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Organogenesis Applauds Findings from the Office of Inspector General

Key Takeaway: Organogenesis Holdings Inc. commended the U.S. Department of Health and Human Services' Office of Inspector General for its report suggesting that adopting average sales price (ASP) payments for all skin substitute products could significantly reduce Medicare Part B costs. The report indicates that if the Centers for Medicare and Medicaid Services uniformly implemented this payment methodology, it could save considerable amounts quarterly. The CEO of Organogenesis highlighted this transition as a means to improve access to efficacy-driven therapies and stabilize the market.

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POSITIVE FACTORS

  • OIG findings could lead to substantial savings for Medicare Part B.
  • ASP-based payments may improve access to effective treatments.
  • Transitioning to ASP payments is seen as stabilizing for the market.

Full Press Release Details

CANTON, Mass., March 27, 2023 (GLOBE NEWSWIRE) -- Organogenesis Holdings Inc. (Nasdaq: ORGO), a leading regenerative medicine company focused on the development, manufacture, and commercialization of product solutions for the Advanced Wound Care and Surgical and Sports Medicine markets, applauds the findings by the Office of the Inspector General (OIG) of the U.S. Department of Health and Human Services (HHS) that transitioning all skin substitute products to average sales price (ASP) -based payments has the potential to substantially reduce Medicare Part B expenditures.
In the report, entitled “Some Skin Substitute Manufacturers Did Not Comply with New ASP Reporting Requirements,” OIG concluded Centers for Medicare and Medicaid Services (CMS) could potentially save tens of millions of dollars per quarter if it uniformly used the ASP payment methodology for all skin substitutes.
“CMS has made progress in the last six months by expanding the number of skin substitutes that are being paid on the basis of ASP,” said Gary S. Gillheeney, Sr., President and Chief Executive Officer of Organogenesis. “Transitioning all skin substitutes to ASP-based payments should improve access to more efficacious treatment options such as human cell and tissue-based products (HCT/Ps), and according to the report, lower the cost to the Medicare trust fund.”   Gillheeney added, “ASP-based payments are an important step in stabilizing the skin substitute market and creating a level-playing field. This complements the previous action by the FDA requiring certain injectable tissue products be taken off the market and proceed down a biologics license application (BLA) pathway.”
“Organogenesis is committed to providing access to our portfolio of products across the continuum of care – including physicians’ offices and strongly urges CMS to publish ASPs for all skin substitutes this year,” Gillheeney concluded.
About Organogenesis Holdings Inc.
Organogenesis Holdings Inc. is a leading regenerative medicine company focused on the development, manufacture and commercialization of solutions for the advanced wound care and surgical and sports medicine markets. Organogenesis offers a comprehensive portfolio of innovative regenerative products to address patient needs across the continuum of care.

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Frequently Asked Questions

What did the OIG report conclude about skin substitute payments?

The OIG report found that switching to ASP-based payments for skin substitutes could save Medicare millions quarterly.

Who is the CEO of Organogenesis Holdings Inc.?

Gary S. Gillheeney is the President and CEO of Organogenesis Holdings Inc.

What benefits do ASP payments provide for treatment options?

ASP payments may improve access to more effective treatments, such as human cell and tissue products.

What is Organogenesis Holdings Inc. focused on?

Organogenesis focuses on regenerative medicine for advanced wound care and sports medicine markets.

What does Organogenesis urge CMS to do this year?

Organogenesis urges CMS to publish ASPs for all skin substitutes in the current year.

Last updated: Mar 27, 2023