By creator to www.healio.com
March 08, 2021
1 min learn
CMS has postponed the launch of the Kidney Care Decisions fee mannequin demonstration, set to start in April.
“The Kidney Care Decisions (KCC) Mannequin’s first efficiency yr begin date will now be January 1, 2022,” the company announced on the KCC website. “CMS seems ahead to sharing extra info when obtainable.”
CMS mentioned on the web site that “the implementation interval will lengthen by 2021 to allow mannequin individuals to arrange to tackle monetary and inhabitants well being accountability beginning in January 2022.”
The KCC mannequin is designed to function for five efficiency years.
KCC was the second element of recent fee fashions developed by CMS as a part of the Advancing American Kidney Well being initiative, authorized by an govt order and signed by then President Donald J. Trump in July 2019. In January, the ESRD Therapy Decisions (ETC) fee mannequin demonstration started after a 1-year delay.
Whereas ETC focuses on rising the variety of instances of house dialysis and transplantation, the goal of the KCC mannequin is to carry nephrologists and well being care groups collectively to deal with sufferers with persistent kidney illness.
The mannequin presently has 4 fee choices: CMS Kidney Care First (KCF), Complete Kidney Care Contracting Graduated possibility, CKCC Skilled possibility and CKCC World possibility.
In KCF, collaborating nephrologists and nephrology practices will obtain capitated funds for managing care of aligned beneficiaries with CKD levels four or 5, and for these on dialysis. The funds will probably be adjusted on the idea of well being outcomes and utilization in comparison with each the individuals’ personal expertise and nationwide requirements, and in addition efficiency on high quality measures, CMS mentioned.
As well as, KCF practices will obtain a bonus fee for each aligned beneficiary who receives a kidney transplant, with the complete quantity of the bonus ($15,000) paid within the three years following the transplant, offered the transplant stays profitable.
Underneath the Complete Kidney Care Contracting – Graduated, Skilled and World choices, the capitated funds will probably be much like the KCF possibility, however the Kidney Contracting Entities (KCEs) – nephrologists, transplant suppliers and different well being care suppliers together with dialysis amenities – will take duty for the whole price and high quality of care for his or her sufferers. In alternate, KCEs can obtain a portion of the Medicare financial savings they obtain.
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