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Sight Sciences gains Medicare coverage for eye surgery tech

Published 09/27/2024, 05:04 AM
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Today, Sight Sciences , Inc. (NASDAQ:SGHT), a medical device company based in Menlo Park, California, announced a significant development affecting its ophthalmic surgical products. Noridian Healthcare Solutions, the Medicare Administrative Contractor for sixteen states and U.S. territories, has issued a final local coverage determination (LCD) that will continue Medicare coverage for specific Micro-Invasive Glaucoma Surgery (MIGS) procedures linked to the company's products.

The Final LCD, effective November 17, 2024, confirms Medicare coverage for phacoemulsification/intraocular lens placement procedures performed in conjunction with a single MIGS operation. This includes canaloplasty combined with trabeculotomy ab interno, associated with Sight Sciences' OMNI® Surgical System, and goniotomy, related to the company's SION® Surgical Instrument technology.

However, the LCD introduces coverage limitations for MIGS procedures as first-line treatments for mild-to-moderate glaucoma and for certain combinations of surgical procedures performed at the same time in the same eye. For instance, it does not cover surgical MIGS procedures like canaloplasty or goniotomy when performed simultaneously with an aqueous shunt procedure, nor when phacoemulsification/intraocular lens placement is performed with a combination of MIGS procedures in the same service.

Sight Sciences, which trades on the Nasdaq Global Select Market under the ticker NASDAQ:SGHT, has communicated plans to continue engaging with Medicare Administrative Contractors, the Centers for Medicare and Medicaid Services, and clinical societies to support the procedures performed with OMNI and SION technologies.

The company's announcement is based on a press release statement and is a forward-looking declaration, subject to risks and uncertainties that could cause actual results to differ materially from those projected. Sight Sciences has cautioned that these statements are not guarantees of future performance and that they are subject to risks and uncertainties that may cause actual results to vary significantly.

In other recent news, Sight Sciences, Inc. announced its Q2 2024 financial results, showing an 11% sequential increase in total revenue, which amounted to $21.4 million. This growth was mirrored in the company's Surgical Glaucoma segment, where revenues reached $20.2 million. Despite a 46% year-over-year decrease in Dry Eye revenue, Sight Sciences remains positive about its growth outlook, particularly for its TearCare procedure for meibomian gland dysfunction.

The company plans to increase TearCare pricing to $1,200 per set, expecting positive insurance coverage decisions in 2025. Sight Sciences also anticipates double-digit growth in the Surgical Glaucoma segment and reaching cash flow breakeven without additional equity capital.


InvestingPro Insights


In light of Sight Sciences' recent announcement regarding Medicare coverage for their ophthalmic surgical products, investors may find it beneficial to consider some key financial metrics and analyst insights. According to InvestingPro data, Sight Sciences has a market capitalization of approximately $334.54 million, reflecting the company's value in the eyes of investors. Despite a challenging revenue growth trajectory, with a decrease of 2.6% over the last twelve months as of Q2 2024, the company maintains a strong gross profit margin of 85.8%, indicating its ability to retain a significant portion of its sales revenue after accounting for the cost of goods sold.

InvestingPro Tips highlight that while Sight Sciences holds more cash than debt on its balance sheet, which is a sign of financial stability, analysts do not anticipate the company will be profitable this year. The stock price has been quite volatile, with a notable uptick of 27.83% over the last six months, yet the company's P/E ratio stands at -6.33, suggesting that investors are waiting for future profitability. Additionally, the company does not pay a dividend to shareholders, focusing instead on growth and investment in its core business operations.

For investors looking for more in-depth analysis, InvestingPro offers additional tips on Sight Sciences, which can be found at their dedicated InvestingPro page. These insights could be particularly valuable for those considering the long-term prospects of the company in light of the evolving healthcare coverage landscape.

This article was generated with the support of AI and reviewed by an editor. For more information see our T&C.

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