Anthem Inc. Issues Positive Coverage Decision for Balloon Sinus Dilation
November 13 2017 - 4:30AM
Entellus Medical, Inc. (NASDAQ:ENTL), a medical technology company
focused on delivering minimally invasive ENT procedures, today
announced that Anthem, Inc. now covers balloon sinus dilation (BSD)
for the treatment of chronic and recurrent acute sinusitis. Anthem,
the largest member of the Blue Cross Blue Shield Association, is
the nation’s second largest health benefits company with plans that
cover over 40 million lives, or 12.5% of the population of the
United States.
This new policy extends coverage to patients with both chronic
and recurrent acute sinusitis. This includes patients with
documented evidence of sinus disease upon physician examination,
via nasal endoscopy, or on a computer tomographic (CT) scan. The
overall criteria for coverage closely aligns with the recently
developed clinical consensus statement soon to be published by the
American Academy of Otolaryngology – Head and Neck Surgeons
(AAO-HNS) on balloon dilation of sinuses.
“The recent positive coverage decision by Anthem brings total
covered lives for BSD in the United States to over 290 million,
enabling broad availability of cost effective solutions for
the treatment of chronic sinusitis with our XprESS system,”
said Robert White, President and Chief Executive Officer
of Entellus Medical. “We have considerable momentum driven by
our broad portfolio and pipeline, clinical programs, and expanded
reimbursement to improve patients’ lives.”
With the Anthem policy change, approximately 95% of insured
patients in the United States now have access to balloon dilation
of the sinuses as covered treatment option when appropriate.
This policy change further underscores clinician and payer
confidence in the safety and efficacy of BSD as established by a
significant body of clinical evidence, and in the value of this
technology intended to enable better patient outcomes in more
cost-effective sites of care.
About Entellus Medical, Inc.
Entellus is a medical technology company focused on delivering
superior patient and physician experiences through products
designed for less invasive treatments. Entellus products are
used for the treatment of adult and pediatric patients with chronic
and recurrent sinusitis, patients with nasal airway obstruction, as
well as adult patients with persistent Eustachian tube
dysfunction. The Entellus platform of products provides safe,
effective and easy-to-use solutions intended to enable treatment of
patients in more cost-effective sites of care. Entellus’s product
lines including the XprESS™ ENT Dilation System, Latera™ Absorbable
Nasal Implant, MiniFESS™ Surgical Instruments, XeroGel Nasal
Dressing and FocESS™ Imaging & Navigation combine to enable ENT
physicians to conveniently and comfortably perform a broad range of
procedures in the most cost effective and efficient site of care.
Entellus is committed to broadening its product portfolio with
high-quality and purposeful innovations for the global ENT
market.
Forward-Looking Statements
All statements contained in this release that do not relate to
matters of historical fact should be considered forward-looking
statements within the meaning of the Private Securities Litigation
Reform Act of 1995. Forward-looking statements generally can be
identified by the use of words such as “intend,” “expect,”
“anticipate,” “could,” “may,” “will,” “continue,” “future,” other
words of similar meaning and the use of future dates.
Forward-looking statements in this release include the anticipated
benefits of Entellus’s balloon sinus dilation products and the
momentum of its business. These forward-looking statements are
based on the current expectations of Entellus’s management and
involve known and unknown risks and uncertainties that may cause
Entellus’s actual results, performance or achievements to be
materially different from any future results, performance or
achievements expressed or implied by the forward-looking
statements. Such risks and uncertainties include, among others,
Entellus’s future operating results and financial performance;
adequate levels of coverage or reimbursement for procedures using
the company’s products; competition; ability to expand, manage and
maintain its direct sales organization and market and sell its
products in the United States and internationally, especially after
its recent acquisition of Spirox, Inc.; risks and uncertainties
involved in its international operations; the compliance of its
products and activities with the laws and regulations of the
countries in which they are marketed; failure or delay in obtaining
FDA or other regulatory approvals or the effect of FDA or other
regulatory actions; risk of product recalls, product liability
claims and litigation and inadequate insurance coverage relating
thereto; and intellectual property disputes. Other factors that
could cause actual results to differ materially from those
contemplated in this release can be found under the caption “Risk
Factors” in the company’s Securities and Exchange Commission
reports, including its Annual Report on Form 10-K for the year
ended December 31, 2016 and most recent Quarterly Report on Form
10-Q for the quarter ended September 30, 2017. Entellus undertakes
no obligation to update or revise any forward-looking statements,
even if subsequent events cause its views to change.
Contact:Lynn Pieper
Lewis415-937-5402ir@entellusmedical.com
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