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April 2026 Updates: Highmarks Annual Medicare Secondary Payer (MSP) and Medical Loss Ratio (MLR) Employee Count Survey Highmark is required to collect annual employee counts for compliance with Medical Loss Ratio (MLR) and Medicare Secondary Payer (MSP) regulations
Research has started to suggest that L-Carnitine may also be a benefit to those with hypothyroidism
As of August 2025, we had collected over 27,885 survey respondents who had reported using at least one of Ozempic, Wegovy, compounded semaglutide, Mounjaro, Zepbound or compounded tirzepatide (Extended Data Table 1)
It creates inequitable access based on employment status, geography, and income rather than medical need
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