Payer Collaborative

Resource Hub

By bringing together payers, transplant programs, and operational leaders, the Transplant Payer Collaborative aims to advance best practices, promote alignment, and support equitable access while improving long-term system sustainability and patient outcomes.

Payer Collaborative FC

Introduction

The Transplant Payer Collaborative is established under the auspices of The Alliance to create a platform for dialogue and collaboration among key stakeholders in the field of transplantation, including payers, transplant programs, and other relevant organizations. Our primary purpose is to educate and engage these stakeholders to advance best practices, ensure equitable access to transplantation, and improve patient outcomes.
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Payer Collaborative Conversation Series

Upcoming

The Transplant Payer Collaborative Series delivers fast-paced, cost-free sessions that bring together payers, transplant programs, and operational leaders to advance best practices, promote alignment, and support equitable access while improving long-term system sustainability and patient outcomes.

The payer-focused discussions highlighted below are designed to surface effective practices across the transplant ecosystem and address common challenges in payer engagement, authorization workflows, and coordination across the donation and transplantation landscape.

Signature Event

Upcoming

2026 National Critical Issues Forum

The Alliance Transplant Payer Collaborative
Monday, September 14, 2026 | 1pm – 5pm CT
Attendance Cost: $49

The Transplant Payer Collaborative pre-meeting convenes stakeholders from across transplant finance, reimbursement, and administration to strengthen dialogue and shared problem-solving in an increasingly complex environment. By bringing together payers, transplant programs, and operational leaders, this Collaborative aims to advance best practices, promote alignment, and support equitable access while improving long-term system sustainability and patient outcomes.

Please Note: This pre-meeting is available as an add-on during the 2026 National Critical Issues Forum registration process. Attendance is exclusive to attendees of the National Critical Issues Forum.

FEATURED WEBINAR

Understanding the Payer Perspective: COE Designation and Selection

On July 22, 2025, The Alliance hosted a discussion that offered unique insight into how payers approach transplant program Centers of Excellence (COE) designation. Dr. Dirk Slaker provided the broader community with a deeper understanding of the payer landscape in transplantation, offering strategies for positioning their programs within payer networks, and outlined the process of appealing when access to a preferred center is denied. The session was designed to help transplant professionals better navigate payer relationships and advocate effectively for their patients and programs.

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The Alliance Learning Pathways are on-demand, expert-led courses designed to explore critical topics in donation and transplantation.

Who Really Pays?

Navigating the Complex Payer Landscape

As demand for organ donation and transplantation continues to grow, healthcare organizations face increasing operational, financial, workforce, and public perception challenges. Review this learning pathway to learn more about national trends in organ donation and transplantation and to identify opportunities for local growth and alignment with broader strategic goals. Elements of each presentation explores national trends, effective collaboration among OPOs, hospitals, and transplant programs, and lessons from high-performing programs to help drive sustainable local growth and improve donation and transplantation outcomes.

Community Resource Toolbox

PAYER -CENTERED TOOLS & RESOURCES
2025

Transforming the logistics of liver transplantation with normothermic machine perfusion: Clinical impact versus cost

Gao, Qimeng; Alderete, Isaac S.; Aykun, Nihal; Samy, Kannan P.; Nauser, Christopher L.; Raigani, Siavash; DeLaura, Isabel F.; Kahan, Riley; Anwar, Imran J; Abraham, Nader; Dunkman, W. Jonathan; Miller, Timothy E.; King, Lindsay Y.; Berg, Carl L.; Vikraman, Deepak S.; Ravindra, Kadiyala; Rege, Aparna S.; Collins, Bradley H.; McElroy, Lisa M.; Jamieson, Ian; Knechtle, Stuart J.; Sudan, Debra L.; Barbas, Andrew S.. Transforming the logistics of liver transplantation with normothermic machine perfusion: Clinical impact versus cost. Liver Transplantation ():10.1097/LVT.0000000000000560, December 25, 2024. | DOI: 10.1097/LVT.0000000000000560

2023

Financial Impact of a Culturally Sensitive Hispanic Kidney Transplant Program on Increasing Living Donation

Wang A, Caicedo JC, Mathur AK, Ruiz RM, Gordon EJ. Financial Impact of a Culturally Sensitive Hispanic Kidney Transplant Program on Increasing Living Donation. Transplantation. 2023 Apr 1;107(4):970-980. doi: 10.1097/TP.0000000000004382. Epub 2023 Mar 31. PMID: 36346212; PMCID: PMC10065884.

2022

Interhospital transfers resulting in liver transplantation: Clinical, regulatory, and economic issues.

Hussain SF, Kim NJ, Biggins SW, Naugler S, Ahn J, Volk ML. Interhospital transfers resulting in liver transplantation: Clinical, regulatory, and economic issues. Clin Liver Dis (Hoboken). 2022 Dec 12;20(6):194-197. doi: 10.1002/cld.1262. PMID: 36523862; PMCID: PMC9745295.

2021

Impact of Payer Status on Delisting Among Liver Transplant Candidates in the United States

Krystal L Karunungan 1Yas Sanaiha 1Roland A Hernandez 2Holly Wilhalme 3Sarah Rudasill 1Joseph Hadaya 1Joseph DiNorcia 4Peyman Benharash, Liver Transpl. 2021 Feb;27(2):200-208.

2020

Use of SARS-CoV-2-infected deceased organ donors: Should we always “just say no?”

Kates OS, Fisher CD, Rakita RM, Reyes J, Limaye AP. American Journal of Transplantation. 2020;20(7):1787-1794. doi:https://doi.org/10.1111/ajt.16000

2020

Association of State Medicaid Expansion With Racial/Ethnic Disparities in Liver Transplant Wait-listing in the United States

Lauren D Nephew 1Kelly Mosesso 2Archita Desai 1Marwan Ghabril 1Eric S Orman 1Kavish R Patidar 1Chandrashekhar Kubal 3Mazen Noureddin 4Naga Chalasani, JAMA Netw. Open. 2020 Oct 1;3(10):e2019869.

2020

Alliance Webinar: The Transplant Cost Report: The Vehicle to Report Organ Acquisition Services

Alexander Aussi, Jimmy Mendez
2020

Medicare Claims Processing Manual: Chapter 12 – Physicians/Non-physician Practitioners

Chapter 12 – Physicians / Non-physician Practitioners: Has information about how physicians can bill for immunosuppressive therapy management and other transplant and organ specific scenarios

Centers for Medicare and Medicaid Services
2019

C-ing the Future: Medical, Ethical, and Financial Considerations of Hepatitis C Transplants

David Goldberg, MD, MSCE

2019

Medicare Benefit Policy Manual Chapter 11 – End Stage Renal Disease (ESRD) – Rev 257 – 03-01-19

National Transplant Payer Collaborative Steering Committee

Robert Howey
Robert Howey
MBA, MHA, CPA, FHFMATransplant Management Group
Julie Jensen 135443
Julie Jensen
Nimitt Consulting, Inc.
Angie Korsun
Angie Korsun
RN, MSN, MPAGuidry & East
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Gwen McNatt
ARNP, PhD, FNP-BC, FAANUniversity of Iowa Hospitals and Clinics
Nancy Metzler
Nancy Metzler
MBA, MHA, FACHEUniversity of Rochester Medical Center
Kimberly Nicoll
Kim Nicoll
RN, MPHTransplanting Care Consulting
Andrea Tietjen
Andrea Tietjen
MBA, CPACooperman Barnabas Medical Center