CMS announced a new program to coordinate care for Medicare patients with end-stage renal disease.
The Comprehensive ESRD Care initiative, which is being run through the CMS Innovation Center, will include partnerships between CMS and healthcare providers to test payment and service delivery models that will create more patient-centered care for Medicare patients with ESRD.
Specifically, CMS will enter into agreements with groups of healthcare providers and suppliers called ESRD Seamless Care Organizations, which will coordinate care for patients. These organizations must include at minimum a dialysis facility, a nephrologist and one other Medicare provider or supplier, according to the release. The ESRD Seamless Care Organizations will be clinically and financially responsible for a group of Medicare beneficiaries with ESRD, who will retain the right to see any Medicare provider.
Participating organizations will be evaluated on their performance on quality measures, including beneficiary health and experience. Organizations that improve health outcomes and lower the per capital cost of care for beneficiaries will have the opportunity to share in Medicare savings with CMS
Organizations interested in participating must submit a non-binding letter of intent by March 15. Participant applications are due May 1.
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The Comprehensive ESRD Care initiative, which is being run through the CMS Innovation Center, will include partnerships between CMS and healthcare providers to test payment and service delivery models that will create more patient-centered care for Medicare patients with ESRD.
Specifically, CMS will enter into agreements with groups of healthcare providers and suppliers called ESRD Seamless Care Organizations, which will coordinate care for patients. These organizations must include at minimum a dialysis facility, a nephrologist and one other Medicare provider or supplier, according to the release. The ESRD Seamless Care Organizations will be clinically and financially responsible for a group of Medicare beneficiaries with ESRD, who will retain the right to see any Medicare provider.
Participating organizations will be evaluated on their performance on quality measures, including beneficiary health and experience. Organizations that improve health outcomes and lower the per capital cost of care for beneficiaries will have the opportunity to share in Medicare savings with CMS
Organizations interested in participating must submit a non-binding letter of intent by March 15. Participant applications are due May 1.
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