,
Kevin Schlidt,
Michael Ha,
Kevin Zhu,
Ledibabari Ngaage,
Jessica El-Mallah,
Sami Tuffaha,
Yvonne Rasko
Background: Dupuytren’s contracture is a fibroproliferative disorder that often results in contractions of the fourth and fifth digits of the hand. While there is no definitive cure, symptomatic relief can be achieved via open fasciotomy, percutaneous aponeurotomy, or through collagenase Clostridium Histolyticum injections (CCH). Despite these therapeutic options, the insurance coverage of these modalities is not clearly defined. Methods: The authors evaluated American insurance companies’ coverage for the treatment of Dupuytren’s and compared the coverage of open fasciotomy, percutaneous aponeurotomy, or CCH. A cross-sectional analysis of US insurance policies for coverage of Dupuytren’s treatment was performed. Companies were selected based on those with the largest enrollment and their market share. Results: Of the 100 companies examined, only 5% of companies had an established policy that covered an open fasciotomy treatment, 6% had a policy that covered a percutaneous fasciotomy, whereas 37% had a policy for CCH. There were significantly more policies for CCH compared to open fasciotomy and percutaneous fasciotomy (CCH vs open fasciotomy: p<0.001; CCH vs percutaneous fasciotomy: p<0.001). The most common criterion for treatment options was the involvement of the MP joint or PIP (Open fasciotomy n = 5 (100%); percutaneous fasciotomy n = 5 (83.3%); CCH n = 30 (81.1%). Conclusion: There are noted coverage discrepancies between companies for the coverage of Dupuytren’s management. This variability is overall lacking in surgical, minimally invasive, and injection options.
| Published in | Advances in Surgical Sciences (Volume 12, Issue 2) |
| DOI | 10.11648/j.ass.20241202.12 |
| Page(s) | 51-56 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Insurance, Dupuytren’s, Collagenase
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APA Style
Hricz, N., Schlidt, K., Ha, M., Zhu, K., Ngaage, L., et al. (2024). Understanding the Insurance Landscape of Dupuytren’s Contracture Management. Advances in Surgical Sciences, 12(2), 51-56. https://doi.org/10.11648/j.ass.20241202.12
ACS Style
Hricz, N.; Schlidt, K.; Ha, M.; Zhu, K.; Ngaage, L., et al. Understanding the Insurance Landscape of Dupuytren’s Contracture Management. Adv. Surg. Sci. 2024, 12(2), 51-56. doi: 10.11648/j.ass.20241202.12
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Download@article{10.11648/j.ass.20241202.12,
author = {Nicholas Hricz and Kevin Schlidt and Michael Ha and Kevin Zhu and Ledibabari Ngaage and Jessica El-Mallah and Sami Tuffaha and Yvonne Rasko},
title = {Understanding the Insurance Landscape of Dupuytren’s Contracture Management
},
journal = {Advances in Surgical Sciences},
volume = {12},
number = {2},
pages = {51-56},
doi = {10.11648/j.ass.20241202.12},
url = {https://doi.org/10.11648/j.ass.20241202.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ass.20241202.12},
abstract = {Background: Dupuytren’s contracture is a fibroproliferative disorder that often results in contractions of the fourth and fifth digits of the hand. While there is no definitive cure, symptomatic relief can be achieved via open fasciotomy, percutaneous aponeurotomy, or through collagenase Clostridium Histolyticum injections (CCH). Despite these therapeutic options, the insurance coverage of these modalities is not clearly defined. Methods: The authors evaluated American insurance companies’ coverage for the treatment of Dupuytren’s and compared the coverage of open fasciotomy, percutaneous aponeurotomy, or CCH. A cross-sectional analysis of US insurance policies for coverage of Dupuytren’s treatment was performed. Companies were selected based on those with the largest enrollment and their market share. Results: Of the 100 companies examined, only 5% of companies had an established policy that covered an open fasciotomy treatment, 6% had a policy that covered a percutaneous fasciotomy, whereas 37% had a policy for CCH. There were significantly more policies for CCH compared to open fasciotomy and percutaneous fasciotomy (CCH vs open fasciotomy: ppn = 5 (100%); percutaneous fasciotomy n = 5 (83.3%); CCH n = 30 (81.1%). Conclusion: There are noted coverage discrepancies between companies for the coverage of Dupuytren’s management. This variability is overall lacking in surgical, minimally invasive, and injection options.
},
year = {2024}
}
TY - JOUR T1 - Understanding the Insurance Landscape of Dupuytren’s Contracture Management AU - Nicholas Hricz AU - Kevin Schlidt AU - Michael Ha AU - Kevin Zhu AU - Ledibabari Ngaage AU - Jessica El-Mallah AU - Sami Tuffaha AU - Yvonne Rasko Y1 - 2024/09/26 PY - 2024 N1 - https://doi.org/10.11648/j.ass.20241202.12 DO - 10.11648/j.ass.20241202.12 T2 - Advances in Surgical Sciences JF - Advances in Surgical Sciences JO - Advances in Surgical Sciences SP - 51 EP - 56 PB - Science Publishing Group SN - 2376-6182 UR - https://doi.org/10.11648/j.ass.20241202.12 AB - Background: Dupuytren’s contracture is a fibroproliferative disorder that often results in contractions of the fourth and fifth digits of the hand. While there is no definitive cure, symptomatic relief can be achieved via open fasciotomy, percutaneous aponeurotomy, or through collagenase Clostridium Histolyticum injections (CCH). Despite these therapeutic options, the insurance coverage of these modalities is not clearly defined. Methods: The authors evaluated American insurance companies’ coverage for the treatment of Dupuytren’s and compared the coverage of open fasciotomy, percutaneous aponeurotomy, or CCH. A cross-sectional analysis of US insurance policies for coverage of Dupuytren’s treatment was performed. Companies were selected based on those with the largest enrollment and their market share. Results: Of the 100 companies examined, only 5% of companies had an established policy that covered an open fasciotomy treatment, 6% had a policy that covered a percutaneous fasciotomy, whereas 37% had a policy for CCH. There were significantly more policies for CCH compared to open fasciotomy and percutaneous fasciotomy (CCH vs open fasciotomy: ppn = 5 (100%); percutaneous fasciotomy n = 5 (83.3%); CCH n = 30 (81.1%). Conclusion: There are noted coverage discrepancies between companies for the coverage of Dupuytren’s management. This variability is overall lacking in surgical, minimally invasive, and injection options. VL - 12 IS - 2 ER -
Division of Plastic Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, The United States
Department of Surgery, Sinai Hospital of Baltimore, Baltimore, The United States
Division of Plastic Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, The United States
Division of Plastic Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, The United States
Department of Plastic & Reconstructive Surgery, Johns Hopkins Hospital, Baltimore, The United States
Department of Surgery, Penn State College of Medicine, Hershey, The United States
Department of Plastic & Reconstructive Surgery, Johns Hopkins Hospital, Baltimore, The United States
Division of Plastic Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, The United States
