23/04/2025
Our analysis of Medicare claims data reveals notable shifts in the first line BPH care with Tamsulosin prescription and expanding roles of Advanced Practice Providers (APPs) - Nurse Practitioners and Physician Assiatants. See how these trends highlight the need for accessible diagnostic tools like proudP's smartphone-based uroflowmetry platform.
โ
๐๐ก๐ ๐๐ก๐๐ง๐ ๐ข๐ง๐ ๐๐๐ง๐๐ฌ๐๐๐ฉ๐ ๐จ๐ ๐๐๐ ๐๐๐ซ๐: Medicare Tamsulosin Data, 2020 โ 2022
Medicare records approx. ๐.๐๐ ๐ฆ๐ข๐ฅ๐ฅ๐ข๐จ๐ง ๐ฉ๐๐ญ๐ข๐๐ง๐ญ ๐๐ง๐๐จ๐ฎ๐ง๐ญ๐๐ซ๐ฌ ๐๐จ๐๐๐ ๐๐๐.๐/๐๐๐.๐ (BPH) and dispenses about ๐.๐๐ ๐๐ข๐ฅ๐ฅ๐ข๐จ๐ง ๐๐๐ฒ๐ฌ ๐จ๐ ๐๐๐ฆ๐ฌ๐ฎ๐ฅ๐จ๐ฌ๐ข๐ง ๐ญ๐ก๐๐ซ๐๐ฉ๐ฒ, by more than ๐๐๐,๐๐๐ ๐๐ฅ๐ข๐ง๐ข๐๐ข๐๐ง๐ฌ across multiple specialties. A detailed review of the claims data for Tamsulosin and its combination with Dutasteride reveals several noteworthy trends that merit attention from both clinical/industry perspectives. *Interpretation and commentary are mine. Please share your thoughts
1๏ธโฃ ๐๐ซ๐๐ฌ๐๐ซ๐ข๐ฉ๐ญ๐ข๐จ๐ง ๐๐ซ๐จ๐ฐ๐ญ๐ก
๐น Total Tamsulosin day-supply ๐ข๐ง๐๐ซ๐๐๐ฌ๐๐ ๐๐.๐% (1.02 B โ 1.16 B)
๐
๐๐ฆ๐ข๐ฅ๐ฒ ๐๐๐๐ข๐๐ข๐ง๐, ๐๐ง๐ญ๐๐ซ๐ง๐๐ฅ ๐๐๐๐ข๐๐ข๐ง๐, ๐๐ง๐ ๐๐ซ๐จ๐ฅ๐จ๐ ๐ฒ collectively account for ๐๐% ๐จ๐ ๐๐ฅ๐ฅ ๐ฉ๐ซ๐๐ฌ๐๐ซ๐ข๐ฉ๐ญ๐ข๐จ๐ง๐ฌ (94% when including APPs)
๐น ๐๐๐ฏ๐๐ง๐๐๐ ๐๐ซ๐๐๐ญ๐ข๐๐ ๐๐ซ๐จ๐ฏ๐ข๐๐๐ซ๐ฌ (๐๐๐๐ฌ)โNurse Practitioners and Physician Assistantsโrecorded the largest three-year growth in day-supply (+๐๐% ๐๐ง๐ +๐๐%, respectively)
2๏ธโฃ ๐๐ซ๐จ๐ฏ๐ข๐๐๐ซ ๐๐ฒ๐ง๐๐ฆ๐ข๐๐ฌ
๐น Although urologists represent ๐จ๐ง๐ฅ๐ฒ ๐.๐% ๐จ๐ ๐ฉ๐ซ๐๐ฌ๐๐ซ๐ข๐๐๐ซ๐ฌ, ๐ญ๐ก๐๐ฒ ๐ ๐๐ง๐๐ซ๐๐ญ๐ ๐๐.๐% ๐จ๐ ๐ญ๐จ๐ญ๐๐ฅ ๐ฏ๐จ๐ฅ๐ฎ๐ฆ๐, averaging โ27,500 day-supply per physician (versus ~5,300 in primary care)
๐น More than 50% of Dutasteride/Tamsulosin prescriptions originate in urology, indicating lower adoption in other specialties
๐น The number and volume of ๐๐๐ ๐ฉ๐ซ๐๐ฌ๐๐ซ๐ข๐๐๐ซ๐ฌ ๐๐จ๐ง๐ญ๐ข๐ง๐ฎ๐ ๐ญ๐จ ๐ซ๐ข๐ฌ๐, underscoring a broader diffusion of LUTS management
3๏ธโฃ ๐๐ฅ๐ข๐ง๐ข๐๐๐ฅ ๐๐ง๐ ๐๐ฉ๐๐ซ๐๐ญ๐ข๐จ๐ง๐๐ฅ ๐๐ฆ๐ฉ๐ฅ๐ข๐๐๐ญ๐ข๐จ๐ง๐ฌ
๐น ๐๐ซ๐จ๐๐๐๐ซ ๐๐จ๐ข๐ง๐ญ๐ฌ ๐จ๐ ๐๐ง๐ญ๐ซ๐ฒ โ The growth of primary care and APP prescribing means an increasing proportion of patients begin BPH care outside urology settings
๐น ๐๐๐ฅ๐ข๐ฏ๐๐ซ๐ฒ ๐๐ฉ๐ญ๐ข๐ฆ๐ข๐ณ๐๐ญ๐ข๐จ๐ง โ The persistent shortage of urologists is driving practices to deploy APPs in expanded roles to maintain access and quality of care
๐น ๐๐๐๐ ๐๐จ๐ซ ๐๐๐ฃ๐๐๐ญ๐ข๐ฏ๐ ๐๐๐ญ๐ โ As non-urology teams increasingly manage LUTS, readily accessible flow data become essential for accurate triage and timely referral
๐น ๐๐ฉ๐ฉ๐จ๐ซ๐ญ๐ฎ๐ง๐ข๐ญ๐ฒ ๐๐จ๐ซ ๐๐๐ซ๐ฅ๐ข๐๐ซ ๐๐ง๐ญ๐๐ซ๐ฏ๐๐ง๐ญ๐ข๐จ๐ง โ Home-based monitoring can inform dose adjustments, combination therapy, or procedural planning before symptoms progress
๐ ๐ฉ๐ซ๐จ๐ฎ๐๐: ๐๐ง๐๐๐ฅ๐ข๐ง๐ ๐๐๐๐ฅ-๐๐จ๐ซ๐ฅ๐ ๐๐ซ๐จ๐๐ฅ๐จ๐ฐ๐ฆ๐๐ญ๐ซ๐ฒ
โ๏ธ ๐๐๐ฉ๐ญ๐ฎ๐ซ๐๐ฌ real-time voiding data at home, supplying objective metrics prior to specialty referral
โ๏ธ ๐๐จ๐ง๐ข๐ญ๐จ๐ซ๐ฌ therapeutic response between visits, supporting evidence-based treatment adjustments
โ๏ธ ๐๐๐ง๐๐ซ๐๐ญ๐๐ฌ longitudinal datasets that can power AI-driven insights into bladder health trajectories