# Reimagining the United States organ procurement and transplant network

## TL;DR

The paper proposes a new business platform model to improve the U.S. organ transplant system for fairness and efficiency.

## Contribution

It introduces a modern business platform framework to coordinate organ transplantation involving public and private partners.

## Key findings

- A unified entity is needed to align policy with organ transplant practices.
- A business platform model can facilitate seamless organ exchanges.
- Collaboration among diverse partners is key to equitable transplantation.

## Abstract

The United States system of solid organ transplantation is overseen by the Organ Procurement Transplantation Network (OPTN). Recent announcements from the Health Resources and Services Administration (HRSA) indicate their clear intention to reform the system. We suggest that the original intention of the National Organ Transplant Act (NOTA) to require one entity to oversee transplantation is critical to integrate policy with the complex realities of organ procurement and transplantation practice. We suggest that a contemporary business platform model best captures the appropriate structure for coordinating organ transplantation, as the seamless exchange of organs between related groups is the essential function to facilitate. A business platform framework that includes public and private, academic and industry partners can best accomplish the important goal of equitable and efficient organ transplantation.