Pay-for-Performance Incentives for Home Dialysis Use and Kidney Transplant.

ABSTRACT:

Importance

The Centers for Medicare & Medicaid Services' mandatory End-Stage Renal Disease Treatment Choices (ETC) model, launched on January 1, 2021, randomly assigned approximately 30% of US dialysis facilities and managing clinicians to financial incentives to increase the use of home dialysis and kidney transplant.

Objective

To assess the ETC's association with use of home dialysis and kidney transplant during the model's first 2 years and examine changes in these outcomes by race, ethnicity, and socioeconomic status.

Design, setting, and participants

This retrospective cross-sectional study used claims and enrollment data for traditional Medicare beneficiaries with kidney failure from 2017 to 2022 linked to same-period transplant data from the United Network for

SUBMITTER: Koukounas KG 

PROVIDER: S-EPMC11215557 | biostudies-literature | 2024 Jun

REPOSITORIES: biostudies-literature