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Value-Based Care and Kidney Disease: Emergence and Future Opportunities
Sri Lekha Tummalapalli1, Mallika L Mendu2
1Division of Healthcare Delivery Science & Innovation, Department of Population Health Sciences, Weill Cornell Medicine, New York, NY; The Rogosin Institute, NY, NY.
Advances in Chronic Kidney Disease
|June 11, 2022
Summary
Value-based care programs in the US aim to improve kidney disease outcomes and reduce costs. Recent federal initiatives focus on enhancing quality measurement and promoting health equity in kidney care.
Area of Science:
- Health Services Research
- Health Economics
- Nephrology
Background:
- The US healthcare system is adopting value-based programs to enhance healthcare value (quality per unit cost).
- Early value-based initiatives primarily targeted end-stage renal disease (ESRD) patients and dialysis facilities.
- Rising healthcare expenditures underscore the importance of value-based care.
Purpose of the Study:
- To review the evolution and impact of value-based programs on kidney disease care quality and costs.
- To focus on federal programs influencing kidney care.
- To identify opportunities for improving value-based kidney care.
Main Methods:
- Literature review of federal value-based programs impacting kidney disease.
- Analysis of program designs and their effects on quality and cost metrics.
- Examination of policy initiatives like the Advancing American Kidney Health initiative.
Main Results:
- Value-based programs, initially focused on ESRD, are expanding to encompass broader kidney disease populations.
- New federal models (ESRD Treatment Choices, Kidney Care Choices) aim to further integrate value-based principles.
- Impacts on quality and cost vary, with ongoing evaluation needed.
Conclusions:
- Value-based care presents significant opportunities for improving kidney disease management.
- Key areas for advancement include focusing on chronic kidney disease, population health, quality measurement, and health equity.
- Continued development and refinement of value-based models are crucial for optimizing kidney care delivery.
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