Skip to main content

White paper

Managed Transplant Program: Clinical outcomes and cost impact

New research examines how structured, nurse‑led case management influences cost, utilization and outcomes for members undergoing complex organ transplants.

2-minute read

Understanding outcomes in complex transplant case management

Complex organ transplants involve multiple phases of care, intensive clinical oversight and extended recovery periods. Coordination across the transplant journey plays a critical role in influencing utilization, cost and patient outcomes.

This white paper examines commercially insured adults who underwent complex transplants between 2020 and 2024, comparing outcomes for members who engaged in structured transplant case management with those who did not.

Using claims and case management data, the analysis evaluates differences in total cost of care, inpatient bed days and one-year clinical outcomes, offering insight into the value of longitudinal, nurse-led case management for complex transplant populations.

Related healthcare insights

Article

How to manage organ transplant costs

There’s a lot at stake with organ transplant claims. Learn the importance of selecting an effective payment integrity approach.

Article

How payers can prepare for the next wave of cellular therapy patients

CAR T-cell therapies have been remarkably successful and may become more widely available. Here’s how to get ready for a rise in these expensive treatments.

Article

What to know about managing rising transplant costs

What payers need to know about transplants and other high-cost care.

Published: June 12, 2026

This program should not be used for emergency or urgent care needs. The information provided through the nurse support service is for informational purposes only. The nurse cannot diagnose problems or recommend treatment and is not a substitute for a doctor’s care. Health plan member information is kept confidential in accordance with the law. The Centers of Excellence (COE) program providers and medical centers are independent contractors who render care and treatment to health plan members. The COE program does not provide direct healthcare services or practice medicine, and the COE providers and medical centers are solely responsible for medical judgments and related treatments. The COE program is not liable for any act or omission, including negligence, committed by any independent contracted healthcare professional or medical center.