Evidence map›Paper›PMID 41090702›Full record

ArticleThe Laryngoscope2026

Variability in Insurance Coverage for Adult Voice Therapy in The United States of America.

Kevin B Xiao, Carlye B Goldenberg, Carson K Gates, Mark R Gilbert

Abstract read
In one paragraph

Article in The Laryngoscope, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
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

4 authors.

Kevin B XiaoDepartment of Otolaryngology - Head and Neck Surgery, University of Missouri, Columbia, Missouri, USA.ORCID 0000-0003-3470-7867
Carlye B GoldenbergUniversity of Missouri School of Medicine, Columbia, Missouri, USA.
Carson K GatesUniversity of Missouri School of Medicine, Columbia, Missouri, USA.
Mark R GilbertDepartment of Otolaryngology - Head and Neck Surgery, University of Illinois College of Medicine, Chicago, IL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesVoice therapy is often the first-line treatment and an adjunct to medical or surgical management of dysphonia. However, a minority of patients with dysphonia utilize voice therapy. Insurance coverage can affect patients' decisions and ability to pursue voice therapy. The objective of this study was to investigate variability in insurance coverage of voice therapy for treatment of dysphonia in the United States of America.

methodsA cross-sectional study was performed to review insurance policies from the top three commercial insurers and Medicaid in all 50 states and District of Columbia (DC). Top three commercial insurers were determined using 2021 enrollment data. Policies for commercial insurers and Medicaid in all 50 states and DC were then identified using internet search. Voice therapy coverage was categorized as covered, requiring prior authorization, determined on case-by-case basis, or not covered. Copay and visit limitations were also assessed.

resultsAmong 153 commercial insurers, 135 (88.2%) provided coverage for voice therapy. 39 (76.5%) state Medicaid plans provided coverage for voice therapy. There was no association between coverage status and insurance type (p = 0.06). Commercial insurers (34.09 ± 13.8) were associated with significantly higher annual visits limit than Medicaid (23.8 ± 10.1) (p = 0.02). There was a significant association between commercial insurers and documented copays (p = 0.01).

conclusionsWhile most of the commercial plans and Medicaid provide voice therapy coverage, discrepancies still exist, and many insurance providers do not provide coverage. This variability may contribute to disparities in access and outcomes for individuals with dysphonia. LEVEL OF EVIDENCE: N/A.

Indexed as

DysphoniaInsurance CoverageInsurance, HealthVoice TrainingAdultCross-Sectional StudiesFemaleHumansMaleMedicaidUnited Statesdysphoniainsurancespeech therapyvoice therapy

Identifiers

PMID41090702
PMCPMC12913730

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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.