Home Dialyzors United (HDU) today urged the Centers for Medicare & Medicaid Services (CMS) to increase payments for home hemodialysis training and to include measures that apply to dialysis center services to home dialysis patients.
Although numerous studies have found that patients who use home dialysis, and particularly home hemodialysis, have better outcomes, and a better quality of life, only about 10 percent of Medicare patients with ESRD dialyze at home, and only 2 percent do home hemodialysis.
Among the barriers to home dialysis are lack of complete, unbiased education about dialysis treatment options, lack of access to dialysis centers that offer home dialysis, and payment incentives that favor traditional, in-center treatment over home dialysis.
In comments submitted to CMS on the proposed rules for the End Stage Renal Disease (ESRD) Prospective Payment System (PPS) for Calendar Year 2016 and the ESRD Quality Incentive Program (QIP) for Payment Years 2017 and 2018, HDU strongly recommended that CMS adopt final rules that will eliminate barriers to home dialysis, and improve the quality of services that dialysis centers offer to their home dialysis patients.
Attached is a copy of HDU’s comment letter.
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Ellen Griffith Cohen