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Medicare Proposes Payment Changes to Increase At-Home Dialysis Services for End-Stage Renal Disease Patients in a Trend That Shifts Where These Patients Access Clinical Laboratory Tests

In pursuing the goal of better, more proactive care, the federal Centers for Medicare and Medicaid Services (CMS) proposed changing Medicare payments for dialysis to encourage more at-home dialysis services. The initiative confirms that CMS will be steadfast in its efforts to identify high-cost diseases and sites of care, and to direct that care into…

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American Journal of Managed Care

Administration Offers Progress Report on Kidney Care Initiative

HHS on Monday offered a progress report on its yearlong initiative, Advancing American Kidney Health, which sought to reduce the risk of kidney failure, increase access to home-based dialysis, and boost availability of kidney transplants. Click here to read the full article on the American Journal of Managed Care website.

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American Journal of Managed Care

Does Medicare Support Coordinated Care for Those on Dialysis? Actions Speak Louder than Words

For years, our nation’s policymakers and elected officials have focused tremendous efforts toward transforming health care into a value-based system, one that tackles health disparities through coordinated care services. In fact, CMS Administrator Seema Verma recently found Medicare’s fee-for-service system “insufficient” and called for increased urgency to create a system that focuses on the total person and…

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American Journal of Managed Care

Under New Rule, MA Plans Can Keep a Blindfold on Dialysis Facility Choice for Individuals With Kidney Failure

Patient choice has always been the cornerstone of my beliefs. In 2016, Congress decided that people who are eligible for Medicare due to a diagnosis of End Stage Renal Disease (ESRD) would become eligible to enroll in Medicare Advantage (MA) plans beginning January 1, 2021. MA is an option under Medicare to receive coverage through a private…

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Modern Healthcare

CMS rule makes it more difficult for dialysis patients to access care

Americans living with chronic diseases often face discriminatory practices by health plans, making it difficult to access care. This is particularly true for those living with kidney failure, or end-stage renal disease. The kidney community celebrated passage of the 2016 21st Century Cures Act, which allowed for both newly diagnosed and existing ESRD patients to…

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