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Neuronetics Announces TMS Coverage Criteria Changes for Over 23 Million Covered Lives

Key Takeaway: Neuronetics announced changes in TMS coverage criteria by United HealthCare, reducing the required prior medication failures from four to two and eliminating the psychotherapy trial requirement. This update is significant as it increases treatment access for over 23 million covered lives suffering from depression. The changes reflect a positive shift in healthcare payer response to the need for improved mental health treatments. Neuronetics continues to position itself as a leader in TMS therapy with ongoing advocacy for health policy changes.

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POSITIVE FACTORS

  • Increased eligibility criteria for TMS treatment, improving access for patients.
  • Support from the largest health insurer (UHC) in the nation, covering 23.8 million lives.
  • Reaffirmation of Neuronetics' commitment to improving mental health treatment options.

Full Press Release Details

MALVERN, Pa., March 02, 2023 (GLOBE NEWSWIRE) -- Neuronetics, Inc. (NASDAQ: STIM), a commercial stage medical technology company focused on designing, developing, and marketing products that improve the quality of life for patients who suffer from neurohealth disorders, announced criteria changes by United HealthCare (UHC) Optum to their commercial plans that increase eligibility for depression patients to receive treatment with NeuroStar Advanced Therapy for Mental Health transcranial magnetic stimulation (TMS).
Optum, the benefit manager for United Healthcare’s behavioral health services, revised the criteria in their TMS coverage policy that now reduces the number of prior medication failures for TMS eligibility from four down to two and removes the requirement for a trial of an evidence-based psychotherapy. As the largest health insurer in the nation, United Healthcare commercial policies cover 23.8 million lives. For qualifying criteria, refer to the Optum Behavioral Health Solutions Clinical Policy for Transcranial Magnetic Stimulation here.
“Depression is the leading cause of disability worldwide, so it speaks volumes to the people struggling every day that healthcare payers are responding by increasing access to mental health treatments like NeuroStar TMS,” said Keith J. Sullivan, President and CEO of Neuronetics. “As the largest insurer in the United States, UHC Optum can make a real difference in helping to alleviate the burden of drug-resistant depression.”
Neuronetics has previously announced favorable TMS coverage updates, most recently an NGS Medicare policy update in February 2023. Neuronetics is the only TMS company in the industry with a dedicated health policy team that partners with both providers and payers to advocate for health policy changes.
For more information about NeuroStar TMS Therapy, visit www.NeuroStar.com.
Neuronetics, Inc. believes that mental health is as important as physical health. As a global leader in neuroscience, Neuronetics is redefining patient and physician expectations with its NeuroStar Advanced Therapy for Mental Health. NeuroStar is a non-drug, noninvasive treatment that can improve the quality of life for people suffering from neurohealth conditions when traditional medication hasn’t helped. NeuroStar is FDA-cleared for adults with major depressive disorder (MDD), as an adjunct for adults with obsessive-compulsive disorder (OCD), and to decrease anxiety symptoms in adult patients with MDD that may exhibit comorbid anxiety symptoms (anxious depression). NeuroStar Advanced Therapy is the leading transcranial magnetic stimulation (TMS) treatment for MDD in adults with over 5 million treatments delivered. NeuroStar is backed by the largest clinical data set of any TMS system for depression, including the world’s largest depression Outcomes Registry. Neuronetics is committed to transforming lives by offering an exceptional treatment that produces extraordinary results. For safety and prescribing information, www.neurostar.com.

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Frequently Asked Questions

What changes has United HealthCare made for TMS eligibility?

UHC Optum has reduced prior medication failures from four to two and removed the evidence-based psychotherapy trial requirement.

How many lives are covered by United Healthcare's commercial policies?

United Healthcare's commercial policies cover approximately 23.8 million lives.

What is NeuroStar Advanced Therapy for Mental Health?

NeuroStar Advanced Therapy is a non-invasive TMS treatment for depression and other neurohealth disorders.

Is NeuroStar approved for conditions other than depression?

Yes, NeuroStar is FDA-cleared for obsessive-compulsive disorder and anxiety symptoms in patients with depression.

How many treatments has NeuroStar delivered?

NeuroStar has delivered over 5 million treatments, making it the leading TMS treatment for MDD in adults.

Last updated: Mar 2, 2023