Ensuring a viable kidney care workforce

Medicare sets reimbursements for health care according to a formula and depends on CMS to accurately forecast costs. Due to years of accumulated under-forecasting of inflation and health sector wage increases, Medicare updates for dialysis facilities lag input costs. In particular, CMS has woefully under-reimbursed labor costs, subjecting dialysis nurses and technicians to poaching from employers who can pay market wages.

Health workforce shortages loom as the baby boom generation retires and migration to the U.S. is reversed. Not all health care job openings are being filled. DPC supports the Kidney Care Access Protection Act (KCAPA), which corrects past labor forecast errors and ensures accuracy in future Medicare rate updates.

Related Information

DPC Comment Letter to CMS Recounts Heartbreaking Story of Rural Dialysis Clinic Closure

August 28th, 2025|Categories: Comment Letter, Dialysis Funding, Improve Access to Care, Innovation, Policy Issues, Promote Financial Security, Protect Patient Care, Quality Incentive Program, Staffing Shortages, Treatment Options|

DPC has submitted its comments responding to this year’s Medicare ESRD Payment Rule. The Medicare agency is proposing a payment update of only 1.9%, which doesn’t keep pace with increasing costs. According to the [...]

DPC’s Letter to Dr. Mehmet Oz, Administrator at Centers for Medicare & Medicaid Services, on ESRD Prospective Payment System

August 27th, 2025|Categories: Comment Letter, Dialysis Funding, Improve Access to Care, Innovation, Policy Issues, Promote Financial Security, Protect Patient Care, Quality Incentive Program, Staffing Shortages, Treatment Options|

August 27, 2025 The Honorable Mehmet Oz Administrator Centers for Medicare & Medicaid Services 200 Independence Avenue, SW Washington, DC  20001 Re: CMS-1830-P - End-Stage Renal Disease Prospective Payment System  Dear Dr. Oz: Dialysis [...]

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