Thursday, 14 November, 2019

DaVita Statement on Advancing American Kidney Health

DaVita Fresenius Medical Fall on Trump Overhaul Report Trump signs executive order to improve kidney care
Gustavo Carr | 12 July, 2019, 19:27

"For patients with kidney diseases across America, today's executive order represented a game changer".

The topic has a personal connection for the president.

There are almost 100,000 Americans on the waiting list to receive a kidney transplant, Trump said.

As the nation's leading independent nonprofit working on behalf of the 30 million Americans with kidney disease, the American Kidney Fund is dedicated to ensuring that every kidney patient has access to health care, and that every person at risk for kidney disease is empowered to prevent it. AKF provides a complete spectrum of programs and services: prevention outreach, top-rated health educational resources, and direct financial assistance enabling the nation's low-income dialysis and transplant patients to access lifesaving medical care. Azar has also previously said the department was looking at ways to modernize payments for patients in the earlier stages of kidney disease. Epstein's latest arrest over sex trafficking charges have renewed criticism of Acosta, and shed light on Mr. Trump's past interactions with Epstein. The initiative outlines 3 goals for improving kidney health: (1) reduce the number of Americans developing ESRD by 25% by 2030; (2) have 80% of new ESRD patients in 2025 either receiving dialysis at home or receiving a transplant; and (3) double the number of kidneys available for transplant by 2030.

Organs. (a) Within 90 days of the date of this order, the Secretary shall propose a regulation to enhance the procurement and utilization of organs available through deceased donation by revising Organ Procurement Organization (OPO) rules and evaluation metrics to establish more transparent, reliable, and enforceable objective metrics for evaluating an OPO's performance.

The Comprehensive Kidney Care Contracting Models will open up capitated payments for kidney care patients to providers who will have responsibility for the total cost and quality of care for patients and share in Medicare savings. Their members have worked to remove barriers to accessing home dialysis, which include establishing the Kidney Disease Education program through which clinicians can promote modality choices, aligning of home and in-center payment rates to eliminate disincentives for providing home dialysis, and promoting changes to coverage policies to support home hemodialysis.

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Carmen Peralta, the chief medical officer for San Francisco startup Cricket Health, which uses technology to assist chronic kidney disease and end-stage renal disease patients, said the existing system has meant that for decades the most profitable option for providers has been to keep patients on in-center dialysis. According to CMS, the payment adjustments would offer incentives to work with beneficiaries and caregivers in choosing ESRD treatment setting and support greater utilization of home dialysis and kidney transplants.

"(The order) also creates an opportunity for nephrologists to get much more involved in the coordination of integrated care that will migrate economic wins away from joint venture dialysis centers". The Trump Administration is clearly aligned with CareDx in its mission to improve the long-term outcomes of kidney transplant patients.

"I've spoken to people (on dialysis)". "Many, many people are dying while they wait", said Trump before a room of people personally impacted by the disease. Only about one-third received specialized kidney care before they got so sick. Just 12% of patients start treatment at home.

Federal health officials have made clear for months that they intend to shake up a system that today favors expensive, time-consuming dialysis in large centers over easier-to-tolerate at-home care or transplants that help patients live longer.

The order will attempt to speed up the time it takes to match patients and donors for kidney transplants. DaVita (DVA) is a Fortune 500® health care provider focused on transforming care delivery to improve quality of life for patients around the globe.