Medicare reimbursement changes for skin substitutes finalized by CMS

Published 03/11/2025, 15:28
Medicare reimbursement changes for skin substitutes finalized by CMS

MARIETTA, Ga. - MiMedx Group, Inc. (NASDAQ:MDXG) announced Monday that the Centers for Medicare and Medicaid Services (CMS) has finalized its CY 2026 Physician Fee Schedule rule for skin substitutes, maintaining provisions similar to those proposed in July. The wound care company, currently valued at $1.13 billion, has seen its shares surge over 13% in the past week as investors digest the regulatory news.

The final rule, published Friday, aims to address fraud, waste and abuse in the skin substitute industry through reimbursement reform. MiMedx, a provider of wound care products, stated it had been preparing for various reimbursement scenarios. According to InvestingPro data, the company is well-positioned financially to navigate these changes, with a current ratio of 4.41 indicating its liquid assets significantly exceed short-term obligations.

"CMS is now acting, in the form of the new PFS, as well as other initiatives, to reduce the rampant fraud, waste and abuse that has plagued this industry," said Joseph H. Capper, MiMedx Chief Executive Officer, in a press release statement.

Capper indicated the company views the changes as an opportunity to gain market share, citing the company's "integrated, highly efficient, scalable operations; a large and proprietary commercial organization; best-in-class technology; a robust and defensible I.P. portfolio; and an excellent balance sheet" as competitive advantages. This confidence appears supported by MiMedx's financial health, which InvestingPro rates as "GREAT" with an overall score of 3.59/5, particularly strong in cash flow metrics.

While MiMedx expressed support for the reforms as "a major step in the right direction," the company noted that some of its recommendations were not incorporated into the final rule. The company stated it would continue advocating for further improvements while prioritizing patient access to its products during the transition period.

MiMedx provides products for wound care, burn treatment, and surgical applications. The company did not provide specific details about how the reimbursement changes might impact its financial performance. However, InvestingPro data shows MiMedx has been profitable over the last twelve months with revenue growth of nearly 15% and analysts projecting continued profitability. The company appears slightly undervalued based on InvestingPro's Fair Value assessment, potentially offering an opportunity for investors interested in the healthcare sector. InvestingPro offers comprehensive research reports on MiMedx and 1,400+ other US equities, providing deeper insights beyond what's available in standard financial news.

In other recent news, MiMedx Group Inc. reported impressive third-quarter earnings for 2025, significantly surpassing Wall Street expectations. The company achieved an earnings per share (EPS) of $0.15, compared to the anticipated $0.06, representing a 150% surprise. Additionally, MiMedx's revenue reached $113.7 million, exceeding the projected $94.73 million. These results indicate a strong financial performance for the company. The earnings report has generated positive sentiment among investors. Furthermore, analysts have taken note of these developments, with some firms potentially adjusting their outlook on the company. These recent achievements highlight MiMedx's ability to exceed market expectations.

This article was generated with the support of AI and reviewed by an editor. For more information see our T&C.

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