Managing Finances of Shipping Living Donor Kidneys for Donor Exchanges
| Autor: | Marc L. Melcher, C. Canari, John P. Roberts, W. Vaughan, E. Levy, A. Tietjen, B. M. Straube, Jeffrey L. Veale, Garet Hil, Stephan Busque, D. A. Mast, N. Flores |
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| Rok vydání: | 2011 |
| Předmět: |
Finance
United Network for Organ Sharing Transplantation medicine.medical_specialty business.industry medicine.medical_treatment Transportation medicine.disease Kidney Transplantation Living donor Nephrectomy Surgery Financial management Models Economic Costs and Cost Analysis Living Donors medicine Financial analysis Humans Immunology and Allergy Financial modeling Pharmacology (medical) DONOR EVALUATION business Kidney transplantation |
| Zdroj: | American Journal of Transplantation. 11:1810-1814 |
| ISSN: | 1600-6135 |
| DOI: | 10.1111/j.1600-6143.2011.03690.x |
| Popis: | Kidney donor exchanges enable recipients with immunologically incompatible donors to receive compatible living donor grafts; however, the financial management of these exchanges, especially when an organ is shipped, is complex and thus has the potential to impede the broader implementation of donor exchange programs. Representatives from transplant centers that utilize the National Kidney Registry database to facilitate donor exchange transplants developed a financial model applicable to paired donor exchanges and donor chain transplants. The first tenet of the model is to eliminate financial liability to the donor. Thereafter, it accounts for the donor evaluation, donor nephrectomy hospital costs, donor nephrectomy physician fees, organ transport, donor complications and recipient inpatient services. Billing between hospitals is based on Medicare cost report defined costs rather than charges. We believe that this model complies with current federal regulations and effectively captures costs of the donor and recipient services. It could be considered as a financial paradigm for the United Network for Organ Sharing managed donor exchange program. |
| Databáze: | OpenAIRE |
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