The Alliance of Wound Care Stakeholders serves as the go-to resource to address public policies that may create barriers to wound patients’ access to care. We monitor regulators and payers and respond quickly to changing coding, coverage, and payment policies. And, when decision makers need knowledgable input about wound-related best practices, they come to the Alliance for guidance. We are the united voice of medical specialty societies and clinical associations, leading wound care organizations and business entities to advocate for appropriate coding, coverage and payment. Our close relationships with government policymakers, payers, regulators, legislators and other decision makers gives us a “seat at the table” as policies are crafted, debated and updated.

Highlights of 2020 impacts and accomplishments include:


  • The Alliance led the wound care community’s rapid response to the COVID-19 Public Health Emergency.
    • We ensured that wound care was identified as “essential,” enabling hospital administrators to keep wound care clinics open and providing care for their patients.
    • We advocated for and achieved regulatory relief and flexibilities to ensure that policies reflected the on-the-ground realities of wound care clinicians and manufacturers amid the pandemic.

  • Our tenacious advocacy resulted in meaningful policy changes, including:
    • CMS’ Durable Medical Equipment Medicare Administrative Contractors (DMEMACs) issuing a surgical dressing policy article update expanding coverage for alginate & fiber gelling dressings as both primary and secondary.
    • The A/B MAC Palmetto covering disposable negative pressure therapy (dNPWT) in nursing facilities.

  • We flagged and gave visibility to policy issues impacting wound care, including:
    • Spoke out against physician payment cuts proposed in CMS’ 2021 Physician Fee Schedule.
    • Submitted recommendations to about payment methodology for cellular and/or tissue-based products for skin wounds (CTPs).
    • Spearheaded an effort to establish a distinct wound care subcategory in the USP Medicare Model Guidelines.
    • Created a much-needed Wound Care Evidence Summit, designed to bring together payers, regulators, researchers, clinicians and industry to provide an understanding of what evidence payers need to cover wound care products and procedures.
    • Impacted clinical and procedural policies through the diligent submission of comments about CMS policies (PHE regulatory flexibilities, Hospital Outpatient Payment System, Physician Fee Schedule, Medicare Coverage of Innovative Technology, LCDs (topical oxygen, CTPs, dNPWT), and Capitol Hill legislation (Cures 2.0). Overall, the Alliance submitted 15 sets of comments in 2020.
 
We keep our members up to date on a nearly daily basis about changes to coding, coverage and payment that effect them, their patients and their businesses. Our members have a seat at the table as we shape policy and advocacy decisions. Reach out to the Alliance to learn more about our work in specific areas including NPWT, CTPs, and Surgical Dressings and to explore how membership can benefit your organization.


 

For information from previous years, see below:
logo
Follow us on:
linkedin