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Tuesday, February 5, 2019

Inspire Medical reports positive coverage policies from 5 BCBSA plans

Inspire Medical Systems announced an additional five Blue Cross Blue Shield Association healthcare plans have issued positive coverage policies of Inspire therapy. These plans include Blue Cross Blue Shield of Mississippi, BCBS Regence, Premera Blue Cross, BCBS of Kansas, and BCBS of Massachusetts, which provide coverage for an aggregate of 8.4 million members. BCBS of Mississippi covers approximately 590,000 members and took effect January 1, 2019. Regence covers approximately 2.6 million members across Washington, Oregon, Idaho and Utah and took effect February 1,2019. Premera is the largest health plan in the Pacific Northwest covering over 2.1 million members in Washington and Alaska and took effect February 1, 2019. BCBS of Kansas covers approximately 560,000 members and took effect February 1, 2019. BCBS of Massachusetts covers approximately 2.6 million members and will take effect May 1, 2019. There have now been eight positive coverage policies issued by BCBSA healthcare plans following BCBSA Evidence Street’s January 7, 2019 report, which stated that there is sufficient evidence to determine that Inspire therapy results in a meaningful improvement in net health outcomes for patients meeting specified criteria. These eight Inspire therapy coverage policies comprise approximately 16.6 million members, or 17%, of the total 97 million members currently covered under the BCBSA healthcare plans.

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