Studies and Publications

The Alliance supports research and studies to forward wound care and demonstrate its value.

Highlights include:

October 2020 – In comments submitted to the Center for Medicare and Medicaid Services (CMS), the Alliance of Wound Care Stakeholders voiced its opposition to payment cuts from five to nine percent for surgical procedures and nine percent for physical therapy services as CMS proposes in its CY2021 Physician Fee Schedule. The Alliance also called on CMS to:

  • Adopt all of the American Medical Association’s RUC recommendations including updated Evaluation and Management Service (E/M) values in procedure codes with 10- and 90-day global periods;
  • Maintain a patient’s home as an originating site even when the public health emergency (PHE) expires;
  • Create an MVP for Chronic Wound Management and utilize the QCDR measures that already exist for wound care in the US Wound Registry; and
  • Include many additional telehealth codes for physical therapy services.

Additionally, in comments submitted to CMS' CY2021 Hospital Outpatient Prospective Payment System proposed updates, the Alliance flagged concerns with provisions dealing with coding and payment for Cellular and/or Tissue based Products for skin wounds (CTPs, also known as skin substitutes). The Alliance supported inclusion of synthetic CTPs in the definition of “skin substitutes” but expressed significant concerns with the Agency’s proposed establishment of a unique C code (pricing code) to define an entire class of non-branded products and the placement of these products in the OPPS high cost payment package.
See Alliance News Update Summarizing Comments

The Center for Medicare and Medicaid Services released in early August its proposed CY 2021 updates to the Hospital Outpatient Prospective Payment System and Physician Fee Schedule. The Alliance has identified several of the provisions most relevant/impactful to wound care clinicians. The Alliance will be vetting these policies with its membership and developing comments and recommendations to submit to the Agency. 
READ THE ALLIANCE ADVOCACY UPDATE - SUMMARY OF RELEVANT PROVISIONS

July comments to CMS are the latest in a series of Alliance actions to ensure that clinicians can treat patients efficiently and effectively, with appropriate reimbursement

July 2020 - The Alliance of Wound Care Stakeholders called on the Centers for Medicare and Medicaid (CMS) to expand and increase reimbursement for wound-care related telehealth visits; provide flexibility in documentation requirements for continued need and refill of surgical dressings and other supplies; and permit medically necessary procedures to take place on the same date of service so that quality care to be provided to patients while minimizing their risk of COVID-19 exposure.These and other requests were made in the Alliance’s July “Comments to CMS Covid-19 Public Health Emergency Second Interim Final Rule.”  The Alliance’s July recommendations to CMS address wound-relevant issues including:

  • Temporary relocation site billing
  • Waive standard written order (SWO) provisions in select local coverage determinations (LCD)
  • Allow billing for dNPWT telehealth
  • Allow total contact casting (TCC) to be provided on the same date of service as other procedure

READ ALLIANCE NEWS RELEASE
See Alliance Comments to CMS

Three wound care quality measures developed by the Alliance of Wound Care Stakeholders and the US Wound Registry (USWR) are now included on Centers of Medicare and Medicaid Services’ (CMS) Physician Compare website, following a summertime content update that expanded quality performance data on the site. The USWR quality measures selected for Physician Compare reporting are:

  1. “Adequate off-loading of diabetic foot ulcer at each treatment visit.”
  2. “Adequate compression of venous leg ulcers at each treatment visit.”
  3. “Vascular assessment of patients with chronic leg ulcers.”
READ ALLIANCE NEWS RELEASE

 

A new study, “An Economic Evaluation of the Impact, Cost, and Medicare Policy Implications of Chronic Nonhealing Wounds,” published in the International Society For Pharmacoeconomics and Outcomes Research’s Value in Health journal (Jan. 2018) demonstrates the economic impact and full burden of chronic nonhealing wounds in the Medicare population. The study analyzed the Medicare 5% Limited Data Set for CY2014 to determine the cost of chronic wound care for Medicare beneficiaries in aggregate, by wound type, and by setting. Topline findings show that chronic wounds impact nearly 15% of Medicare beneficiaries (8.2 million) at an annual cost to Medicare conservatively estimated at $28.1 to $31.7 billion. Key findings:

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The Alliance led a panel discussion "Harnessing Big Data for Wound Healing Research: Which is More Relevant in the Quest for Evidence - Patient Centered Outcomes or Randomized Trials?" at the 2016 International Society for Pharmacoeconomics and Outcomes Research (ISPOR) meeting in Washington D.C. Panelists included Marcia Nusgart (moderator), Dr. Caroline Fife, Dr. Marissa Carter and AHRQ's Dr. Elise Berliner.
Download the Presentation

Read more:
See the Value of Wound Care research page for insights on innovative trends in  wound care research today,
The Alliance recognized the need to craft a white paper on criteria for conducting methodologically sound randomized controlled clinical trials (RCTs) as well as address the importance and relative strength of non-RCT research in the wound care field. In 2010, the assembled a team of prominent, respected wound care researchers to address this task. The team was called the Panel On Wound Care Evidence Based Research (POWER™) and its ensuing paper, “Consensus Principles for Wound Care Research Obtained Using a Delphi Processwas published in the 2012 May/June edition of Wound Repair and Regeneration.  The paper established a series of principles for all stakeholders involved in clinical or comparative effectiveness research in wound healing.

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