The challenge, of course, is that long-term treatment can be expensive
Cognitive, emotional and social factors are critical determinants of self-care behaviours and, consequently, treatment success [165, 166]
Assuming a 10% GLP-1 usage rate among overweight adults and a 20% usage rate among obese adults in the U.S., Roe (2025) estimates this could lead to a 3% reduction in total caloric demand, which amounts to 20 billion fewer calories of food consumed per day and about $1.2 billion less spent per week
This is why GLP-1 is valuable when treating type 2 diabetes
J Clin Med [Internet] J Clin Med
MD vs NP Reimbursement Psychiatrists (MD/DO): Reimbursed at 100% of physician fee schedule by Medicare and most commercial payers Example: A 99214 visit might pay $125-150 depending on location PMHNPs: Medicare reimburses NP services at 85% of physician fee schedule Some private insurers pay 85-100% depending on contract Illinois Medicaid pays NPs at 100% of physician rates (progressive policy) Practical impact: For high-volume telehealth practices, this 15% difference can add up, but NPs often have lower overhead (salary, malpractice)
