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While this innovative approach to integrating and coordinating care for ESRD Medicare beneficiaries is to be applauded, I am afraid many of us in the independent sector will have to watch with great interest from the sidelines as this plays out.

DaVita executives said that the dialysis provider would not participate in CMS' new renal ACO demo unless the agency makes changes to some of its rules.

Small storms can turn into big disasters

With the shadow of rebasing hanging over the ESRD payment bundle in 2013, dialysis providers are hunkering down on preparing for the worst. That includes shedding more and more units of the once-profitable anemia drug Epogen––and bringing hemoglobins down with it.

Improving quality outcomes in the dialysis setting requires multidisciplinary teamwork, said incoming National Kidney Foundation president Beth Piraino during her address at the foundation's annual meeting.