Payment Reform and Health Disparities: Changes in Dialysis Modality under the New Medicare Dialysis Payment System.

ABSTRACT:

Objective

To evaluate the effect of the Medicare dialysis payment reform on potential disparities in the selection of peritoneal dialysis (PD) for the treatment of end-stage renal disease (ESRD).

Data sources

Centers for Medicare & Medicaid Services (CMS) ESRD Medical Evidence Form, Medicare claims, and other CMS data for 2008-2013.

Study design

We examined the association of patient age, race/ethnicity, urban/rural location, pre-ESRD care, comorbidities, insurance, and other factors with the selection of PD as initial dialysis modality across prereform (2008-2009), interim (2010), and postreform (2011-2013) time periods.

Principal findings

Selection of PD increased among diverse patient subgroups following the payment reform. However, the lower PD selection ob

SUBMITTER: Turenne M 

PROVIDER: S-EPMC5980208 | biostudies-literature | 2018 Jun

REPOSITORIES: biostudies-literature