Medicare is using one of its biggest hammers to try to fix the dialysis system: how providers are paid

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Chronic kidney disease, already a problem affecting millions of Americans, is only expected to become more prevalent as the country ages. For those with end-stage disease, a transplant is the ideal treatment, but dialysis is their reality. Hundreds of thousands of Americans flock to clinics three times a week to have their blood filtered through — in the absence of a functioning kidney — a machine.

As a medical treatment, dialysis is a stopgap measure that fails to fix a chronic problem (average life expectancy on dialysis is five to 10 years). As an industry, dialysis has significant flaws, including a lag in home dialysis use. Read more in STAT.

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Nephrologists see some potential wins, losses in proposed Medicare rule for payment

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CMS has released a proposed rule for the 2023 Physician Fee Schedule with some mix results for nephrologists, according to the Renal Physician Association.

“ … As usual, the news is mixed to positive for nephrology,” Robert Blaser, director of public policy for the RPA, wrote in an analysis for the association. “While the fee schedule conversion factor is projected for an approximate (and expected) 4.4% reduction, valuation for virtually all dialysis services (inpatient and outpatient, adult and pediatric, home and in-center, monthly and daily) either held steady or ticked up slightly,” he wrote.
Read more in Healio.

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