Thursday, June 12, 2025

LivaNova Pursues Medicare Coverage for VNS Therapy in Resistant Depression

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LivaNova PLC has taken a significant step towards securing Medicare coverage for its VNS Therapy™ aimed at patients battling treatment-resistant depression (TRD). By initiating the reconsideration process with the U.S. Centers for Medicare and Medicaid Services (CMS), the company seeks to expand access to this innovative treatment option.

The initial phase involves submitting a formal request to CMS, backed by five critical studies from the RECOVER clinical trial. These studies provide robust evidence supporting the efficacy and sustained benefits of VNS Therapy in improving depressive symptoms, functioning, and overall quality of life for individuals with unipolar TRD.

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Comprehensive Data Supports VNS Therapy Effectiveness

The RECOVER study has delivered compelling 24-month data, showcasing the long-term durability of VNS Therapy. Patients in the active treatment group maintained substantial benefits, with over 80% retaining clinical improvements at the two-year mark. Additionally, those who responded positively at 12 months continued to show increased response rates by the end of the study period.

Positive Impacts on Suicidality Observed Early

Further analyses revealed that VNS Therapy significantly reduces suicidal ideation, with noticeable improvements as early as three months into treatment. These findings highlight the therapy’s potential to not only alleviate depressive symptoms but also mitigate acute risks associated with severe depression.

– VNS Therapy demonstrates sustained efficacy over two years
– Significant improvement in both depressive symptoms and quality of life
– Early reduction in suicidality provides critical intervention benefits

The comprehensive data presented by LivaNova underscores the unmet needs of TRD patients and positions VNS Therapy as a viable long-term treatment option. By addressing both symptomatology and functional outcomes, VNS Therapy offers a holistic approach to managing severe depression.

With the RECOVER study being the largest of its kind, encompassing up to 1,000 patients across the United States, the evidence base for VNS Therapy is robust and persuasive. This extensive research not only supports clinical effectiveness but also establishes a foundation for policy advocacy aimed at improving patient access to essential mental health treatments.

Expanding Medicare coverage for VNS Therapy could revolutionize the treatment landscape for TRD, providing hope and tangible improvements in the lives of those who have struggled with limited options. LivaNova’s initiative represents a pivotal move towards integrating advanced medical technologies into standard care protocols, ultimately enhancing patient outcomes and quality of life.

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