Medicare

HDU Comments on CMS-1614-P Medicare Program; End Stage Renal Disease Prospective Payment System and Quality Incentive Program

August 28, 2014 To:   Marilyn Tavenner, AdministratorCenters for Medicare & Medicaid ServicesDepartment of Health and Human ServicesWashington, DC 20201 Re: CMS-1614-P Medicare Program; End Stage Renal Disease Prospective Payment Systemand Quality Incentive Program Dear Adminstrator Tavenner: On behalf of Home Dialyzors United (HDU), we are pleased to offer comments on the proposed rulescalendar year 2015 […]


Future Dialysis Cuts Reduced and Oral-only Drugs Remain under Part D until 2024

DC at Night02

(National Kidney Foundation) On Monday March 31, 2014, the Senate passed legislation that avoids substantial Medicare cuts to physician payments. This vote comes on the heels of House approval that occurred last week.   The one year patch to Medicare physician payments includes a provision tomitigate the effect of future cuts to dialysis payment for years […]


CMS, University of Michigan call for Technical Expert Panel members for ESRD Functional Status project

DC at Night02

(Nephrology News & Issues) The Centers for Medicare & Medicaid Services has contracted with the University of Michigan Kidney Epidemiology and Cost Center (UM-KECC) to develop functional status quality measures for the End-Stage Renal Disease Program. UM-KECC said the purpose of the project is to develop measures that can be used to provide quality care […]


CMS Boosts Pay for Home Dialysis Training

DC at Night02

(MedPage Today)  By David Pittman, WASHINGTON — Medicare payments to dialysis facilities will remain flat next year, the Centers for Medicare and Medicaid Services (CMS) announced late Friday, almost 4 months after threatening a 9.4% cut. The agency, however, will increase by 50% what it pays providers to train patients to do dialysis at home, much […]


DaVita Spared as Medicare Wipes Out 9.4% Dialysis Cut

DC at Night02

(Bloomberg)   By Anna Edney DaVita HealthCare Partners Inc. (DVA), Fresenius Medical Care AG (FME) and other dialysis companies received a break from U.S. regulators, who are scrapping a proposed 9.4 percent cut in Medicare payments to the companies next year. DaVita, the second-largest dialysis provider in the U.S., rose 13 percent in late trading after […]


Despite benefits from the ESRD bundle, stopping the payment ‘leakage’ is a priorit

DC at Night02

(Nephrology News & Issues )    By Mark E.Neumann   It remains unclear what the Centers for Medicare & Medicaid Services will do next month with its proposed ESRD bundled payment cut. The agency faces pressure from more than 400 comments to its proposed rule, most of them focusing on the ESRD payment issue (other […]


HDU Comments on PPS and QIP – CY2014

DC at Night02

August 31, 2013 Marilyn Tavenner Administrator Centers for Medicare and Medicaid Services Department of Health and Human Services Hubert H. Humphrey Building 200 Independence Ave. SW Washington, DC 20201 RE: CMS-2013-0150-0002: Medicare Program: End-Stage Renal Disease Prospective Payment System, Quality Incentive Program, and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies   Home Dialyzors United is […]


House Bid to Undo Dialysis Cuts Shows Lobbyists’ Muscle

DC at Night02

(New York Times)    WASHINGTON — Eight months ago, Congress ordered the Obama administration to eliminate a stark example of federal government waste: more than $500 million a year in excessive drug payments being sent to dialysis clinics nationwide. ut in a demonstration of just how hard it is to curb spending in Washington, more than […]


CMS proposes 12% cut to ESRD bundle

DC at Night02

(Nephrology News & Issues) The Centers for Medicare & Medicaid Services released a proposed rule on July 1 to trim 12% off the composite rate in the ESRD bundle to make up for significant drops in the use of anemia drugs, and included some new measures for the ESRD Quality Incentive Program for calendar year […]


CMS Responds To Lawmakers On ESRD Pay; Says Proposed Rule Is Coming Soon

DC at Night02

(InsideHealthPolicy.com)  CMS Administrator Marilyn Tavenner on Monday (June 25) responded to lawmakers who worry that CMS will drastically cut pay for dialysis services by telling them to wait for CMS to release the proposed pay rule for end-stage renal disease, which industry sources expect this week.


CMS: Health plans for dialysis patients on Medicare Advantage not impacted by sequester

DC at Night02

(Nephrology News & Issues) Although dialysis clinics are dealing with a 2% cut off the bundled rate for all Medicare patients because of federal sequestration, the cuts do not impact other Medicare programs, including Medicare Advantage. The Centers for Medicare & Medicaid Services issued a memorandum last month affirming that Medicare Advantage Plans are exempt […]


ESRD QIP Final Rule for Payment Years 2013 and 2014

End-Stage Renal Disease Prospective Payment System and Quality Incentive Program; Ambulance Fee Schedule; Durable Medical Equipment; and Competitive Acquisition of Certain Durable Medical Equipment, Prosthetics, Orthotics and Supplies


ESRD QIP Final Rule for Payment Year 2012

Medicare Program; End-Stage Renal Disease Quality Incentive Program  


Medicare and Medicaid Programs; Conditions for Coverage for End-Stage Renal Disease Facilities; Final Rule

 Entire 116 page rule as published by DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 42 CFR Parts 405, 410, 413, 414, 488, and 494