The policy considers the procedure medically necessary for lower back and buttock pain in certain conditions. The decision was based on clinical evidence showing the effectiveness of SI-Bone’s iFuse implant system.
“This decision by Centene is an important step in providing greater access to the iFuse procedure for millions of eligible patients,” said Jeffrey Zigler, vice president of market access and reimbursement at SI-Bone.
Centene is an intermediary for health insurance programs and focuses on care for underinsured and low-income patients.
At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.
