It might also be the case that the insurance company won't approve the prescription renewal without a visit. Or that the doctor/clinic's performance on medication management across their patient population is being measured by one or more insurance companies.

The High Winds Actor episode of Toast of London remains my favorite visual gag. Laughed till I choked.

At least one rep is working on it.

Highlights one piece of the terrible OBB that many overlook (though it's a more cold-blooded consequence of gutting Medicaid than people actually being sicker/dying younger): Healthcare is an economic engine in small communities - industry is not going to wait for 2027 to shed costs.