The Large Kidney Care Organizations' Experience With the New Kidney Models.

Area of Science:

• Nephrology
• Health Policy
• Healthcare Economics

Background:

• The Advancing American Kidney Health executive order initiated efforts to improve kidney disease management.
• Key initiatives include new payment models from the Centers for Medicare & Medicaid Services Innovation Center.
• These models focus on delaying disease progression, increasing kidney transplantation, and promoting home dialysis.

Purpose of the Study:

• To evaluate the early performance of new kidney disease payment models.
• To assess the impact of the End Stage Renal Disease Treatment Choices and Kidney Care Choices models.
• To identify improvements and opportunities within value-based care for kidney disease.

Main Methods:

• Analysis of early experiences from two large kidney care organizations.
• Assessment of the implementation and outcomes of mandatory and voluntary payment models.
• Comparison of new models with previous kidney care payment structures.

Main Results:

• The new payment models demonstrate improvements compared to prior kidney care payment systems.
• These models facilitate nephrologist partnerships and patient-centered care across the continuum.
• Early experiences suggest potential for enhanced kidney disease management and patient benefits.

Conclusions:

• The implemented payment models represent a significant step towards value-based care in nephrology.
• These initiatives have the potential to yield substantial benefits for patients with kidney disease.
• Continued evaluation and refinement are essential for maximizing the success of these models.