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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

mimedx主张控制皮肤替代品的医疗保险支出,取得了重要成果,计划实施LCDs
GlobeNewswire ·  11/14 09:15

Over 200 Unproven Skin Substitutes Will No Longer Be Covered Under Revised LCDs

超过200种未经证实的皮肤替代品将不再在修订后的LCDs下获得报销。

Company to Benefit from MACs' Commitment to Clinically Effective, Proven Products

该公司将受益于MACs对临床有效、经过验证的产品的承诺。

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."

2024年11月14日,佐治亚州马里埃塔(GLOBE NEWSWIRE)-- MIMEDX集团公司(纳斯达克股票代码:MDXG)("MIMEDX"或"该公司")今天就有关“糖尿病足溃疡和静脉性腿溃疡治疗的皮肤替代移植/细胞和组织基产品”的当地覆盖决定("LCDs")提供了以下更新。

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:

这些新的LCDs最初是在2024年4月提出的,并于2024年6月结束了评论期。现在,LCDs计划于2025年2月12日开始生效。作为行业反馈的结果,最终的LCDs在以下关键领域进行了修改:

  • 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.
  • 患者可接受的单独治疗申请数量从4增加到8
  • 治疗持续时间从12增加到16周
  • 重要的是,MACs仍坚持要求有充分力量、经过同行评审的临床证据作为报销的先决条件。

"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.

我很高兴看到我们与康哲药业(CMS)、医疗保险行政承办商(MACs)和国会进行了大量努力,以引起对巨额报销滥用的关注,已经迈出了朝着纠正措施的第一步。在过去几年里困扰伤口护理行业部分领域的不端业务实践驱动的飙升成本趋势现在正在得到解决。目前,这种支出已经飙升到每月超过10亿美元的荒谬水平,比过去五年增加了超过20倍。我们赞扬所有采取行动促成这一急需改革的人。Joseph H. Capper, mimedx首席执行官称:"

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."

卡波先生继续说:"今天MACs的行动代表着朝着正确方向迈出了一大步。此外,我们鼓励康哲药业尽快采取必要步骤解决他们的定价方法。"

"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.

我们相信这些举措将恢复对医疗保险门诊报销系统的秩序和良好财务管理,同时确保持续地患者可获得经临床证明的解决方案。除了解决和关闭报销漏洞外,我们期望这些行动将对患者护理产生益处,因为产品必须通过强有力的临床证据证明其有效性。

"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,我们的两种异体移植品——EPIFIX 和 EPICORD——都在覆盖产品名单上。因此,我们有望受益,因为我们的产品有坚实的临床证据支持,且符合获得报销资格的合适选项数量有限,”Capper先生总结道。

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 .

关于MIMEDX
MIMEDX是一家专注于帮助人类自愈的先驱和领袖。通过十多年帮助临床医生管理慢性和其他难以治愈的伤口,MIMEDX致力于为医疗保健领域的创伤护理、烧伤和外科应用提供领先的产品组合。该公司的愿景是通过不懈的创新,恢复生活质量,成为领先的全球愈合解决方案提供商。有关更多信息,请访问 。

Contact:
Matt Notarianni
Investor Relations
470-304-7291
mnotarianni@mimedx.com

联系方式:
Matt Notarianni
投资者关系
470-304-7291
mnotarianni@mimedx.com


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