CMS recently finalized the End-Stage Renal Disease (ESRD) Treatment Choice (ETC) Model that encourages home dialysis and kidney transplantation for Medicare beneficiaries. This mandatory model will run from January 1, 2021, through June 30, 2027, for ESRD facilities and managing clinicians located in randomly-selected geographic areas. The model will provide a positive adjustment on Medicare claims for home dialysis during its initial three years. A second adjustment will be made to the ESRD prospective payment system for both home and in-center dialysis claims. This could be a positive or negative adjustment depending on the participant’s home dialysis, transplant waitlist and living donor rates. For more details, see the CMS Fact Sheet.

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