Evidence map›Paper›PMID 37594033›Full record

ArticleUrology practice2023

Implantable Penile Prosthesis for Erectile Dysfunction: Insurance Coverage in the United States.

Mohit Khera, Joshua P Langston, Matthew E Pollard, Denise Asafu-Adjei, Natalie C Edwards, Krista D Nitschelm, Mital Patel, Samir K Bhattacharyya

Open access · hybridAbstract read
In one paragraph

Article in Urology practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.7field-weighted citation impact, top 31% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 1 country.

Mohit KheraBaylor College of Medicine, Houston, Texas.
Joshua P LangstonUrology of Virginia/Eastern Virginia Medical School, Virginia Beach, Virginia.
Matthew E PollardPosterity Fertility, PC, Denver, Colorado.
Denise Asafu-AdjeiLoyola University Chicago Stritch School of Medicine, Maywood, Illinois.
Natalie C EdwardsHealth Services Consulting Corporation, Boxborough, Massachusetts.ORCID 0000-0002-8501-1467
Krista D NitschelmHealth Economics & Market Access, Pelvic Floor & Prosthetic Urology, Boston Scientific Corporation, Marlborough, Massachusetts.
Mital PatelGlobal Value & Outcomes, Boston Scientific Corporation, Marlborough, Massachusetts.
Samir K BhattacharyyaHealth Economics & Market Access, Boston Scientific Corporation, Marlborough, Massachusetts.
Boston Scientific (United States) · USBaylor College of Medicine · USEastern Virginia Medical School · USLoyola University Chicago · USPublic Health Solutions · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionA manufacturer's benefit verification database was evaluated to ascertain United States health plan insurance coverage for implantable penile prostheses for erectile dysfunction.

methodsAll-payer and employer-sponsored health plan benefit verification databases were queried to determine implantable penile prosthesis approval status. For the all-payer analysis, data by payer were available and presented for 2019-2021 to assess approval status varied by payer and over time. For the employer-sponsored health plan analysis, data by payer were available from 2018-2021.

resultsBenefit verification records for the all-payer database were available for 3,167 patients in 2019, 3,016 in 2020, and 2,837 in 2021. Insurance type was preferred provider organization (27.5%), Medicare Advantage (26.9%), Medicare (15.9%), or point-of-service (10.5%). Most patients were approved or verified for implantable penile prosthesis coverage (79.4% in 2019, 79.6% in 2020, and 78.4% in 2021). Coverage was most extensive for government-based insurance (Medicare 98.7%, Medicare Advantage 97.1%, Tricare 100%, and Veterans Affairs 80.0%) but was also favorable for commercial insurance (75.0%). The most common reason for lack of coverage was employer exclusion; the proportion of patients with no coverage due to exclusion increased from 13.5% in 2019 to 17.5% in 2021. Analyses of the employer-sponsored health plan database (n=3,083 patients) showed that 63.1% of patients were approved or verified for coverage and 34.2% did not have coverage due to health plan exclusions.

conclusionsApproximately 80% of patients had implantable penile prosthesis coverage. Employer exclusion was the most common reason for lagging coverage; rates of employer exclusion increased 29.3% from 2019-2021.

Indexed as

Erectile DysfunctionPenile ProsthesisAgedDatabases, FactualHumansInsurance CoverageMaleMedicareUnited Statesdysfunctionerectilehealth services accessibilityinsurance coveragepenile prosthesis

Identifiers

PMID37594033
PMCPMC12721626
OpenAlexW4385968874

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.