored by a structured evidence-mapping search (PRISMA-style flow for transparency)

Tirzepatide was the most cost-effective, with an incremental cost-effectiveness ratio of $34,212 per QALY gained