Medicare has changed the accounting rules for one of the least visible parts of the transplant system: the money spent recovering an organ before it ever reaches a surgeon.
In the inpatient payment rule finalized on July 31, the Centers for Medicare & Medicaid Services said it will "reconcile organ acquisition costs for non-renal organs" for independent organ procurement organizations and histocompatibility laboratories. The agency modified its original proposal to delay implementation by two years, applying to cost reporting periods beginning on or after October 1, 2028.