LivaNova Reenters Medicare Fray Seeking VNS Depression Coverage

The US Centers for Medicare and Medicaid Services opened a national coverage reconsideration analysis for vagus nerve stimulation for treatment-resistant depression on May 30, 11 years after it declined to cover the treatment for this indication.

It took 11 years, but LivaNova PLC is renewing an effort to seek Medicare coverage for vagus nerve stimulation for treatment-resistant depression (TRD). On May 30, the US Centers for Medicare and Medicaid Services accepted the company's request to reconsider the current Medicare national non-coverage policy for the treatment.

CMS declined to cover VNS for depression in 2007, citing a lack of evidence supporting use of the therapy in the Medicare population. The decision, combined with private payer policies,...

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