Revenue implications
- A median-sized Kidney transplant program collects $1.5-3M in contributions/year (mix of CMS & private-pay insurers)
- A median-sized Liver transplant program collects $2.5-5M
- Even temporary sanctions can stop this flow of contribution to the parent organization
- Gaining/losing a single transplant patient from a CoE can mean a gain (or loss) of $75,000 or more
Regulatory risks
- The costs of complying with a Service Improvement Agreement (SIA) can exceed $2 million in direct compliance costs
Missed opportunities & extra costs
- The overall cost for transplanting a patient whose medical condition deteriorated significantly while on the wait list can exceed four times the original cost
- Transplanting a patient whose insurance has changed or lapsed may require the center to absorb $100,000 or more in cost