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Monday, April 8, 2019

Inspire Medical reports three new positive coverage policies issued by BCBS

Inspire Medical Systems announced that three new Blue Cross Blue Shield Association healthcare plans have issued positive coverage policies of Inspire therapy. These plans include: Highmark, Inc.; Blue Cross Blue Shield of Alabama; and BCBS of South Carolina, which, in the aggregate, provide coverage for approximately 8.3 million members. As to these positive coverage policies: Highmark, Inc., the sixth largest BCBS plan, covers approximately 4.6 million members across Pennsylvania, West Virginia, Delaware and took effect on April 5, 2019; BCBS of Alabama covers approximately 2.9 million members and took effect on April 2, 2019; and BCBS of South Carolina covers approximately 800,000 members and took effect on March 15, 2019. There have now been 16 positive coverage policies issued by BCBSA healthcare plans, currently covering approximately 33 million members, 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. In aggregate, there are a total of approximately 61 million members under all of the policies that cover Inspire therapy.

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