Kidney disease was the ninth-leading cause of death in the United States in 2017. Approximately 37 million Americans have chronic kidney disease and more than 726,000 have ESRD. Twenty percent die within a year; fifty percent die within 5 years. "Over the past four years we have been able to test new models of care and share the results of our efforts in the hope that the delivery of kidney care can be improved nationwide". The initiative's overarching goals are to reduce the number of new patients with end-stage renal disease by 25 percent by 2030, and to have 80 percent of ESRD patients either receiving in-home dialysis or transplants by 2025.
Sec. 4. Payment Model to Identify and Treat At-Risk Populations Earlier in Disease Development. "DCI and REACH Kidney Care have enjoyed the opportunity to exchange ideas with the Center for Medicare and Medicaid innovation team", stated Johnson.
While the administration is focusing on kidney health, the Affordable Care Act is continuing to play out in the courts. In tandem with the Administration's support and collaboration, Kidney Care FIRST is slated to achieve improvements in kidney care nationwide by focusing on five major pillars: awareness and prevention; patient empowerment; quality and access to quality care; innovation; and, research. Further, KCP has long maintained that private-public partnerships are needed to ensure that Chronic Kidney Disease (CKD) patients receive optimal care and are able to live quality lives. The Trump Administration is clearly aligned with CareDx in its mission to improve the long-term outcomes of kidney transplant patients.
DaVita is passionate about helping as many patients as possible qualify for a kidney transplant. Compared to the national average, REACH patients: · 22.9% start dialysis at home; 10% is the national average · 51.3% start using a permanent access; 20% is the national average · 55.2% avoid hospitalization before the start of dialysis; 33% is the national average · 6.6% get a pre-emptive transplant; 2.8% is the national average (data from 3,017 patients in 8 locations) "The current administration has demonstrated an interest in changing the status quo of kidney care". In addition, more needs to be done to address shortages in home dialysis supplies and any steps taken to encourage increased dialysis supplies would also be welcomed. Clearer ways to measure how well the nation's 58 organ procurement organizations collect donations from deceased donors. It will also seek to shorten the time it takes for transplant candidates to receive kidneys from transplant centers. People who choose to become living donors need support. "Right now every financial incentive is toward dialysis and not toward transplantation and long-term survivorship, " Health and Human Services Secretary Alex Azar, whose father experienced traditional and at-home dialysis before getting a living donor transplant, told a Senate hearing in March. The regulation should expand the definition of allowable costs that can be reimbursed under the Reimbursement of Travel and Subsistence Expenses Incurred Toward Living Organ Donation program, raise the limit on the income of donors eligible for reimbursement under the program, allow reimbursement for lost-wage expenses, and provide for reimbursement of child-care and elder-care expenses.