Market Access Challenges Facing Enteral & Parenteral Nutrition

CALL TO ACTION:

Support improved access to medically necessary, life-sustaining enteral and parenteral nutrition products so people who need them can maintain or improve their nutrition status, healthcare outcomes and quality of life.

According to the American Society for Parenteral and Enteral Nutrition, nutrition support or nutrition support therapy is, “Providing parenteral (PN) and/or enteral nutrition (EN) to address or prevent malnutrition.” The term enteral refers to nutrition administered via the gastrointestinal tract. It may be administered orally or via tube feeding. Further, an EN system is defined as, “A system of providing nutrition directly into the gastrointestinal tract via a tube, catheter, or stoma that bypasses the oral cavity,” and a PN is defined as, “The intravenous administration of nutrients.”1

Key Facts to Consider:

Enteral and parenteral nutrition products are specially formulated solutions for the people who need them.

Enteral and parenteral nutrition products are safe and effective, providing a source of nutrition when a standard diet alone is not meeting nutritional needs or is not an option.

Enteral and parenteral nutrition products often represent cost-effective solutions to improve healthcare outcomes and quality of life.

Many people have limited or no access to medically-necessary life sustaining enteral and parenteral nutrition products that are most appropriate for their medical conditions.

Nutrition support therapy is different from medical nutrition therapy (MNT) in that MNT also includes nutrition diagnosis and counseling services for the purpose of disease management.2 Specialized nutrition support therapy products can be an important component of a patient’s comprehensive healthcare plan.  Unfortunately, many people may have limited or no access to these therapies. Issues limiting access include: lack of insurance coverage, lack of finances to purchase out of pocket, and lack of provider education.  

References

[1] American Society for Parenteral and Enteral Nutrition (ASPEN) Definition of Terms, Style, and Conventions Used in ASPEN. 2018. Retrieved from https://www.nutritioncare.org/uploadedFiles/Documents/Guidelines_and_Clinical_Resources/ASPEN%20Definition%20of%20Terms,%20Style,%20and%20Conventions%20Used%20in%20ASPEN%20Board%20of%20Directors%E2%80%93Approved%20Documents.pdf.

[2] Academy of Nutrition and Dietetics. MNT Versus Nutrition Education. 2006. Retrieved from https://www.eatrightpro.org/payment/coding-and-billing/mnt-vs-nutrition-education.