The Centers for Medicare and Medicaid Services (CMS) published their annual rule that proposes updates to the Medicare ESRD Prospective Payment System (PPS) for calendar year 2019, and proposes changes to the Medicare ESRD Quality Incentive Program (QIP) for payment years 2021, 2022 and 2024. Comments are due September 10. AKF will be submitting a response and will focus our comments and recommendations on ensuring patient access to dialysis treatment and high-quality care.

A summary of the proposed updates to the PPS and QIP can be found in this fact sheet from CMS. In addition to those proposed changes, CMS is soliciting stakeholder input on ways to increase kidney transplant referrals, improve the tracking process for patients on the transplant waitlist, and ensure equal access to dialysis modalities, including home dialysis.