Rates of Medicare Enrollment Among Dialysis Patients After Implementation of Medicare Payment Reform and the Affordable Care Act Marketplace.

ABSTRACT:

Importance

Medicare finances health care for most US patients with end-stage kidney disease (ESKD), regardless of age. The 2011 Medicare prospective payment system (PPS) for dialysis reduced reimbursement for hemodialysis, and the 2014 Patient Protection and Affordable Care Act (ACA) Marketplace increased patient access to new private insurance options, potentially influencing organizations that provide health care, such as hospitals, nursing homes, and dialysis facilities, to adjust their payer mix away from Medicare sources.

Objective

To describe Medicare enrollment trends among patients with incident ESKD in 2006 to 2016.

Design, setting, and participants

This retrospective cohort study involved US patients aged 18 to 64 years who were not enrolled in Medicare at d

SUBMITTER: Wang V 

PROVIDER: S-EPMC9490494 | biostudies-literature | 2022 Sep

REPOSITORIES: biostudies-literature