Medical Economics October 8, 2025
Richard Payerchin, Todd Shryock

A regional inspector general for the U.S. Department of Health and Human Services explains oversight of a multi-billion-dollar trend in Medicare spending.

Starting in 2021, the law governing Medicare changed relating to skin substitutes used in wound care — and spending for those treatments started going up, up, and up. David Tawes, MA, regional inspector general in the Baltimore, Maryland, HHS-OIG Office of Evaluation and Inspections, explains the basis of examining this situation, which has cost billions of dollars in the Medicare system.

Medical Economics: Recently, there was a report that was published by the office regarding payments on skin substitutes for wound care. Can you explain briefly about how that report came about?

David Tawes, MA: So, we’ve actually...

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