Legal News

CMS's 2026 skin sub wastage policy allows providers to bill onlyfor units "administered," not "discarded." Cue the nightmare scenario: measuring grafts centimeter by centimeter to exactly fit the "wound area."

This is the third major reimbursement change or clarification impacting wound care providers in a single week — and unfortunately, it’s another step in the wrong direction.

‍Company reaffirms its commitment to patient access, clinical excellence, and responsible reimbursement reform under the new CMS framework.

On Monday during his first day in office, President Trump signed an Executive Order (EO) freezing the pending LCD policy that would limit access to skin substitutes for chronic wound care. To be clear - this is a policy freeze pending further action.

While the top six major insurance companies have reported soaring profits—some rising by thousands of percentage points since the Medicare Advantage program was enacted, many patients enrolled in Medicare Advantage plans claim they didn’t even realize they were leaving traditional Medicare. This lack of transparency raises important questions about how these plans are marketed and the tactics used to encourage patients to switch.

Caroline Fife, M.D. highlights a concerning discrepancy between the characteristics of patients with chronic wounds in real-world settings and those selected for clinical trials.