Unbiased Analysis of Today's Healthcare Issues

Timeline: Medicare Payment for Dialysis

Medicare spending for outpatient dialysis and injectable drugs administered during dialysis was about $9.2 billion in 2009 and is a predominant share of revenues for dialysis facilities. According to MedPAC, “Medicare covers two methods of dialysis—hemodialysis and peritoneal dialysis. In hemodialysis, a patient’s blood is cycled through a dialysis machine, which filters out body waste. […]

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Where is the Quality Incentive Program for End-Stage Renal Disease Facilities heading in 2013 and 2014?

Medicare payments for End Stage Renal Disease rely on a value-based purchasing (VBP) system known as the Quality Incentive Program (QIP). Today I review proposed changes to the QIP that will effect the payments for dialysis centers in 2013 and 2014. Payment Year 2013 Two measures have been adopted for the payment year (PY) 2013 […]

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Medicare payments for outpatient dialysis

Today I will review how Medicare treats patients with end-stage renal disease (ESRD), relying largely on data from MedPAC’s 2011 Report to Congress. In 2009, about 340,000 dialysis beneficiaries were covered by fee-for-service (FFS) Medicare. Compared with all Medicare beneficiaries, dialysis FFS beneficiaries are disproportionately younger and African American. Ninety two percent of there beneficiaries […]

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Investigative Journalism: Medicare’s ESRD Program

Today, I will review an excellent piece of investigative journalism on Medicare’s end-stage renal disease (ESRD) program.  The program provides free access to medical care for patients with kidney disease.  Some highlights of these ProPublica report include the following: Program Inception “…the new program would help about 11,000 Americans, just for starters. For a modest […]

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ESRD Quality Monitoring Initiative

All patients with end stage renal disease (ESRD) are eligible for Medicare regardless of their age.  In 1972, the Social Security Act extended all Medicare Part A and Part B benefits to individuals with ESRD (of any age) who are entitled to receive Social Security benefits. ESRD beneficiaries now account for 1% of Medicare enrollment. […]

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