MIMEDX's Advocacy to Rein in Runaway Medicare Spend for Skin Substitutes Has Yielded Significant Results With Planned Implementation of LCDs
MIMEDX's Advocacy to Rein in Runaway Medicare Spend for Skin Substitutes Has Yielded Significant Results With Planned Implementation of LCDs
Over 200 Unproven Skin Substitutes Will No Longer Be Covered Under Revised LCDs
修訂後的 LCD 將不再涵蓋超過 200 種未經證實的皮膚替代品
Company to Benefit from MACs' Commitment to Clinically Effective, Proven Products
公司將受益於Mac對臨床有效、經過驗證的產品的承諾
MARIETTA, Ga., Nov. 14, 2024 (GLOBE NEWSWIRE) -- MiMedx Group, Inc. (Nasdaq: MDXG) ("MIMEDX" or the "Company") today provided the following update on the Local Coverage Determinations ("LCDs") regarding "Skin Substitute Grafts/Cellular and Tissue-Based Products for the Treatment of Diabetic Foot Ulcers and Venous Leg Ulcers."
喬治亞州瑪麗埃塔,2024年11月14日(GLOBE NEWSWIRE)——MimedX集團公司(納斯達克股票代碼:MDXG)(「MIMEDX」 或 「公司」)今天提供了有關 「治療糖尿病足潰瘍和靜脈性腿部潰瘍的皮膚替代移植物/細胞和組織產品」 的本地保險決定(「LCD」)的以下最新情況。
These new LCDs were originally proposed in April 2024, with a comment period that concluded in June 2024. The LCDs are now set to become effective on February 12, 2025. As a result of industry feedback, the final LCDs have been modified in the following key areas:
這些新的液晶顯示器最初是在2024年4月提出的,意見徵詢期於2024年6月結束。液晶顯示器現在定於2025年2月12日生效。根據行業反饋,最終的液晶顯示器已在以下關鍵領域進行了修改:
- The number of separate treatment applications a patient can receive was raised from 4 to 8
- Treatment duration increased from 12 to 16 weeks
- Importantly, the MACs have maintained their insistence on well-powered, peer-reviewed clinical evidence as a prerequisite for reimbursement.
- 患者可以接受的單獨治療申請數量從4份增加到8份
- 治療時間從 12 周延長至 16 周
- 重要的是,MAC一直堅持以充足的、經過同行評審的臨床證據作爲報銷的先決條件。
"I am delighted to see that our exhaustive efforts with the Centers for Medicare and Medicaid Services ("CMS"), the Medicare Administrative Contractors ("MACs"), and Congress to call attention to the massive reimbursement abuse has resulted in a first, significant step toward corrective action. The skyrocketing cost trends driven by unsavory business practices that have plagued segments of the wound care industry for the last several years are now being addressed. Presently, this spend has risen to the absurd level of over $1 billion per month, a more than 20-fold increase over the past five years. We applaud all those who took action to bring about this much needed reform," commented Joseph H. Capper, MIMEDX Chief Executive Officer.
「我很高興地看到,我們與醫療保險和醫療補助服務中心(「CMS」)、醫療保險管理承包商(「MAC」)和國會一起竭盡全力提請人們關注大規模濫用報銷行爲,這爲糾正措施邁出了重要的第一步。過去幾年來困擾傷口護理行業細分市場的不良商業行爲推動的成本飛漲趨勢現在正在得到解決。目前,這筆支出已上升到每月超過10億美元的荒謬水平,在過去五年中增長了20多倍。我們讚揚所有采取行動實現這項急需的改革的人。」 MIMEDX首席執行官約瑟夫·卡珀評論道。
Mr. Capper continued, "Today's action by the MACs represents a major step in the right direction. Additionally, we encourage CMS to take the necessary steps to address their pricing methodology as soon as possible."
卡珀繼續說:「Mac今天的行動是朝着正確方向邁出的重要一步。此外,我們鼓勵CMS採取必要措施,儘快解決其定價方法。」
"We believe these steps will restore order and good fiscal governance to the Medicare outpatient reimbursement system, while ensuring continued patient access to clinically proven solutions. In addition to addressing and closing reimbursement loopholes, we expect these actions will benefit patient care, given the requirement that products must demonstrate efficacy with robust clinical evidence.
“我們相信,這些措施將恢復醫療保險門診報銷系統的秩序和良好的財政治理,同時確保患者繼續獲得經過臨床驗證的解決方案。除了解決和填補報銷漏洞外,我們預計這些措施還將有利於患者護理,因爲要求產品必須證明療效並提供有力的臨床證據。
"As a reminder, two of our allografts – EPIFIX and EPICORD – are on the list of covered products. As such, we are poised to benefit given the strong clinical evidence that back our products and the finite number of suitable options eligible for coverage," concluded Mr. Capper.
「提醒一下,我們的兩款同種異體移植——EPIFIX和EPICORD——都在承保產品清單上。因此,鑑於有強有力的臨床證據支持我們的產品,而且符合保險條件的合適選擇數量有限,我們有望從中受益。」 卡珀先生總結道。
About MIMEDX
MIMEDX is a pioneer and leader focused on helping humans heal. With more than a decade of helping clinicians manage chronic and other hard-to-heal wounds, MIMEDX is dedicated to providing a leading portfolio of products for applications in the wound care, burn, and surgical sectors of healthcare. The Company's vision is to be the leading global provider of healing solutions through relentless innovation to restore quality of life. For additional information, please visit .
關於 MIMEDX
MIMEDX 是致力於幫助人類康復的先驅和領導者。MIMEDX 在幫助臨床醫生管理慢性和其他難以癒合的傷口方面擁有十多年的經驗,致力於爲醫療保健的傷口護理、燒傷和外科領域的應用提供領先的產品組合。該公司的願景是通過不懈的創新來恢復生活質量,成爲治療解決方案的全球領先提供商。如需更多信息,請訪問。
Contact:
Matt Notarianni
Investor Relations
470-304-7291
mnotarianni@mimedx.com
聯繫人:
馬特·諾塔裏安尼
投資者關係
470-304-7291
mnotarianni@mimedx.com