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Medicaid Monitor
Friday, November 13, 2026 · Updated Thu 5:36 PM MT · 46 stories on Thursday, November 12
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Fri, Nov 13 · 46 stories on Thursday, November 12PRO
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IndustryNovember 12, 2026

Ascension Wisconsin, Cleveland Clinic Detail GLP-1 Bridge Rollouts

In a Becker's Hospital Review report on a panel at Becker's Fall Chief Pharmacy Officer Summit, Ascension Wisconsin's Chris Weber, MD, and Cleveland Clinic's Diana Isaacs, PharmD, described how their systems have managed the Medicare GLP-1 Bridge program since it launched July 1. Cleveland Clinic centralized prior authorizations under pharmacy, built EHR smart sets with titration schedules and eligibility criteria, and defaults prescriptions to its own home-delivery pharmacy. Ascension Wisconsin's centralized prior-authorization effort at small clinics generated enough volume that the system shut it off after two weeks and hired two more staff, with most prescriptions still routed to outside pharmacies where individual clinics handle prior authorizations. Both said the eligibility criteria generate more clinician questions than expected, and the program is set to end December 31, 2027.

Why it mattersHealth systems and Medicaid managed care plans administering GLP-1 coverage may want to weigh centralized pharmacy prior-authorization models and EHR-based eligibility screening against the staffing and workflow burdens these two systems encountered.

Pharmacy

Read the full article at beckershospitalreview.com →
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