Synthesize below notes into key 3-5 bullets and be as concise as possible: MEDICARE will pay 100% cost of Kidney transplant (5k-12k for kidney transplant)
•	Rest of organ funding:
•	Organ Funding Process: patient announced dead > talk to family about organ donation > family says yes, then organ stays on IV and systems
o	No insurance will pay for dead organs
o	OPO will pay 100% of costs – pay for EKGs, anesthesia, hospital stay
o	OPO will guarantee fixed rate
o	Once all organs are allocated – OPOs will then pay that fee
o	OPOs recover fees: they will evaluate all costs associated with each organ > average cost > standardized physician charge
	Ex. 45k for heart, 40k for lung
	Then when TC accepts an organ, OPO passes that estimated cost to TC
	TC accepts the price (TC has no choice)
	Sometimes there is some negotiation between OPO and TC
o	TC recouping:
	Evaluations: psychological, mental, physical
	They can determine YES/NO if they will get their money back
	Hospital and administrator
•	Q: No recoupment risk?
o	A: No, because ever player in supply chain gets funding (without insurance risk)
o	A: Also unlikely to change in the future
•	Repeat of TC process: TC will review patient’s insurance. Insurance will have a different contract with each Payor.
o	Once patient comes up in donor list, need to check if patient is insured
	If patient isn’t adequately insured
	Contract with Payors and Medicare
o	Decisions are based on patient’s ability to pay – pre-approved or plan in place for additional funding
•	More on funding flow
o	NORA gets paid from all steps: OPO, TC, and Perfusion
o	When you have negotiated price with OPO
	Ex. Heart, 500 miles
	No quoting – rate card tied to hourly air/ground transport
o	Some rate/pricing changes:
	Rate change between Philadelphia vs. Alabama (AL doesn’t have hangar transport)
	Organ-only
	$5k-$7k per
o	Sometimes we talk about Pricing; sometimes it’s not even concern
	Every 2-3 years, we’ll review contract and renegotiate price
•	Q: For first time contract, are people thinking price 1st or 5th?
o	A: varies depending on size of OPO
o	A: nothing standard about this industry
	Differences between one OPO to another; differences between states; etc.…
