ProSomnus Comments on Insurance Coverage Policy Update for Obstructive and Central Sleep Apnea
January 08 2024 - 7:00AM
ProSomnus, Inc. (NASDAQ: OSA) (the “Company”), the leading non-CPAP
Obstructive Sleep Apnea (OSA) therapy™, welcomes the adoption of
UnitedHealthcare’s updated medical policy (#2024T0525NN) for
Obstructive and Central Sleep Apnea, effective March 1, 2024. The
updated policy will establish oral appliance therapy (OAT), such as
ProSomnus’s Precision OAT devices, as prerequisite therapy for
Implantable Hypoglossal Nerve Stimulation in adult patients with
moderate to severe OSA. Specifically, the policy states, “Failure
of adequate trial of Oral Appliance therapy,” as the new medical
policy of UHC.
“I am pleased to see this policy update
acknowledging the role of oral appliances in the continuum of care
for Obstructive Sleep Apnea,” commented Edward T. Sall, MD, DDS,
MBA. “Recent research has demonstrated that modern, precision oral
appliances are effective and safe. It is good medical practice to
exhaust the available, non-invasive, reversible treatment options
before moving to surgical options.”
“Our review of patient chart data shows that
recently 60% of all of our sleep apnea patients receive oral
appliance therapy as a first line treatment for OSA of all
severities,” stated Jordan C. Stern, MD, Founder and CEO of
BlueSleep. “At BlueSleep we have treated over 5,500 patients with
oral appliances over the years. Modern, precision oral appliances
are different from the oral appliances of ten years ago. Modern
oral appliances are safe, effective, comfortable, and easy for the
patient to insert, remove and keep clean. Compared with the oral
appliances of ten years ago, we can achieve consistent, predictable
results and a high level of satisfaction for our patients.”
Data presented at the November 2023 World Sleep
Congress reported that treatment with ProSomnus Precision OAT
devices was at least non-inferior to CPAP in a prospective, cross
over clinical trial, and data published in the medical journal
Cureus, “Evaluating the Clinical Performance of a Novel, Precision
Oral Appliance Therapy Medical Device Made Wholly From a Medical
Grade Class VI Material for the Treatment of Obstructive Sleep
Apnea,” reported that 89% of patients with OSA of all severities
were successfully treated to an AHI of < 10 with ProSomnus
devices. 96% of patients were confirmed to be in active treatment
at a one-year follow up. No patients were excluded due to
inadequate dental anatomy.
Link to UnitedHealthcare’s updated medical policy:
https://www.uhcprovider.com/content/dam/provider/docs/public/policies/index/commercial/obstructive-sleep-apnea-treatment-03012024.pdf
About ProSomnusProSomnus
(NASDAQ: OSA) is the leading non-CPAP therapy for the treatment of
Obstructive Sleep Apnea, a serious medical disease affecting over 1
billion people worldwide, that is associated with comorbidities
including heart failure, stroke, hypertension, morbid obesity, and
type 2 diabetes. ProSomnus intraoral medical devices are engineered
to precisely track the treatment plan and anatomy for each patient.
Non-invasive, patient preferred and easy to use, ProSomnus devices
have demonstrated excellent efficacy, safety, adherence, and
overall outcomes in a growing body of clinical investigations.
ProSomnus precision intraoral devices are FDA-cleared, patented,
and covered by commercial medical insurance, Medicare, TRICARE and
many Government sponsored healthcare plans around the world,
representing over 200 million covered lives. To learn more, visit
www.ProSomnus.com.
Investor ContactMike
CavanaughICR WestwickePhone: +1.617.877.9641Email:
Mike.Cavanaugh@westwicke.com
Media ContactElizabeth
ColemanICR WestwickePhone: +1.203.682.4783Email:
Elizabeth.Coleman@westwicke.com
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