So the "step change in coverage" was a *correction* - they were under-reporting previously PB explained:
Previously they were looking at the top 5 payors in each state (as that would get them to 80% on a state-by-state basis, I assume)
They have recently realised that the "small change" (niche) insurers add up to a significant sum, which changes the story. When they recalculated the coverage using data from ALL insurers, they found WOW we have 255 million covered lives.
Also I would comment on the "80% critical mass"
This is basically a consensus estimate of how many patients need to be covered in order to convince the hospital/clinic accountants that it will be clearly profitable to offer SOZO services. It is part of the sales pitch to the hospitals.
So really, California being at 77% is close enough! The IPD sales reps don't really need to wait for another California payor to update their policy. The financial modelling will be pretty rosy already.
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