Medicare’s aggressive approach to CKD attracts providers, value-based care groups

Dialysis providers saw a change in the payment model for treating Medicare patients when CMS instituted the Prospective Payment System in 2011.
Bundling the payments to providers streamlined expenditures for a costly federally funded entitlement that absorbed 7% of the Medicare budget.
But that approach stopped at the door of the most complex aspect of care: managing chronic kidney disease.
In a 2021 report, the CDC estimated more than one in seven, or 15% of adults in the United States, have CKD in stages ranging from 1 through 5.
Many have diabetes, obesity, uncontrolled hypertension and, in

Dialysis providers saw a change in the payment model for treating Medicare patients when CMS instituted the Prospective Payment System in 2011.
Bundling the payments to providers streamlined expenditures for a costly federally funded entitlement that absorbed 7% of the Medicare budget.
But that approach stopped at the door of the most complex aspect of care: managing chronic kidney disease.
In a 2021 report, the CDC estimated more than one in seven, or 15% of adults in the United States, have CKD in stages ranging from 1 through 5.
Many have diabetes, obesity, uncontrolled hypertension and, in