CMS Organ Transplant Proposal Must Balance Reform, Access

By Melodie Hengerer and Tenia Clayton (October 27, 2021, 6:01 PM EDT) -- The Centers for Medicare & Medicaid Services is considering changes to Medicare's organ acquisition payment policies via the Medicare Hospital Inpatient Prospective Payment System proposed rule.[1]

Sparked by concerns raised by the U.S. Department of Health and Human Services' Office of Inspector General that some organ procurement organizations may have billed Medicare for unallowable expenditures and by similar concerns from Congress regarding organ procurement organization financial management, CMS intends that the new policy will

allow providers and stakeholders to more easily locate and understand organ acquisition payment policy, resulting in more accurate payment based on reasonable cost principles. The proposed rule affects organ...

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