Alliance advocacy protects patient and provider access to wound care products and services by focusing on policies impacting coding, coverage and payment. In addition to monitoring and analyzing policies in real-time, the Alliance regularly convenes product- and issue-specific Workgroups to flag emerging issues, identify shared challenges, and collaboratively vet potential policy solutions. Workgroup participants play a key role in developing policy recommendations and shaping Alliance comments submitted to regulators. 

Alliance Workgroups include those focused on:
  • Blood-Derived Products 
  • Cellular and/or Tissue Based Products for Wounds (CTPs, or skin substitutes)
  • Government Affairs
  • Imaging
  • Lymphedema 
  • Negative Pressure Wound Therapy
  • Surgical Dressings
  • Topical Oxygen

 

Alliance advocacy focuses on regulatory policies and legislation spanning:
  • Capitol Hill health care legislation
  • CMS coverage policies, including national coverage determinations (NCDs) and local coverage determinations (LCDs)
  • CMS payment policies including the Medicare Physician Fee Schedule and Outpatient / Inpatient / Home Health Prospective Payment Systems
  • Quality measures 
  • FDA guidances
  • AHRQ technology assessments

 

Alliance advocacy addresses current and emerging threats to wound care practice, such as: 
  • Competitive bidding
  • Coding issues, including HCPCS coding and CPT issue
  • Exclusion of wound care quality measures
  • Inequitable CMS payments
  • Lack of acceptance of real-world evidence and real-world data
  • Prior authorization challenges
  • Perceived lack of wound care evidence
  • Restrictive coverage policies

The Alliance defends and protects a broad range of product categories, including: 
 
  • Antimicrobial dressings
  • CTPs
  • Compression
  • Debridement services
  • Hyperbaric oxygen therapy
  • Negative pressure wound therapy
  • Surgical dressings
  • Topical oxygen therapy
  • Ultrasound therapy

 

The Alliance supports wound care research, with publications including:


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