A proposal to implement a shared savings model for nephrologists’ reimbursement during the initial 6 months of dialysis care has won approval from a government advisory committee and is under review by CMS for possible implementation.

The Renal Physicians Association, which has developed the alternate payment model, presented its proposal to the Physician-Focused Payment Model Technical Advisory Committee (PTAC) on Dec. 18, 2017. The committee reviewed the RPA’s proposal and voted to recommend to the Secretary of the HHS that CMS implement the proposal.

“Given that the first 6 months for adult patients transitioning from chronic kidney disease to [end-stage renal disease] ESRD and facing the need for renal replacement therapy are associated with the highest mortality and complication rates, frequent hospitalizations and significantly higher costs, this period in a patient’s kidney disease journey offers the prospect of enhanced patient-centric care and cost savings through nephrology-specific medical management of their disease,” Robert Blaser, director of public policy for the RPA, wrote in an article in NN&I’s November 2017 issue. – by Mark E. Neumann

Blaser R. NN&I. 2017;31(12):20-23.