BCBS Michigan 1st private payer to cover Paradigm Spine’s coflex: 5 takeaways

A Blue Cross Blue Shield of Michigan Medical Policy represents the first commercial payer to issue a positive coverage policy for a new lumbar spinal stenosis treatment.

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Here are five takeaways:

 

1. The policy, “Interspinous/Interlaminar Stabilization/Distraction Devices (Spacers),” covers Paradigm Spine’s coflex Interlaminar Stabilization.

 

2. The coflex is a non-fusion, motion-preserving implant used to treat lumbar spinal stenosis.

 

3. The 4.5 million BCBS Michigan patients may now access coflex.

 

4. Michigan residents with Medicare and Medicaid coverage already had access to coflex.

 

5. The coflex has the support of 85 peer-reviewed articles, inclusive of five-year follow-up studies.

 

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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.

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