Bundled Payment Reform and Dialysis Facility Closures in ESKD.

ABSTRACT:

Background

In 2011, inclusion of injectable medications into an expanded ESKD payment bundle prompted concerns that dialysis facilities facing higher costs might close, disrupting care delivery and access to care. Whether this policy change influenced dialysis facility closures is unknown.

Methods

To examine whether facility closures increased after 2011 and whether factors influencing closures changed, we analyzed US Renal Data System registry data to identify all patients receiving in-center hemodialysis from 2006 through 2015 and to track dialysis facility closures. We used interrupted time series logistic regression models and estimated marginal effects to examine immediate and longer-term changes in the likelihood of being affected by facility closures following payment

SUBMITTER: Norouzi S 

PROVIDER: S-EPMC7062226 | biostudies-literature | 2020 Mar

REPOSITORIES: biostudies-literature