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In March, we learned about Cigna’s Medical Coverage Policy, characterizing peripheral nerve stimulation (PNS) to treat chronic pain as “not medically necessary.” On behalf of 88,000 physician members in national medical societies, NANS leads the response [PDF letter] objecting to CIGNA’s depiction of the treatment as lacking medical necessity.
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NANS signs on to support the introduction of the Seniors’ Act or the Improving Seniors’ Timely Access to Care Act, a bipartisan legislation to streamline the use of prior authorizations (PA) under Medicare Advantage (MA) allowing seniors to get timely care and helping reduce administrative burden for health care providers.
On behalf of the 40,000+ members across 10 medical societies, NANS submitted a response (PDF) to draft guidelines for SCS coverage proposed by the Washington State Health Technology Clinical Committee. This historic shift in coverage means that, for the first time ever, patients covered by state insurance will have access to SCS treatment for failed back surgery syndrome (FBSS), nonsurgical refractory back pain (NSRBP) and painful diabetic neuropathy (PDN). This change was only possible due to the tireless advocacy of Washington-based physicians and national medical societies.
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September 2024
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