to second Rick results. you a our provide will a review detailed that second I our call. XXXX excited quarter and quarter you CFO, of efforts our resulted financial is joining continued Thank around report results. us you, what the with for to thanks will strong Bob very today. welcome team’s follow again Buchholz, driving our to It I’m have earnings is the details and pleasure progress in with everyone
the for questions. up this, call your open Following we’ll
As health will for support the sleep Inspire This continued to therapy will fully in to the at of and prior has outcomes patient at untreated this team that be growth lead believe continue providers committed therapy obstructive continue and to be the from apnea. consistent Inspire those calls, delivering been our adoption and reinforcement Inspire to and we globally. positive care mission
second market focused our first, growth quarter Regarding execute and centers, implanting the and we second, U.S. on training flow commercial of continue at our the on balanced the objective with strong and primarily existing centers. opening is new which performance to patient of in XXXX, strategy, increasing
the into second results. XXXX get quarter Let’s
million, increase centers and XX We worldwide year XXX total the with had of centers quarter U.S. Our second territory end a a of territory ending the revenue period an $XX.X new to XX% the managers quarter we added ago, XXXX. XX period XX. the a second At of managers. XXX. of total we of Further, the was X compared with ending added
a have will new impact the quarter and per are X managers new growth XXXX centers as we to opening managers in territory and quarter positive territory of such, and States. XX centers our United adding to our new these goal that XX on expect X We long-term per reiterating
hire we methodical in well-disciplined approach. in open do to this and continue a manner centers the and right will a people controlled We ensuring that
organization. team, To sales and of further global to support implemented our the have changes marketing several building our we
we have Inspire and adoption. and in key has the growth as continued proud organization, X, team, factor role a years to with as very of since position the been have to marketing reporting now Randy expanding has in promotion increase Sales. Chief Ivan therapy XXXX will recently X the Randy am realigned Ban marketing Inspire has Vice regional for U.S. with of in announce our President Vice to and to team I sales for be North Commercial been Presidents, region. the responsible First, organization. Officer global of initiatives. from sales Vice In Randy’s Senior the U.S. an will promoted sales has was President who the been well of our Ivan U.S. The most Lubogo, who X been
Presidents. of also well into capacity increase add our managers report will number who the future. expand Vice to these the to regional sales further will This reps We regional will
number significant growth in of web ‘XX, initiatives quarter strategy compared in in with to These therapy, to web second increase key the and patients visitors implanting our and efforts direct-to-patient aspect saw reaching remain correspond these prior-year continues on commercial led searches. an to in and the successful as be Another the of educating growing focused centers. activity our strategy we U.S. continues be initiatives. prospective Inspire to U.S. This and broadening about period; to of we physician engaged visitors
the of focus re-imagine associated message mask, now result new no program no the effort company sleep. started implementing extensive in XXXX analyzes I market of target programs. in was resulting like Step about just these of description you direct-to-patient as beginning a this our process some We beginning would changes are to tell education market. research our we of, to logo Inspire an in two a hose, with with and
In addition, will very in launch website we the at our near inspiresleep.com. new future,
new about excited We are very site. this
contact appropriate interact will further potential we and with patients educate the We for improve new which this provider. that expect make the get way healthcare easier it in patients with and website to in
market our continue written I this execute to number the is to the progress most strategies, growth key or expand here would to two continue and coverage positive our of coverage prior policies. we which substantial authorization. significant attention reimbursement like concurrent and individual positive are to where with now obtain The access policies to turn process
only lives. for policies XXX XXXX. therapy X ago and XX covered covered year first end Specifically, coverage we million XX million the of X a representing lives just are with quarter Inspire positive million ended the quarter the at there comparison, second of total of In
to all commercial in-depth in Inspire payers to encourage all with published U.S. the an continue to literature therapy. the of conduct evidence the work clinical review of We the documenting them
could centers will the longer that the with but We time throughout expect Inspire regions new are the Once with term. market the year. momentum that have coverage already coverage and good with will therapy. to positive policies is the ensure works This policies larger some impact implemented. commercial individual These our improved we properly published, our access plans, continue have coverage very policies access take a team these significantly to patient policy
these compares prior our XXXX, In the prior in from metrics. specifics submissions the the in second to of XXX submissions get let team of first XXXX. improvements, quarter as as submissions. XXX This of an the increase our To reimbursement review me second quarter authorization the favorably XXX into internal well supported authorization of quarter XXXX,
quarter terms XXX This of in the prior as XXXX. an to first the approvals, In approvals XXX of from the quarter patients increase the the in second as of of authorization XXX in quarter XXXX. received approval compares approvals second an XXXX, well
XX% metrics, XXXX and with appeals approval we Regarding of rate ended of overall half about first rate process, entire approval an prior the that the was the completed XX%. for authorization those patients success
It To the approval about authorization first goal average but is half approval forward. those approval as authorization first in time report individual meaningful to rates of in XX was burden movement will authorization reduce during for to going overall to submissions primarily of XX% so and receive important half process. was In the overall XXX for prior rate these and to second business will these patients process, short remain in coverage XXXX half XX% to the the review, of XXXX effect on may that of where compared term, to progress of the highlight these approximately the the XXXX number positive a the prior for our days XXXX entire note was continue less the of completing metrics approximately there the become days. days year. X/X and long-term new is we the metrics appeals evaluating our reduced policies, the the be prior some The that submissions an
few take we our to Before Medicare want to on, stand discuss with program. we minutes where a move I
Over have the success what in approximately regions X call several Medicare the of had majority centers good years, or the last gaining MACs. reimbursement they in
active XXXX, second provide with for MACs introduced This LCD local Now evidence for during earlier of process of coverage. the determinations to in present experienced many initiated guideline CMS these which process defines clinical a guideline along The was and has quarter. development new review for process been the reviews, industry the the LCDs. supporting or very physicians the coverage
is is a LCD common LCDs will draft a fact, that XX-day the by followed we quarter. public thereafter. a LCD final be published expect first months it Once then and draft third the several In be issued during published should period
We strong these Inspire a make this gain That recent draft will through in cannot of position therapy as LCDs clinical to report the policies are the is in time payer published published. are this process, we therapy. LCDs first confident most Inspire commercial the when we with believe and we are evidence any we positive back for coverage said, certainly assurances
appropriate a Regardless well of demand therapy the of provider for us our Medicare and position outcomes, broad for LCD process, patient population. results this support the near-term secure payer to reimbursement
proposed a for released reimbursement last fiscal year rates CMS week. know, you of most As XXXX
national Inspire increase present for increase represents physician geography flat cloud Medicare XXXX based the $X,XXX adjustments which payment. the remains XXXX XXXX an are hospital is payment. or payment for approximately the the made of teaching hospitals. from proposed to For The payment the $XX,XXX, about is proposed and X% This Medicare average payment on and
are of the in the sensing physician approval advanced very lead latest Inspire for X programmer. Inspire to June, new activities the regulatory the that Neurostimulator, Regarding Japan, our full we the versions and announce received in products, we happy including
in product directly reimbursement work level in reimbursement to the in proper with the a agencies received and continue Japan that consistent We U.S. to with Europe. establish
we our all and reimbursement be set. Japan levels we received will now We investment will on where formal application the have key to-date in decisions defer feedback until understand
work the We Japan. with Ministry regards and continue to Health, reimbursement in in of Labor Welfare to
in However, plans in I commercial have should note at this we Japan. no time, place firm investment
higher we results Moving announced efforts younger quarter, Alabama at clinical evidence, therapy by the Inspire a aggressive the and dossier followed XXX patients Medicare-aged of patients response, our all continue on as while second In information positively University on effects we results of XXX build sleep slightly and Medicare-aged study severity, to Medicare-aged The publication higher the therapy. age of comparing and inherence the therapy, the quality procedure. younger patients. a clinical the to led of demonstrated any clinical Birmingham of as complications was responded therapy of the regarding that publication had to and life slightly well The data. physicians to collected with patients study to to at patients apnea both the patients a Inspire
our R&D Switching the sensing new activities. while maintaining gears patient lead we year, Inspire’s team the States. product outcomes. to the improve continues development Earlier in this United experience, and launched enhancing therapy to
to from who implanted receive new physicians continue the feedback lead. have very We sensing positive the
of with to also this progress Inspire project addition patient using further centers for achieve tool We Cloud the continue through management. the
We time this improve programmer will effort patient X product X the of and activity Inspire approval that have design regulatory anticipate we projects the control. have device at report on we key to active appropriate will to multiyear design Longer-term, this the develop and remote Inspire design the Neurostimulator. progresses. for initiated the We features be and gain as our a the physician
we possible the before; said generate I’ve primary highest reiterate summary, are goal our to our outcomes In for to excited of trajectory the patients. business what therapy about is
adding existing aimed the well We with increasing expanding remain for focused coverage build and we Along centers upon clinical further our in evidence, that growth penetration we continue of success. second, a are territory execute implanting to well reimbursement confident a as as decisions positive body that number centers, advancements long-term at growing recent and positioned strategy managers. at first, of
for Rick to our that, the to I’d financials. like With of call detailed review Alright. a turn over
