TRS intends to learn about the capabilities, services, and experience of vendors in the weight loss market space and use the information gathered from this RFI to help construct a weight loss strategy or a program that balances access and cost. There has been a strong demand for access to weight loss medications since the rise in awareness of GLP-1 products like Ozempic and Wegovy. TRS health benefit plans do not provide coverage for medications prescribed exclusively for weight loss purposes. TRS is requesting information from respondents regarding the design and delivery of an optional stand-alone weight loss solution outside of TRS’health plans that TRS participants can choose as a buy-up option. Benefit plan documents for both TRS-Care and TRS-ActiveCare plans are available online at https://www.trs.texas.gov/Pages/healthcare_benefits.aspx; respondents are encouraged to review them for reference. TRS is specifically requesting information for weight loss programs that include access to GLP-1 medications indicated for the purposes of weight loss, though GLP-1s do not necessarily need to be the primary focus of the weight loss program. TRS requests that Responses articulate how Respondent’s weight loss program is: Informed by evidence-based methods that demonstrate medical necessity, safety, and benefit to the participants. Able to demonstrate financial accessibility to participants. Able to clearly demonstrate data collection and outcomes for the solution(s). Proposed solutions may include, but are not limited to: Comprehensive weight loss programs that support: GLP-1 candidate evaluation GLP-1 compounding services and other similar new molecular entities for the purposes of weight loss Lab work Provider/specialists visits Progress tracking Health coach/wellness counseling Nutrition/Nutritional counseling Participant wellness incentives Participant payment plans Comprehensive lifestyle modification programs Digital health tools and platforms for weight management Any other considerations or parameters that would support a participant’s ability to achieve their weight loss goals.
