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NMDP/Be The Match: Public & Payer Policy Updates

Stay informed about the latest Medicare coverage and reimbursement updates for hematopoietic cell transplant (HCT) through Be.The.Match. Find relevant clinical trials, access educational resources, and join the Advocacy Action Network.

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NMDP/Be The Match: Public & Payer Policy Updates

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  1. NMDP/Be The Match: Public & Payer Policy Updates Susan Leppke, MPH & Alicia Silver, MPP September 27, 2017

  2. Current PPP Priorities Communication to our Network

  3. COVERAGE

  4. Medicare Coverage CED CED CED CED

  5. Current CEDs

  6. Medicare CEDs Increase Patient Access to HCT

  7. Medicare Coverage: Lymphoma

  8. Medicare Coverage: Lymphoma 2015 Financial Barriers to HCT Survey: “Does your program transplant Medicare patients who have a disease indication that is not listed on the National Coverage Determination (NCD) and therefore have unknown reimbursement?” (n=56)

  9. REIMBURSEMENT

  10. Medicare Reimbursement: TC Impact

  11. Medicare Reimbursement Overview New C-APC 5244

  12. CODING & Billing

  13. NEW ICD-10 PCS Crosswalk!

  14. NEW Donation Process Coding & Billing Guide

  15. Policy

  16. Congressional Caucus to Cure Blood Cancers and Other Blood Disorders Representative Doris Matsui (D-CA) Representative Gus Bilirakis (R-FL)

  17. Medicare Reimbursement: FY17 Strategy

  18. Advocacy & grassroots

  19. Advocacy Action Network 20,182 Advocates

  20. Key Advocacy Successes

  21. Nmdp grants

  22. Patient Services Grants patientgrants@nmdp.org

  23. Jason Carter Clinical Trials Program The Jason Carter Clinical Trials Program was created for patients and their families, to make it easier to find and join clinical trials. Funding was provided by the Carter family, in memory of their son and brother, Jason Carter who passed away May 2016 at age 28 from leukemia. • This program provides: • Easy-to-use web-based search tool to find relevant clinical trials. www.jasoncarterclinicaltrialsprogram.com. The trial descriptions are taken directly from clinicaltrials.gov and written in plain language for better patient comprehension • Clinical Trials Patient Education Specialist available by phone and email to provide one-on-one support for patients and families by answering questions and helping navigate their specific clinical trials search. • Educational resources for patients and families to help them learn about clinical trials

  24. Take Action Stay up-to-date by joining the Advocacy Action Network. BeTheMatch.org/Advocacy Contact Us: Legislation@nmdp.org Can’t get enough HCT policy information? Subscribe to our monthly Reimbursement eNews Contact Us: payerpolicy@nmdp.org

  25. Questions?

  26. Thank you!Susan Leppke sleppke@nmdp.orgAlicia Silver alicia.silver@nmdp.org

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