Palmetto GBA, Administrator of Medicare in Seven States, Publishes Draft Local Coverage Determination
CRESSKILL, N.J. and JERUSALEM, Israel, June 1, 2021 (GLOBE NEWSWIRE) – BrainsWay Ltd. (NASDAQ & TASE: BWAY) (“BrainsWay” or the “Company”), a global leader in advanced noninvasive neurostimulation treatments for mental health disorders, today announced that the first draft Local Coverage Determination (LCD) has been published proposing coverage applicable to the BrainsWay Deep TMS™ system for the treatment of obsessive-compulsive disorder (OCD).
The proposed draft LCD, which was issued by the Medicare Administrative Contractor (MAC) Palmetto GBA, is currently available on the Medicare Coverage Database site for public review. Palmetto’s jurisdiction covers Medicare patients in Alabama, Georgia, North Carolina, South Carolina, Tennessee, Virginia, and West Virginia, representing over 9 million covered lives. Palmetto will host a formal meeting open to the public for comment on the draft policy later this month. This will be followed by a review period, with a final policy expected later this year.
“This is a very positive advancement for the Medicare population, with the potential to streamline their access to Deep TMS,” said Hadar Levy, Senior Vice President and General Manager of North America of BrainsWay. “The BrainsWay team has worked closely with the MACs, and specifically Palmetto, to provide the appropriate published clinical literature for Deep TMS in support of this proposed draft LCD. We look forward to the formal policy from Palmetto, and anticipate that other MACs, over time, will also issue their draft policies for Deep TMS coverage of OCD.”
“Following the recent published positive coverage policy for our Deep TMS system in OCD by Centene, the initial draft LCD by one of the seven MACs in the U.S. represents another significant reimbursement milestone for BrainsWay,” said Christopher von Jako, Ph.D., President and Chief Executive Officer of BrainsWay. “We are pleased that, based on the large body of compelling clinical evidence supporting the treatment of OCD with our innovative technology, our Deep TMS system continues to be recognized for the meaningful benefits it can provide to OCD patients, many of whom are unresponsive to current first-line medication and psychotherapy standard of care treatments alone. We remain committed to working to secure further coverage policy decisions from additional payors in the coming months.”
The patient selection criteria identified in Palmetto’s draft LCD is closely aligned with the Clinical TMS Society’s recommended OCD coverage policy. The U.S. Food and Drug Administration (FDA) granted BrainsWay De Novo clearance in August 2018 for Deep TMS as an adjunct form of therapy for patients suffering from OCD.
About Obsessive-Compulsive Disorder
Obsessive-compulsive disorder (OCD) is a chronic and debilitating condition with a lifetime prevalence in the United States of 2.3%. Characterized by uncontrollable, reoccurring thoughts (obsessions) and behaviors (compulsions) that the sufferer feels compelled to repeat over and over, OCD is considered by the World Health Organization (WHO) to be one of the top 10 debilitating medical conditions associated with a decreased quality of life and loss of income. Due to the complexity and heterogeneity of the condition, coupled with the high percentage of patients that are drug-resistant, many patients suffering from OCD do not respond well to first line treatment options. The economic burden on the U.S. healthcare system for OCD treatments is estimated to be over $7 billion per year.
BrainsWay is a global leader in advanced noninvasive neurostimulation treatments for mental health disorders. The Company is boldly advancing neuroscience with its proprietary Deep Transcranial Magnetic Stimulation (Deep TMS™) platform technology to improve health and transform lives. BrainsWay is the first and only TMS company to obtain three FDA-cleared indications backed by pivotal studies demonstrating clinically proven efficacy. Current indications include major depressive disorder, obsessive-compulsive disorder, and smoking addiction. The Company is dedicated to leading through superior science and building on its unparalleled body of clinical evidence. Additional clinical trials of Deep TMS in various psychiatric, neurological, and addiction disorders are underway. Founded in 2003, with offices in Cresskill, NJ and Jerusalem, Israel, BrainsWay is committed to increasing global awareness and broad access to Deep TMS. For the latest news and information about BrainsWay, please visit www.brainsway.com.
Forward Looking Statements
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SVP and Chief Financial Officer