{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T14:17:33Z","timestamp":1783952253519,"version":"3.55.0"},"reference-count":12,"publisher":"Mark Allen Group","issue":"Sup7a","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wound Care"],"published-print":{"date-parts":[[2026,7,1]]},"abstract":"\n Objective:<\/jats:title>\n \n In 2026, the US Centers for Medicare & Medicaid Services implemented an update to the Physician Fee Schedule establishing a unified reimbursement rate for skin substitutes, also referred to as cellular, acellular and matrix-like products (CAMPs). This policy change introduced a fixed payment of\n \n \n $<\/mml:mo>\n <\/mml:math>\n <\/jats:inline-formula>\n 127.14 per cm\n 2<\/jats:sup>\n , regardless of product type or regulatory classification. The aim of this work was to assess perceived impacts of the revised fee schedule that went into effect on 1 January 2026.\n <\/jats:p>\n <\/jats:sec>\n \n Method:<\/jats:title>\n The Wound and Hyperbaric Association conducted an online national survey of wound care practitioners and practices from 4 February 2026 to 14 April 2026. The Access Crisis Feedback Form consisted of 13 questions, including two open-ended items.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n Over the 69 days that the survey was open, 130 (~3%) responses were received from a comparative pool of 4551 National Provider Identifiers that had applied a CAMP in 2024. Collectively, respondents reported providing care to approximately 12,000 patients with wounds per week. Geographic representation included 36 of 50 (72%) states and Washington DC, and 8 of 12 (67%) Medicare Administrative Contractors. Most respondents (82%) practiced in non-facility settings; however, hospital-affiliated outpatient wound centres, and ambulatory surgery centres were also represented. The most severe concern identified was the \u2018Closure or planned closure of a wound care practice or service line\u2019, reported by just over 45% of responding settings. Only five (4%) respondents reported no significant impact, indicating that 96% perceived at least one operational impact following implementation of the revised payment policy. The most frequently cited concern (61%) was \u2018Authorisation delays for clinically eligible patients\u2019.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Analysis of the survey data suggests widespread impacts of the implemented CAMPs universal fee schedule across diverse wound care delivery settings in the US, including a substantial risk of service line closures. These findings raise concerns that a uniform CAMP product payment may not achieve site-of-care neutrality when hospital outpatient departments receive a separate application facility payment, while non-facility providers do not. Respondents reported that patients are already experiencing reduced access to advanced wound care, with associated complications such as: infection; sepsis; amputation; wound deterioration or enlargement; hospital readmission; the need for surgical debridement in the operating room setting; and flap- or graft-based salvage procedures. Responding wound care providers and practices, across diverse care settings and geographic regions, urge reevaluation of the current reimbursement framework to ensure the financial sustainability of wound care services, and to protect patient access and outcomes.<\/jats:p>\n <\/jats:sec>","DOI":"10.12968\/jowc.2026.0290","type":"journal-article","created":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T12:19:15Z","timestamp":1781266755000},"source":"Crossref","is-referenced-by-count":0,"title":["Early reported effects of the 2026 CMS Physician Fee Schedule on patient access to CAMPs in wound care: a national clinician and practice survey"],"prefix":"10.12968","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5645-7577","authenticated-orcid":false,"given":"William H","family":"Tettelbach","sequence":"first","affiliation":[{"name":"Chief Medical Officer, RestorixHealth, Metairie, LA, US"},{"name":"President, American Professional Wound Care Association (APWCA), Milwaukee, WI, US"},{"name":"Adjunct Assistant Professor of Undersea & Hyperbaric Medicine, Duke University School of Medicine, Durham, NC, US"},{"name":"Adjunct Professor of Podiatric Medicine & Surgery, Western University of Health Sciences, Pomona, CA, US"},{"name":"President, Wound and Hyperbaric Association, Park City, UT, US"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David G","family":"Armstrong","sequence":"additional","affiliation":[{"name":"Southwestern Academic Limb Salvage Alliance (SALSA), US"},{"name":"Distinguished Professor of Surgery and Neurological Surgery, Keck School of Medicine, University of Southern California, Department of Surgery, Los Angeles, CA, US"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Travis","family":"Tucker","sequence":"additional","affiliation":[{"name":"Founder, Principal Consultant, Woodside Analytics, LLC, St Petersburg, FL, US"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alisha","family":"Oropallo","sequence":"additional","affiliation":[{"name":"Professor, Donald and Barbara Zucker School of Medicine at Hofstra\/Northwell, Uniondale, NY, US"},{"name":"Associate Professor, The Feinstein Institutes for Medical Research, Manhasset, NY, US"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naz","family":"Wahab","sequence":"additional","affiliation":[{"name":"CEO, Wound Care Experts, NV, US"},{"name":"HCA Mountain View Hospital, Las Vegas, NV, US"},{"name":"Roseman University College of Medicine, Henderson, NV, US"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lee C","family":"Rogers","sequence":"additional","affiliation":[{"name":"Chief of Podiatry, Professor of Podiatric Medicine and Surgery, UT Health San Antonio, TX, US"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-3177-3388","authenticated-orcid":false,"given":"Mervin","family":"Low","sequence":"additional","affiliation":[{"name":"Plastic Surgeon and CEO, Newport Wound, Newport Beach, CA, US"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vickie","family":"Driver","sequence":"additional","affiliation":[{"name":"Wound Care Collaborative Community, US"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-0034-4919","authenticated-orcid":false,"given":"Daniel L","family":"Kapp","sequence":"additional","affiliation":[{"name":"Plastic Surgeon, Jupiter Medical Center, Jupiter, FL, US"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynnette","family":"Morrison","sequence":"additional","affiliation":[{"name":"Regional Medical Director, RestorixHealth, Metairie, LA, US"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Nolan","sequence":"additional","affiliation":[{"name":"Regional Medical Director, RestorixHealth, Metairie, LA, US"},{"name":"Clinical Professor of Vascular Surgery, Michigan State University College of Human Medicine, Grand Rapids, MI, US"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta","family":"Ostler","sequence":"additional","affiliation":[{"name":"Founder, Purpose Physical Therapy, Sheridan, WY, US"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Will","family":"Tettelbach","sequence":"additional","affiliation":[{"name":"Undergraduate Program in Medicine, Health, and Society, College of Arts and Science, Vanderbilt University, Nashville, TN, US"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin","family":"Gooden","sequence":"additional","affiliation":[{"name":"Founder, MK Wound & Limb Preservation, Wichita, KS, US"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory A","family":"Bohn","sequence":"additional","affiliation":[{"name":"President, American Board of Wound Healing, Franklin, WI, US"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffery A","family":"Niezgoda","sequence":"additional","affiliation":[{"name":"President, WebCME, Milwaukee, WI, US"},{"name":"President, RxOS Medical, Milwaukee, WI, US"},{"name":"Chief Medical Officer, Kent Imaging, Calgary, Canada"},{"name":"Chief Medical Officer, Auxillium Health, Milwaukee, WI, US"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-7017-1429","authenticated-orcid":false,"given":"Michael N","family":"Desvigne","sequence":"additional","affiliation":[{"name":"Wound Care Specialists, AZ, US"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert J","family":"Snyder","sequence":"additional","affiliation":[{"name":"Professor and Director of Clinical Research, Barry University School of Podiatric Medicine, FL, US"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Davenport","sequence":"additional","affiliation":[{"name":"New York Plastic Surgical Group, New York, NY, US"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcus","family":"Gitterle","sequence":"additional","affiliation":[{"name":"Medical Officer and Co-Founder, WoundCentrics, LLC, New Braunfels, Texas, US"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martha R","family":"Kelso","sequence":"additional","affiliation":[{"name":"Former Chief Executive Officer, Wound Care Plus, LLC, Kansas City, MO, US"},{"name":"Board Member, American Professional Wound Care Association (APWCA), Milwaukee, WI, US"},{"name":"Board Member, Post Acute Wound & Skin Integrity Council, Quakertown, PA, US"},{"name":"Board Member, Wound and Hyperbaric Association, Park City, UT, US"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5130","reference":[{"key":"e_1_3_2_1_2","unstructured":"Federal Register. Medicare and Medicaid Programs; CY 2026 payment policies under the Physician Fee Schedule and other changes to Part B payment and coverage policies; Medicare Shared Savings Program requirements; and Medicare Prescription Drug Inflation Rebate Program. 2025. https:\/\/tinyurl.com\/mu99uud3 (accessed 8 June 2026)"},{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2024.0174"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2022.31.Sup9.S16"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2023.32.11.704"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2024.33.Sup3.S24"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2022.31.Sup2.S10"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2021.30.Sup7.S5"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.14027"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1089\/wound.2023.0143"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.63676\/dj8g4218"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2025.0609"},{"key":"e_1_3_2_12_2","unstructured":"Brandt K. Testimony of Kimberly Brandt Deputy Administrator and Chief Operating Officer Centers for Medicare & Medicaid Services before the U.S. House Committee on Energy and Commerce Subcommittee on Oversight and Investigations: protecting patients and safeguarding taxpayer dollars: the role of CMS in combatting Medicare and Medicaid fraud. U.S. House of Representatives. 2026. https:\/\/tinyurl.com\/y9xn654m (accessed 8 June 2026)"}],"container-title":["Journal of Wound Care"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/pdf\/10.12968\/jowc.2026.0290","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T13:21:10Z","timestamp":1783948870000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/10.12968\/jowc.2026.0290"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,1]]},"references-count":12,"journal-issue":{"issue":"Sup7a","published-print":{"date-parts":[[2026,7,1]]}},"alternative-id":["10.12968\/jowc.2026.0290"],"URL":"https:\/\/doi.org\/10.12968\/jowc.2026.0290","relation":{},"ISSN":["0969-0700","2052-2916"],"issn-type":[{"value":"0969-0700","type":"print"},{"value":"2052-2916","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,1]]}}}