On the evening of July 1, 2021, the Centers for Medicare & Medicaid Services (CMS) released the calendar year (CY) 2022 proposed rulemaking for end-stage renal disease (ESRD). The rule includes the annual update to the ESRD prospective payment system and the ESRD Quality Incentive Program (ESRD QIP). The rule also includes proposed changes to [...] Read More
On July 6, 2020, the Centers for Medicare & Medicaid Services (CMS) released its proposed rule that updates and revises its End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) for calendar year 2021 (CMS-1732-P). This rule makes regular annual updates to the ESRD PPS and proposes certain changes to the ESRD Quality Improvement Program (QIP). [...] Read More
On May 22, 2020, the Centers for Medicare & Medicaid Services (CMS) released a final rule adopting policies for contract year 2021 for Medicare Advantage (MA) and Medicare Part D. Acknowledging the upcoming MA and Part D bid deadlines for the 2021 plan year, CMS has decided only to address a portion of the proposed [...] Read More
Tweet On October 31, 2019, the Centers for Medicare & Medicaid Services (CMS) released its 2020 End Stage Renal Disease/Durable Medical Equipment Payment final rule. In addition to changes to payments under the end-stage renal disease (ESRD) and durable medical equipment (DME) programs, the rule includes changes to payment for renal dialysis, the ESRD quality [...] Read More
Tweet On July 29, 2019, the Centers for Medicare & Medicaid Services (CMS) released its 2020 End Stage Renal Disease/Durable Medical Equipment Payment proposed rule. In addition to changes to payments under the end-stage renal disease (ESRD) and durable medical equipment (DME) programs, the rule proposes changes to payment for renal dialysis, the ESRD quality [...] Read More
Overview On July 10, 2019, the Centers for Medicare & Medicaid Services released a proposed rule that outlines two new proposed mandatory models: the Radiation Oncology Model (RO Model) and the End-Stage Renal Disease (ESRD) Treatment Choices Model (ETC Model). The proposed rule includes details about the payment, participation, and timeline of each model. Comments on [...] Read More
This evening, the Centers for Medicare and Medicaid Services (CMS) released the CY 2019 final payment rule for the End-Stage Renal Disease (ESRD) program. The rule contains a payment update for the ESRD Prospective Payment System, changes to the ESRD quality program, and an expansion of the ESRD Transitional Drug Add-on Payment Adjustment (TDAPA). Additionally, the [...] Read More
This evening, the Centers for Medicare and Medicaid Services (CMS) released the CY 2019 proposed payment rule for the End-Stage Renal Disease (ESRD) program and for Durable Medical Equipment Prosthetics, Orthotics, and Supplies (DMEPOS). The rule contains a payment update for the ESRD Prospective Payment System, changes to the ESRD quality program, and an expansion […]
Read MoreOn October 27, 2017, CMS released its CY 2018 End-Stage Renal Disease Prospective Payment System, Payment for Renal Dialysis Services Furnished to Individuals with Acute Kidney Injury, and End-Stage Renal Disease Quality Incentive Program final rule. Applied Policy previously covered the proposed rule, and this rule largely finalizes the provisions in that proposed rule. ESRD […]
Read MoreThis afternoon, the Centers for Medicare and Medicaid Services released its CY 2018 End Stage Renal Disease Prospective Payment System, Payment for Renal Dialysis Services Furnished to Individuals with Acute Kidney Injury, and End-Stage Renal Disease Quality Incentive Program proposed rule. Besides setting a slightly increased end stage renal disease (ESRD) prospective payment system (PPS) base rate […]
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