Utilization of CMS pre-ESRD Kidney Disease Education services and its associations with the home dialysis therapies.

ABSTRACT:

Background

Kidney Disease Education (KDE) has been shown to improve informed dialysis selection and home dialysis use, two long-held but underachieved goals of US nephrology community. In 2010, the Center for Medicare and Medicaid Services launched a policy of KDE reimbursements for all Medicare beneficiaries with advanced chronic kidney disease. However, the incorporation of KDE service in real-world practice and its association with the home dialysis utilization has not been examined.

Methods

Using the 2016 US Renal Data System linked to end-stage renal disease (ESRD) and pre-ESRD Medicare claim data, we identified all adult incident ESRD patients with active Medicare benefits at their first-ever dialysis during the study period (1 January 2010 to 31 December 2014). From t

SUBMITTER: Shukla AM 

PROVIDER: S-EPMC10038064 | biostudies-literature | 2021 Sep

REPOSITORIES: biostudies-literature