I am a nephrologist from Lincoln, Neb. and frustrated with my country’s approach to health care financing. Current policy will create a two-tiered system of health care access. I am concerned about my patients and the hundreds of thousands of kidney failure patients throughout the United States who will have fewer treatment choices if proposed cuts to Medicare payment are finalized.
LDO perspective on the bundle cuts: Consider the impact on the most vulnerable patient population in the country
Dialysis patients are the most at risk from the extreme cuts proposed by the Centers for Medicare & Medicaid Services. When reimbursement for 80% of patients who rely on Medicare is below the cost to provide quality dialysis care there will be unfortunate consequences.
January begins the third year of the ESRD Program serving as an incubator for Medicare’s efforts to tie payment policy with clinical performance. But it remains unclear if the Quality Incentive Program is improving outcomes. Shouldn't that be the objective?