A More Connected Sleep Apnea Model for Payers
Sleep360 is not simply another provider in the pathway. It is a redesigned pathway. In just 2 visits over 2 weeks, Sleep360’s board-certified physicians and dentists diagnose and initiate treatment through a streamlined process. Patients receive a Home Sleep Test and are matched to the appropriate therapy based on severity—sleep appliance therapy for mild to moderate cases and CPAP for severe cases.
Sleep360 brings together SleepTest.Direct, SleepAppliance.Direct, and CPAPs.Direct in one coor-dinated, home-based model designed to reduce delay, impro-ve effective treatment, and lower total cost of care.
Total Care Cost | Traditional vs Sleep360 Model
Metrics
Traditional Values
Sleep360 Values
Improvement
Effective Treatment Rate
Total Care Cost per 1,000 Untreated Patients
40%
81%
+41
percentage pts
$2,673,590
$852.662
$1,820,928
Lower
Built on SleepTest.Direct, SleepAppliance.Direct, and CPAPs.Direct
Why the Model Works for Payers
Sleep360 is designed to simplify how members enter care, how they are matched to therapy, and how support continues when needs change
6 Visits 2 Visits
Streamlined model that reduces visits from 6 to 2 visits.
34 weeks to 2 weeks
Reduces time to treat-ment from 34 weeks to 2 weeks.
40% to 81% ETR
Increases Effective Treatment Rate from 40% to 81%.
Data Driven Treatment
Sleep appliance therapy for mild & moderate members. CPAP therapy for severe members
Virtual Home Care
One connected front door across testing, treatment, and support
Saves $1.8M TCC
Saves $1.8 million in total care cost per 1,000 untreated members.
24/7 Support
24/7 access to sleep specialists for questions and follow-through
Non-Compliance
Treatment
Non-compliance CPAP members treated in 1 week with sleep appliance.
Doctor and Dentist-Guided Care
Board-certified sleep-doctor and sleep-dentist oversight.
Three brands, one connected model
SleepTest.Direct
At-home testing from a member’s own bed using a simple finger-worn sensor, with board-certified sleep-doctor review and results in as little as 1 week for many members.
SleepAppliance.Direct
Custom, FDA-cleared sleep appliance therapy with guided impressions, sleep-dentist oversight, comfort-first positioning, and continuity when fit or dental needs change.
CPAPs.Direct
CPAP setup, mask selection, equipment delivery, ongoing supplies, replacement-machine support, and up to 5 CPAP masks at no cost.
Connected Care Model
Members do not have to restart when the right next step becomes clear. Testing, treatment routing, CPAP support, sleep-appliance therapy, and rescue-path conversion stay inside one system.
Too Many Steps. Too Many Handoffs. Too Much Delay.
Traditional sleep-apnea care often separates PCP screening, sleep-physician referral, sleep testing, results review, DME setup, CPAP initiation, alternative therapy, and resupply into different handoffs. Every handoff adds administrative burden, extends time to treatment, and increases the likelihood that members disengage before effective therapy begins.
Sleep360 Delivers Coordinated Care and the Right Therapy From Day One
Sleep360 begins preparing members before the first clinical encounter by shipping a home sleep apnea test (HSAT) and a dental impression kit in advance.
In a single coordinated telehealth visit, a sleep physician com-pletes the clinical evaluation while a sleep dentist captures the dental impression, allowing the sleep study to be completed that night and interpreted the next day.
Sleep360 then aligns therapy to disease severity. Severe members move into CPAP therapy. Mild to moderate members move into sleep appliance therapy, where adherence is approximately 80% versus 39% for PAP.
SLEEP360 MODEL
Traditional CPAP failure Results in Untreated Patients
In the traditional model, confirmed CPAP non-compliance rarely leads to timely alternative treatment.
Only 27% of patients
transition to another therapy, leaving most untreated.
73% Remain Untreated
Only 27% of patients
transition to another therapy, leaving most untreated.
73% Remain Untreated
Traditional Model
Sleep360 turns CPAP failure into a fast
conversion pathway
Sleep360 builds the rescue pathway for CPAP compliance. When CPAP is not tolerated, stored digital impressions are used to make a sleep appliance and 1 week later with 1 virtual fitting a sleep dentist fits the patient with the sleep appliance
Reduce the number of visits from 4 to 1
Cuts treatment start time from 13 weeks to 1 week
SLEEP360 MODEL
2.2 Visits. 2 Weeks. Better Effective Treatment.
Compared with the traditional pathway, Sleep360 is designed to shorten the member journey from iniial treatment to non-compliance treatment (when needed), improve effective treatment and reduce cost per effectively treated member.
CLINICAL PERFORMANCE
Traditional Values
Traditional Values
Sleep360 Values
Improvement
Total Visits
Time of Treatment (TTT)
6.5 Visits
2.2 Visits
4.3 Fewer Visits
34 Weeks
2 Weeks
32 Weeks Faster
Effective Treatment Rate
46%
81%
41 percentage pts
Traditional Values
Traditional Values
Sleep360 Values
Improvement
Physician Cost / Effective Treatment
DME / Effective Treatment
$1,581
$386
$1,195 Lower
$4,563
$3,299
$1,263 Lower
Total / Effective Treatment
$6,144
$3,686
$2,458 Lower
COST (PER EFFECTIVE TREATMENT
Higher Effective Treatment Rates Drive Lower Total Cost of Care
Effective treatment is the primary driver of downstream sleep-apnea economics. As effective treatment rises from 40% to 81%, modeled total care cost per 1,000 untreated members falls from $2,673,590 to $852,662, producing $1,820,928 in savings.
Total Care Cost | Traditional vs Sleep360 Model
Metrics
Traditional Values
Sleep360 Values
Improvement
Effective Treatment Rate
Total Care Cost per 1,000 Untreated Patients
40%
81%
+41
percentage pts
$2,673,590
$852.662
$1,820,928
Lower
Why Sleep360
Supports Higher-Quality Member Care
Sleep360 is built to support quality as well as speed, helping members move into treatment and stay supported after treatment begins.
Board-certified sleep physicians, with sleep dentists involved when appliance therapy is appropriate
At-home sleep testing with a simple finger-worn sensor for many members
Guided custom-fit sleep-appliance process with follow-up support
Results in as little as 1 week for many home-testing members
CPAP delivery, ongoing supplies, and replacement machine support from home
Up to 5 CPAP masks at no cost to help improve fit and tolerance
Continuity when member needs change, instead of another referral restart
24/7 access to sleep specialists for fit issues, questions, and next-step support
Your Members Are Already Seeking
A meaningful share of Sleep360’s patients are already covered lives within payer networks but are not receiving effective treatment. Many are undiagnosed, have discon-tinued CPAP, or have disengaged because the traditional pathway is too slow or complex.
These members are actively seeking care through online search and direct outreach. Sleep360 captures and treats people who might otherwise remain untreated, helping improve member outcomes and broader population per-formance.
Frequently Asked Questions
Build a Better Sleep Apnea Model for Your Members
If your organization is looking to reduce untreated sleep apnea, improve effective treatment, and lower cost across the member journey, Sleep360 offers a connected model built around faster starts, fewer handoffs, and more durable treatment support.
CPAP Therapy Made Simple, Powered by Sleep360.
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Sleep360.com
1289 S Interstate Drive STE 300, Cedar City, UT 84720
800.555.1518
Sleep360 is designed to connect diagnosis, at-home testing, sleep-doctor review, CPAP therapy, sleep-appliance therapy, supplies, replacement-machine support, and ongoing follow-up across one coordinated model.
Yes. Members who already have a current diagnosis may be able to move directly into the treatment path that fits them best, rather than restarting with testing.
CPAP.Direct supports equipment delivery, mask selection, ongoing supplies, and replacement-machine support after treatment starts.
One of the model’s advantages is that CPAP is not the only pathway. When appropriate, members can move to sleep-appliance therapy without entering a completely new external process.
Yes. SleepTest.Direct provides at-home sleep testing with sleep-doctor review, giving members a lower-friction path to diagnosis when testing is needed.
Sleep dentists are involved when sleep-appliance therapy is clinically appropriate, including impression guidance, fit oversight, and follow-up adjustments.
Start with a payer conversation to review your population, goals, implementation needs, and whether Sleep360 fits your sleep-apnea strategy.
If an oral appliance does not fit appropriately, the patient is evaluated by a sleep dentist via telehealth and guided through the fitting process. The appliance is fabricated from a thermally adjustable resin that allows minor fit refinements by warming and reforming it to the patient’s dentition. If adequate fit cannot be achieved through adjustment, a new impression is obtained and the appliance is remade as needed to support continuity of care and effective treatment delivery.
Impressions are completed through a structured, guided at-home process conducted via telehealth with direct support from a sleep specialist. Patients receive step-by-step instructions designed to make the process straightforward, comfortable, and conducive to obtaining an accurate impression.
SleepAppliance.Direct uses vinyl polysiloxane (VPS) impression material and collects two upper and two lower impressions. Each impression is reviewed by the lab for quality and usability upon receipt. If an impression does not meet quality standards, a redo kit is sent and the impression is retaken.
Compared with impressions obtained through our in-office dentist network, this telehealth-based process has produced a redo rate approximately 60% lower, supporting reliable appliance fabrication and operational efficiency in a telehealth-first care model.
The need for dental work does not automatically preclude oral appliance therapy. Oral health and treatment needs are assessed as part of the clinical evaluation to determine appropriateness. If subsequent dental treatment affects appliance fit, SleepAppliance.Direct reassesses the patient and facilitates appropriate adjustment or replacement of the appliance free to the patient, as clinically indicated, to maintain effective therapy.
Patients with periodontal disease may still be appropriate candidates for oral appliance therapy, depending on dental stability and overall oral health. SleepAppliance.Direct evaluates oral health considerations as part of the clinical assessment and coordinates treatment as appropriate to support safe and effective therapy.
Patients who wear dentures or have missing teeth may still be appropriate candidates for oral appliance therapy, depending on oral anatomy, dentition, and overall stability. SleepAppliance.Direct evaluates each patient’s dental condition as part of the clinical assessment and determines candidacy accordingly.
Patients with temporomandibular joint (TMJ) disorders may still be appropriate candidates for oral appliance therapy, depending on symptom severity, joint stability, and overall clinical presentation. SleepAppliance.Direct evaluates TMJ status as part of the clinical assessment and modifies treatment as needed to support comfort and tolerability.
Yes. SleepAppliance.Direct, formerly American Sleep Dentistry, has thousands of reviews across major platforms and maintains ratings above 4.8 out of 5 stars, reflecting consistently positive patient feedback regarding service, support, and overall care experience.
Effective Treatment Rate
Traditional Value
40%
Sleep360
81%
Improvement
+41
percentage pts
Total Care Cost per 1,000 Untreated Patients
Traditional Value
$2,673,590
Sleep360
$852,662
Improvement
1,820,928
Lower
Total Visits
Traditional Value
6.5 Visits
Sleep360
2.2 Visits
Improvement
4.3
Fewer Visits
Time of Treatment (TTT)
Traditional Value
32 Weeks
Sleep360
2 Weeks
Improvement
32
Weeks Faster
Effective Treatment Rate
Traditional Value
46%
Sleep360
81%
Improvement
41
percentage pts
Physician Cost / Effective Treatment
Traditional Value
$1,581
Sleep360
$386
Improvement
$1,195
Lower
DME / Effective Treatment
Traditional Value
$4,563
Sleep360
$3,299
Improvement
$1,263
Lower
Total / Effective Treatment
Traditional Value
$6,144
Sleep360
$3,686
Improvement
$2,458
Lower
Total Care Cost per 1,000 Untreated Patients
Traditional Value
$2,673,590
Sleep360
$852,662
Improvement
1,820,928
Lower
Effective Treatment Rate
Traditional Value
40%
Sleep360
81%
Improvement
+41
percentage pts
Sleep360 for Care
CPAP Therapy Made Simple, Powered by Sleep360.
1289 S Interstate Drive STE 300, Cedar City, UT 84720
Sleep360.com
800.555.1518