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News & Press: Breaking News

Summary of Presidential Executive Order on Kidney Disease and Proposed Kidney Care Payment Models

Monday, July 15, 2019   (3 Comments)
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Read more about the Presidential Executive Order on Kidney Disease and Proposed Kidney Care Payment Models. 

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Robert Gutman says...
Posted Thursday, August 1, 2019
This is a terrible qualifier for so many reasons. I believe it virtually requires a comment for your group of writers and researchers. It undermines the most important life and money-saving proposals. It creates losers in the donation process. It refuses to deal knowledgeably and honestly with the data you have gathered and they need to see. It does not address the need to re-write NOTA. I know RPA has the talent and the ability to enter such comments into the register, and maybe get the media and congressional attention. Boehler has been given cart blanche for innovation. This is the time to recognize that the main problem with ESRD care can only be solved by more kidneys and that the original NOTA is outdated.
Robert Gutman says...
Posted Thursday, August 1, 2019
I have gone through the Federal Register and find, that contrary to Trump's pronouncement and media, most of this deals with providing incentives to docs and dialysis companies to get more people to do home dialysis. It gives relatively little emphasis to living transplantation as far as I can find. Specific problem is this entry: "The ETC Model as proposed does not include a proposal to assist with minimizing disincentives to living donors for their kidney donation; however, qualified donors may apply for financial assistance through the National Living Donor Assistance Center (NLDAC), which administers federal funding received from HRSA under the federal Organ Donation Recovery and Improvement Act.141 All applicants under this Act are means-tested, with preference given to recipients and donors who are both below 300 percent of the federal poverty line (FPL). Approved applicants can receive up to $6,000 to cover travel , lodging, meals, and incidental expenses." see completion
Melissa J. Yanover MD says...
Posted Thursday, July 18, 2019
The Summary as well as the outline in the Federal Registry is confusing and poorly worked out. Many nephrology groups have some units that are hemo only and concentrate their home patients in one unit. Are they determining the bonuses on the initial modality within 6 months by individual physicians or groups or units? If it is by unit then the units without home programs are disadvantaged and the units with home programs are disproportionately advantaged. The correct way to encourage home and pre emptive transplant is to determine this by group or individual physician and leave out the units entirely. The units should help their physicians increase their choices. Also the states with long wait times are also disadvantaged in the preemtive transplants. Why is this all being made so complicated. Until the office reimbursement is raised to encourage physicians to be in the office rather than the units any of these models will continue to fall short. M Yanover

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