361 HCT/P Compliant Tissue Products in Honolulu, HI

CDC PLACES vs. JE: two files, not one brochure

Adult arthritis here is 21.8% (CDC PLACES 2023, crude). That is the joint-pain backdrop for PRP and orthobiologics — not a promise that every arthritic knee is a candidate. CDC PLACES (2023, crude) estimates 13.2% of adults in Honolulu have diagnosed diabetes — 1.2 points above the U.S. 12% figure. Together those PLACES numbers are why a city of 250k–500k still needs separate PRP and CTP protocols. 361 hctp compliant products inventory is national; utilization is JE-local.

Cash PRP and Medicare CTPs in the same hallway

• CDC PLACES (2023, crude) estimates 13.2% of adults in Honolulu have diagnosed diabetes — 1.2 points above the U.S. 12% figure. Adult arthritis here is 21.8% (CDC PLACES 2023, crude). That is the joint-pain backdrop for PRP and orthobiologics — not a promise that every arthritic knee is a candidate. Separate 361 tissue, PRP, and CTP tickets before you market 361 hctp compliant products in Honolulu. Mixing lanes is how recoupments start.
• First Coast (Florida) is the only single-state MAC; every other state shares a contractor with neighbors. Hawaii is JE — copy-pasting a Florida LCD packet here is a denial pattern we still see.
• A city of 250k–500k usually means mixed payer mix: Medicare FFS under JE, Medicare Advantage, workers’ comp, and cash-pay sports medicine. One SKU list rarely serves all four without a utilization policy.

Uninsured mix and Medicare CTPs in the same building

JE reviewers still want serial wound measurements and conservative-care history before CTPs, whether diabetes in Honolulu is 13.2% or not. PLACES is planning data. The LCD is the claim.

Before the first 361 hctp compliant products shipment