Advocacy for Better Dialysis
RPA Says Action is Needed on MACs
The Renal Physicians Association is calling for legislative changes to the process Medicare contractors (MACs) use to decide what will and will not be covered—such as frequent home HD. The group wants the MACS to provide an evidence summary when they announce a draft local coverage determination, so stakeholders can react effectively.
Align the Incentives to Increase Home Therapies
The always-eloquent Tom Golper, MD, outlines a brief history of factors influencing the use of home therapies—with suggestions to help CMS and Congress realign incentives to increase use of options that are patient-centered and improve outcomes.
Innovation Through KidneyX
ASN and AAKP advocates have been on the Hill asking for support for KidneyX, a public-private partnership that is a unique, patient-centered solution to reduce barriers hindering innovation in the prevention, diagnosis, and treatment of kidney diseases. The initiative will focus on development and commercialization of next-generation dialysis products.
Dialysis PATIENTS Act: Nay
Non-profit dialysis company DCI and a Montana social worker discuss why they believe the act is NOT in patients’ best interests and would benefit only large dialysis companies.
Dialysis PATIENTS Act: Yea.
Fresenius supports legislation to modernize the healthcare system and provide dialysis patients the opportunity for value-based, integrated care, vs. fee for service.
New Act Could Expand Access to Telemedicine for Home Dialysis
CHRONIC Care Act would expand the originating sites for monthly clinical assessments to include freestanding dialysis facilities and patients’ homes, and lift geographic limits, starting in 2019. Home dialysis patients would still need a face-to-face visit with a nephrologist at least once every 3 months.
Beam Me Up, Dialyzors
Does telehealth work in dialysis? We don’t know yet, but an expert group met in Vienna, Austria to discuss the idea.
Kidney Health Initiative Involves Consumers
This public (FDA)/private (ASN) partnership obtains patient input throughout the lifecycle of approving new medical devices, including how patients can influence design, help to plan and implement clinical trials, and impact regulatory decisions.
In the Ides of March: National Kidney Month and World Kidney Day
Dr. Alok Agarwhal’s blog post focuses on the role of the US obesity pandemic in driving diabetes, high blood pressure—and chronic kidney disease.
How to Change “Adequate” Dialysis to Optimal
Adequate dialysis could change to optimal dialysis with one word: from payment per dialysis treatment to payment per treatment hour.