Medicare's New Prospective Payment System on Facility Provision of Peritoneal Dialysis.

ABSTRACT:

Background and objectives

Peritoneal dialysis is a self-administered, home-based treatment for ESKD associated with equivalent mortality, higher quality of life, and lower costs compared with hemodialysis. In 2011, Medicare implemented a comprehensive prospective payment system that makes a single payment for all dialysis, medication, and ancillary services. We examined whether the prospective payment system increased dialysis facility provision of peritoneal dialysis services and whether changes in peritoneal dialysis provision were more common among dialysis facilities that are chain affiliated, located in nonurban areas, and in regions with high dialysis market competition.

Design, setting, participants, & measurements

We conducted a longitudinal retrospective cohort stud

SUBMITTER: Wang V 

PROVIDER: S-EPMC6302340 | biostudies-literature | 2018 Dec

REPOSITORIES: biostudies-literature