Medicare & Medicaid Reimbursement Will Change Wound Care Practices
New reimbursement practices from the Centers for Medicare & Medicaid Services is expected to affect the preferred treatment methods for wounds, especially those common in long-term-care settings. The projected switch from a fee-for-service model to a bundled payment system for wound care services will put pressure on providers to use more cost-effective wound care therapies.
CMS has proposed reimbursing $874 total for a grafting procedure and associated skin substitute products, an amount which would not even cover the costs associated with the skin substitute products. There are also sources that indicate that CMS would cap the entire reimbursement for healing a chronic wound such as a diabetic foot ulcer at $4,000 per episode. With reimbursement rates like this, the current leading products of physicians will be replaced with less costly alternatives.
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