Trump Administration Brings Attention to Kidney Health

11 Juillet, 2019, 15:29 | Auteur: Anatole Charbonneau
  • The Trump administration is planning formal steps to change kidney care according to media reports

"At CareDx, we believe transplantation is better than dialysis because it promises better quality of life for kidney patients, provides better outcomes and is demonstrably more cost effective for the healthcare system overall", said Peter Maag, CEO of CareDx. DCI has demonstrated success with the innovative REACH Kidney Care program, which focuses on going upstream and improving the care for people with chronic kidney disease, not on dialysis.

As for payment models, the Centers for Medicare and Medicaid Centers announced the creation of the Kidney Care First (KCF) and Comprehensive Kidney Care Contracting (CKCC) Graduated, Professional, and Global Models that will build upon the existing Comprehensive End Stage Renal Disease (ESRD) Care (CEC) Model structure. DCI clinics offer in-center hemodialysis, home hemodialysis, peritoneal dialysis and support to hospital programs around the U.S. DCI founded REACH Kidney Care to provide strategies to manage chronic kidney disease to help delay the progression of kidney disease and provide education and care coordination to those transitioning into kidney failure. KCP's recommendations include incentivizing transplant through performance measurement and standardizing criteria for waitlist placement to eliminate the selection bias for only those patients most likely to have a successful outcome.

In that scheme, some facilities and clinicians chosen at random would receive higher or lower payments based on the rate at which they increase the use of home dialysis and transplants.

The National Institutes of Health estimates chronic kidney disease affects roughly 14 percent of the US population. "That changes today thanks to President Trump's leadership".

KCP looks forward to working with the Administration to address the ongoing social and economic barriers to patients choosing home dialysis, as well.

The order will attempt to speed up the time it takes to match patients and donors for kidney transplants. In addition, more needs to be done to address shortages in home dialysis supplies and any steps taken to encourage increased dialysis supplies would also be welcomed.

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Kidney disease was the ninth-leading cause of death in the United States in 2017. Though rates of kidney disease in America outpace cancer and heart disease, it now receives less than 1.88% of government investment research and innovations by the National Institutes of Health (NIH), which equates to less than 1% of cost of care, according to a Government Accountability Office (GAO) report.

The announcements today serve also as a strong platform for building momentum for the community's Kidney Care FIRST framework for the future of kidney care.

With 37,000,000 Americans affected by kidney disease and 720,000 of those with kidney failure, the need could not be greater for patients, families, and caregivers.

"Just in Medicare alone, one in $5 is spent on complications from kidney disease, yet in 50 years, nobody has really done anything to change how we care for people suffering from chronic kidney disease".

Today's executive order comes as Congress discusses new legislation that will also improve kidney care. In order to tackle that problem, the administration wants to ease financial challenges for living donors. Federal health officials have made clear for months that they intend to shake up a system that today favors expensive, time-consuming dialysis in large centers over easier-to-tolerate at-home care or transplants that help patients live longer.

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