Legal Proceedings Report • Jul 17, 2017
Legal Proceedings Report
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Photocure ASA : UPDATE ON MEDICARE REIMBURSEMENT FOR BLUE LIGHT CYSTOSCOPY WITH CYSVIEW®
Oslo, Norway, July 17, 2017: Photocure ASA (OSE: PHO),
announced today that the United States Centers for Medicare
& Medicaid Services (CMS) has released the Proposed Rule
outlining its 2018 plan to reimburse hospital outpatient
departments using Blue Light Cystoscopy (BLCTM) with
Cysview®. To ensure appropriate reimbursement for BLCTM with
Cysview, CMS has proposed to create a new set of codes
specific to Blue Light Cystoscopy allowing for improved
reimbursement for those procedures.
The CMS draft rule for Medicare patients can be accessed at:
http://bit.ly/CMS-DRAFT-Rule
"We are grateful that CMS has heard the concerns from
stakeholders that the current Medicare reimbursement for
Blue Light Cystoscopy procedures involving Cysview® is
creating a barrier to patient access to reasonable and
necessary care," stated Kjetil Hestdal, President and CEO of
Photocure ASA. "We are pleased that CMS has proposed to
improve the reimbursement to hospitals for Blue Light
Cystoscopy, and we will submit comments in support of the
proposal in the coming weeks," he noted.
The effectiveness and benefits of Blue Light Cystoscopy
(BLCTM) with Cysview® for improved detection and management
of bladder cancer have been recognized by leading urology
associations including the AUA (American Urological
Association), and SUO (Society of Urological Oncology) and
patient groups have recognized the potential of using
Cysview® as well. In 2016, BLCTM with Cysview® was adopted
into the AUA/SUO Non-Muscle Invasive Bladder Cancer (NMIBC)
guidelines.
The comment period for the Proposed Rule closes in early
September, and CMS is expected to issue a Final Rule in the
fourth quarter of 2017 effective on January 1, 2018.
About Bladder Cancer
Bladder cancer is the fifth most commonly diagnosed cancer
in the US and is the fourth most common cancer found in men
in the US.[1],[2],[3] In 2016, it is estimated that 76,960
new
cases of bladder cancer will occur along with 16,390 deaths
due to bladder cancer.
Bladder cancer is one of the most expensive cancers to
manage, accounting for approximately $3.7 billion in direct
costs each year.[4],[5]
Bladder cancer is classified into two types, non-muscle
invasive bladder cancer (NMIBC) and muscle-invasive bladder
cancer (MIBC), depending on the depth of invasion in the
bladder wall[2].NMIBC remains in the inner layer of cells
lining the bladder. These cancers are the most common (70%)
of all BC cases and include the subtypes Ta, carcinoma in
situ (CIS) and T1 lesions. MIBC is when the cancer has grown
into deeper layers of the bladder wall. These cancers,
including subtypes T2, T3 and T4, are more likely to spread
and are harder to treat[2].
About Hexvix®/Cysview®
Hexvix®/Cysview® is a drug that is selectively taken up by
cancer cells in the bladder making them glow bright pink
during Blue Light Cystoscopy (BLCTM). BLCTM with
Hexvix® /Cysview® improves the detection of tumors and leads
to more complete resection, less residual tumors and better
management decisions.
Cysview® is the tradename in the US and Canada, Hexvix® is
the tradename in all other markets. Photocure is
commercializing Hexvix®/Cysview® directly in the US and the
Nordic region, and has strategic partnerships for the
commercialization of Hexvix®/Cysview® in Europe, Canada,
Australia and New Zealand. Please refer to
https://www.photocure.com/Partnering-with-Photocure/Our-
partners for further information on our commercial partners.
About Photocure
Photocure, headquartered in Oslo Norway, is a specialty
pharmaceutical company focusing on urology. Based on its
unique proprietary Photocure Technology® platform, Photocure
is committed to developing and commercializing highly
selective and minimally invasive solutions to improve health
outcomes for patients worldwide. The company is listed on
the Oslo Stock Exchange (OSE: PHO). More information about
Photocure is available at www.photocure.com, www.hexvix.com
and www.cysview.com.
For more information, please contact:
Kjetil Hestdal
President and CEO, Photocure ASA
Tel: +47 913 19 535
Email: [email protected]
Erik Dahl
Chief Financial Officer
Tel: +47 450 55 000
Email: [email protected]
[1] SEER Cancer Statistics Factsheets: Bladder Cancer.
National Cancer Institute. Bethesda, MD.
http://seer.cancer.gov/statfacts/html/urinb.html. Accessed
April 2016.
[2] Bladder Cancer. American Cancer Society.
http://www.cancer.org/acs/groups/cid/documents/webcontent/003
085-pdf.pdf. Accessed April 2016.
[3] Hall M, Chang S, Dalbagni G et al. Guideline for the
Management of Nonmuscle Invasive Bladder Cancer (Stages Ta,
T1, and Tis): 2007 Update. J Urol. 2007;178 (6):2314-2330.
[4] Avritscher EB et al., Clinical model of lifetime cost of
treating bladder cancer and associated complications.
Urology. 2006; 68:549-553.
[5] Botteman et al. Clinical model of lifetime costs of
treating bladder cancer: a comprehensive review of the
published literature. Pharmacoeconomics. 2003; 21:315-1330.
[6] Bladder Cancer. American Cancer Society.
http://www.cancer.org/acs/groups/cid/documents/webcontent/003
085-pdf.pdf. Accessed April 2016.
[7] Bladder Cancer. American Cancer Society.
http://www.cancer.org/acs/groups/cid/documents/webcontent/003
085-pdf.pdf. Accessed April 2016.
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