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Which states have the biggest gap between home sleep therapy need and access

Vitality Medical says the state has the nation’s highest short-sleep rate and one of its lowest Medicare PAP spending levels.

  • Vitality Medical released its Sleep Apnea Access Index on Wednesday, ranking Hawaii first with a 78.7 score out of 100 for the nation's highest short-sleep rate of 45.4% paired with low Medicare device-spending of $3.56 per beneficiary.
  • The Index measures potential unmet need by combining CDC short-sleep data, CMS Medicare Part B spending, and Google Trends search demand; where reported sleep burden runs high but spending runs low, it flags a possible access gap.
  • A fourfold spending gap divides the country, ranging from $3.29 per beneficiary in New Jersey to $13.33 in Utah, while the Northeast records the lowest regional PAP spending at $4.51 against the South's highest short-sleep rate of 38.2%.
  • An estimated 80% of sleep apnea cases remain undiagnosed, while barriers like missed diagnoses, denied claims, and supply chain constraints—including the Philips device recall—can leave patients untreated despite available technology.
  • CMS finalized its 2026 Medicare Physician Fee Schedule with a 2.5% efficiency adjustment that sleep medicine groups warn continues underpayment patterns, while expanding prior authorization requirements may further tighten access to home-therapy equipment.
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Which states have the biggest gap between home sleep therapy need and access

Vitality Medical reports that Hawai‘i faces the largest gap between sleep therapy needs and access, with 45.4% of residents not getting enough sleep and minimal Medicare spending on therapy.

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Marietta Daily Journal broke the news in Georgia, United States on Wednesday, July 8, 2026.
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