In today's environment of increasing health insurance premiums, growing ranks of uninsured, and decreasing Medicare reimbursement, transplant centers and physicians face growing pressure to be more cost effective and efficient in their processes. In order to be successful on these fronts and maximize reimbursement, physicians and surgeons absolutely must understand the cost drivers of organ transplantation, as well as the various reimbursement models.

Certain pricing and contracting strategies may provide competing financial incentives. Physicians and surgeons must bear in mind that they and their hospitals are partners. Although hospital representatives negotiate on physicians' behalf with payors, the direct involvement of the physicians and surgeons in the financial aspects of the program is essential to the fiscal health of the program.

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