Coalition Expresses Deep Concern Over Proposed Skin Substitute Reimbursement Rates,PR Newswire Policy Public Interest


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Coalition Expresses Deep Concern Over Proposed Skin Substitute Reimbursement Rates

A broad coalition of medical professionals and organizations has voiced significant apprehension regarding the payment rates for skin substitutes outlined in the Centers for Medicare & Medicaid Services’ (CMS) proposed Physician Fee Schedule rule for the upcoming year. The group, comprised of numerous state medical societies, patient advocacy groups, and specialty associations, has formally condemned these proposed rates, citing them as potentially detrimental to patient care and access to essential wound healing treatments.

The core of the coalition’s concern lies in the perceived inadequacy of the proposed reimbursement levels for skin substitutes. These advanced products, which are crucial in managing chronic wounds, severe burns, and complex surgical cases, are vital for promoting healing, reducing pain, and preventing serious complications such as infection and amputation. The coalition argues that the proposed rates do not accurately reflect the costs associated with the acquisition, preparation, and application of these sophisticated medical products, nor do they adequately compensate the skilled healthcare professionals who administer them.

In a statement released via PR Newswire on July 15, 2025, the coalition emphasized that sufficient reimbursement is critical to ensuring that patients have continued access to these life-changing therapies. They highlighted that if the proposed rates are finalized, healthcare providers may face financial disincentives, potentially leading to reduced availability of skin substitutes or even a decrease in the number of providers offering these treatments. This, in turn, could negatively impact patient outcomes, particularly for vulnerable populations who rely heavily on Medicare and Medicaid for their healthcare needs.

The coalition further pointed out that the development and refinement of skin substitute technologies represent a significant investment by manufacturers. They believe that the proposed payment rates may not sufficiently support ongoing innovation in this field, which is essential for improving wound management strategies.

The group has formally submitted its comments to CMS, urging the agency to reconsider the proposed rates and to engage in further dialogue with stakeholders. Their objective is to ensure that the final Physician Fee Schedule accurately values the clinical benefits and the complex care involved in utilizing skin substitutes, ultimately safeguarding patient access to optimal wound care. The coalition remains hopeful that CMS will take these concerns into serious consideration to ensure that Medicare reimbursement policies support, rather than hinder, the delivery of high-quality, evidence-based medical treatments.


MASS COALITION CONDEMNS HARMFUL SKIN SUBSTITUTE PAYMENT RATES IN CMS PROPOSED PHYSICIAN FEE SCHEDULE RULE


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PR Newswire Policy Public Interest published ‘MASS COALITION CONDEMNS HARMFUL SKIN SUBSTITUTE PAYMENT RATES IN CMS PROPOSED PHYSICIAN FEE SCHEDULE RULE’ at 2025-07-15 13:44. Please write a detailed article about this news in a polite tone with relevant information. Please reply in English with the article only.

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