On Jan. 8, 2026, HMP posted the first part of my interview on the Viewpoints section of “Wounds” (HMP Global Learning Network). This segment is about “The Impact of CTP Changes on Provider Types.” You can access content here: The Impact of CTP Changes on Provider Types | WOUNDS, including the full transcript and a summary. The big winner from the recent pricing changes is the Hospital Based Outpatient Department (HOPD) which is finally out from under badly implemented “package pricing.” HOPD can finally afford to use CTPs/skin subs and can treat large wounds!
Two of the take-home messages are:
- In the USA, CMS flat CTP pricing (~$127/cm²): Replacing HOPD packaged pricing corrects prior losses and enables hospital outpatient departments to treat large wounds (e.g., VLUs, pressure ulcers) by purchasing products per cm² below the flat rate.
- Care-setting effects: HOPDs benefit most; skilled nursing facilities and brick-and-mortar offices remain viable; home/mobile practices may be most affected depending on their economic models, though not all rely on CTP margins.
Thank you, HMP!
If you want to understand the impact on the HOPD better, here’s a very oversimplified visual!

Dr. Fife is a world renowned wound care physician dedicated to improving patient outcomes through quality driven care. Please visit my blog at CarolineFifeMD.com and my Youtube channel at https://www.youtube.com/c/carolinefifemd/videos
The opinions, comments, and content expressed or implied in my statements are solely my own and do not necessarily reflect the position or views of Intellicure or any of the boards on which I serve.




