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Nevro Corp. (NYSE:NVRO), a global medical device company that is delivering comprehensive, life-changing solutions for the treatment of chronic pain, today announced that Carelon Healthcare, a healthcare services company dedicated to delivering whole-person care with connected healthcare solutions for better outcomes and experiences, will be publishing a new interventional pain management policy that expands spinal cord stimulation (SCS) coverage for painful diabetic neuropathy (PDN).
The policy, which will go into effect on April 14, represents an increase in PDN patient coverage by nearly 43 million additional lives. Payers that utilize Carelon Healthcare include Anthem Blue Cross in California; Anthem Blue Cross Blue Shield in Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri, New Hampshire, Nevada, New York, Ohio, Virginia, and Wisconsin; AmeriHealth; Empire BCBS; Independence Blue Cross; and various Managed Medicaid plans.
"Carelon's coverage policy expansion is good news for people with painful diabetic neuropathy as it will broaden access to Nevro's 10 kHz Therapy, the only high-frequency parasthesia-free SCS system FDA-approved to treat PDN," said Kevin Thornal, President and CEO of Nevro. "This coverage policy expansion is a further testament to Nevro's approach to expanding payer coverage, combining high-quality clinical trial data and individual case-by-case approvals through patient appeals and external reviews."
"Since the publication of the SENZA-PDN randomized controlled trial (RCT), the largest RCT studying SCS for PDN and the only paresthesia-free RCT demonstrating neurologic improvement, insurance companies have validated the value of major investments in meritorious research by broadening access to PDN patients," said David Caraway, MD, chief medical officer at Nevro. "We are confident that our extensive collection of clinical and real-world data will continue to serve as the foundation for additional coverage expansions by other prominent health plans."
Globally, the number of people with diabetes has quadrupled in the last two decades1, and PDN is one of its most common complications, affecting up to 25 percent of all people with diabetes. PDN symptoms can have a significant impact on quality of life. These symptoms include numbness, tingling/paresthesia, loss of protective sensation, impaired balance, and reduced response to sensory stimuli.2 Patients typically manage this complication with oral pain medications, but the efficacy of these medications is relatively low and can result in intolerable side effects for patients.3 As a result, people with PDN suffer significantly reduced health-related quality of life (HRQoL), impaired functionality, and other comorbidities like sleep disorders, depression, and anxiety.4
To learn more about Nevro's 10 kHz TherapyTM for PDN visit: www.nevro.com.
Posted In: NVRO
