In response to the Administration's announcement to improve kidney health in America, the Centers for Medicare and Medicaid Services (CMS) proposed a rule to implement a mandatory Medicare payment model designed to increase the number of home dialysis treatments and kidney transplants, all while reducing Medicare expenditures.
The rule—referred to as the End-Stage Renal Disease (ESRD) Treatment Choices Model (ETC Model)—would measure clinician and facility performance, as well as the rate of home dialysis and kidney transplants in selected geographic regions. These calculations would result in either an increase or decrease of Medicare funding to a particular facility or clinician, essentially a reward/punishment model.
Dialysis Patient Citizens (DPC) is excited by the kidney initiatives announced by the Administration and applauds the concept of a demonstration to increase the use of transplantation and home dialysis, as proposed by this rule. However, there are certain aspects of the proposed model we disagree with that should be addressed before implementation. There are also considerations for redesign that are worth pursuing.
As a non-profit, patient-led organization, DPC works hard to improve dialysis patient quality of life by elevating the voice of patients. We strive to ensure optimal dialysis care through continual improvement of public policy. These goals were the foundation we used when evaluating this proposed model and providing feedback to CMS. Read DPC's letter to CMS for more information.