1 / 12

Challenges of Heart Transplant

Challenges of Heart Transplant. Stephanie Martinez Transplant Financial Coordinator Team Lead 7777 Forest Lane, Bldg. C-770 Dallas, TX 75230. Heart Failure:. Ischemic Cardiomyopathy Non-Ischemic Cardiomyopathy Viral Drug Induced Hypertension Hypothyroidism Valves. Financial Resources.

davis-king
Download Presentation

Challenges of Heart Transplant

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Challenges of Heart Transplant Stephanie Martinez Transplant Financial Coordinator Team Lead 7777 Forest Lane, Bldg. C-770 Dallas, TX 75230

  2. Heart Failure: • Ischemic Cardiomyopathy • Non-Ischemic Cardiomyopathy • Viral • Drug Induced • Hypertension • Hypothyroidism • Valves

  3. Financial Resources • Insurance Plans • Medicare • Medicaid • Managed Care (PPO, HMO,POS,EPO) • State Risk Pool • Individual Policy • Cobra

  4. Assess Financial: • Income (SSI, SSDI, Wages) • Household debt • Funding • Savings • Fundraising • Budget • Household bills • Pay credit card debits • Financial support: i.e. family, friends, church

  5. Medicare part B: Pays 80% of Immunos 20% to secondary coverage Medicare part D: Prior Authorization often needed Tiered formulary Dilemma: Can’t afford to pay $350/month if there is no secondary coverage If patient does not qualify for low income subsidy, then there may be a gap/doughnut hole Medication Coverage New Trend: Private insurance have moved toward percentages instead of set co-pays

  6. Stressors often identified • Limited Income • Resources • Medication Coverage • Post-clinic transportation • Limited family support

  7. Challenges: • On disability, unemployed due to severity of illness • Waiting period of 2 years to get Medicare • Underinsured

  8. Ventricular Assist Devices (VADs) • Bridge to transplant • Destination Therapy • Recovery

  9. Challenges: • Experimental/Investigational • Underinsured • Policy Restrictions • Dressing

  10. FDA approved as a bridge to transplant Pump weighs12 ounces (less then 1 pound) 4 cm diameter & 6 cm long Heartmate II

  11. FDA approved as a bridge to transplant & destination therapy Pump Weighs 2 ½ pounds 2 inches thick & 4 inches around Heartmate XVE

  12. Summary • The financial aspect of transplant is not problem free. Direct and indirect financial stressors can effect patient outcomes.

More Related