Safe use of donated positive airway pressure devices to increase access to treatment for obstructive sleep apnea: a clinical outreach program

Document Type

Article

Publication Date

5-1-2022

Publication Title

J Clin Sleep Med

Abstract

Coverage to provide positive airway pressure (PAP) therapy for patients with obstructive sleep apnea (OSA) by the Centers for Medicare and Medicaid Services (CMS) and most private insurers is limited to those patients who meet diagnostic criteria for OSA based on a sleep study. Despite PAP therapy being a covered benefit by most insurers, many patients have high out-of-pocket costs due to copays and deductibles. Also, a subset of patients may be diagnosed per the American Academy of Sleep Medicine (AASM) recommended rule (H3A), while not meeting the diagnosis using the acceptable rule (H4) that their insurer requires.

Medical Subject Headings

Aged; Continuous Positive Airway Pressure; Health Services Accessibility; Humans; Medicare; Polysomnography; Sleep Apnea, Obstructive; United States

PubMed ID

35484640

Volume

18

Issue

5

First Page

1455

Last Page

1457

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