Navigation Links
Kidney Patients' Health Is Jeopardized by Proposed Medicare Changes
Date:12/10/2007

New Report on the Medicare End Stage Renal Disease Program Recommends Policy Changes and Urges Focus on Innovation, Prevention, and Awareness

WASHINGTON, Dec. 10 /PRNewswire-USNewswire/ -- The Association of Minority Nephrologists and the National Minority Quality Forum today released a consensus report addressing proposed changes to the Medicare End Stage Renal Disease (ESRD) Program that are currently being considered by the U.S. Congress.

The House has passed the proposed changes, and the Senate will consider them soon. The purpose of the changes is to contain ESRD Program costs in the short term by reimbursing providers of ESRD care with a single payment for the complete range of treatments provided to ESRD patients.

Medicare is the primary payer for 80 percent of the more than 485,000 ESRD patients in the United States.(i) Currently, the Medicare ESRD Program pays an estimated $20 billion for ESRD patients' dialysis, transplantation, and inpatient and outpatient care. Dialysis units are reimbursed for each treatment at a "composite rate" that is set by the government to cover the fixed costs of nursing, supplies, and equipment. They receive separate payments to cover the costs of some injectable drugs and diagnostic tests. Congress is currently considering legislation that would bring all Medicare ESRD services under a single, "fully bundled" rate.

The report finds that as early as the 1990s, previous Congresses had commissioned reviews of a fully bundled rate. These reviews found that bundling had the potential to deny beneficiaries access to medically necessary therapies. Proceeding with appropriate caution, under the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA), the 106th Congress mandated that the Centers for Medicare and Medicaid Services (CMS) complete a bundling demonstration project by 2006 to avoid any risk to patients. Because of the complexity of designing a demonstration of full bundling, CMS has not yet completed this requirement. Impatient with CMS's inaction, the House recently voted for the implementation of bundling without a demonstration.

"Approximately half of all U.S. patients with end-stage renal disease are members of racial or ethnic minority groups," said Gary A. Puckrein, PhD, President and Chief Executive Officer of the National Minority Quality Forum. "We are extremely concerned that Congress would contemplate altering the payment system without studying the implications of bundling and without testing it as originally mandated under the Medicare Prescription Drug, Improvement, and Modernization Act of 2003."

The consensus report cautions that small, independent dialysis facilities in rural and inner-city areas may also be negatively impacted by bundling. "Because these facilities may not have the volume of patients to manage the risks of an untested bundled system, they may be forced to close, which would harm many patients, particularly among minority populations," said Dr. Puckrein.

The National Minority Quality Forum and the Association of Minority Nephrologists recognize that the costs of ESRD treatment must be contained, but they warn that the proposed bundled system is a short-term solution that would widen the gap between patients and the quality care that they need. "Resources and energy should be devoted to preventing end-stage renal disease and to finding more cost-efficient technologies and therapies to treat it," said Keith Norris, MD, President of the Association of Minority Nephrologists. "The government plays a crucial role in stimulating the market and has the ability to encourage innovation and investment to reduce the cost in the ESRD Program, rather than force an untested system without a full understanding of risks and benefits for patient care. These are the tools needed to break this cycle of chronic disease among minorities and in the U.S. population as a whole."

To view the consensus report (PDF), visit http://www.nmqf.org/Statements/ConsensusStatement071210.pdf.

About the National Minority Quality Forum

The National Minority Quality Forum (formerly the National Minority Health Month Foundation) was founded in 1998 to address the critical need for strengthening national and local efforts to use evidence-based, data-driven initiatives to guide programs to eliminate the disproportionate burden of premature death and preventable illness for racial and ethnic minorities and other special populations. The Forum is a research and educational organization dedicated to ensuring that high-risk racial and ethnic populations and communities receive optimal health care. This nonprofit, nonpartisan organization integrates data and expertise in support of initiatives to eliminate health disparities. The Forum strives to prepare the health system in the United States to provide optimal health care for a diverse society. The Forum aims to assist health-care providers, professionals, administrators, researchers, policy makers, and community and faith-based organizations in delivering appropriate health care to minority communities. This assistance must be based on science, research, and analysis that lead to the effective organization and management of system resources to improve the quality and safety of health care for the entire U.S. population, including minorities. To find out more, visit http://www.nmqf.org.

About the Association of Minority Nephrologists

The Association of Minority Nephrologists was established in 1988 to help address the gross underrepresentation of African American Nephrologists in comparison to the percentage of African American patients with kidney disease and ESRD. Although nearly 30% of ESRD patients are Black, there are only slightly more than 200 Black nephrologists in the United States. The same discrepancy exists in the Hispanic and Native American communities. The Association has been dedicated to improving the health of all minorities. To find out more, visit http://www.aomn.org/.

(i) Kidney Disease by the Numbers (Congressional Kidney Caucus) http://www.house.gov/mcdermott/kidneycaucus/numbers.html (accessed December 3, 2007); U.S. Renal Data System, "Precis," http://www.usrds.org/2007/pdf/00a_precis_07.pdf (accessed December 3, 2007), p. 20, in USRDS 2007 Annual Data Report: Atlas of Chronic Kidney Disease and End-Stage Renal Disease in the United States (Bethesda, MD: National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, 2007).


'/>"/>
SOURCE National Minority Quality Forum; Association of Minority
Copyright©2007 PR Newswire.
All rights reserved

Related medicine news :

1. Single-incision belly-button surgery to remove kidney performed first at UT Southwestern
2. Expenses Overshadow Optimism for Kidney Failure Patients
3. Katie Lee Joel to Conduct Cooking Demonstration for Local Patients With Chronic Kidney Disease
4. Experimental drug shows promise in advanced kidney cancer
5. New Kidney Disease Can Be Fatal
6. Lowering Blood Protein Wont Help Kidney Patients
7. DaVita Teammates Bicycling 230 Miles for Kidney Disease Education
8. Stem Cell Therapy Disappoints Against Rare Kidney Ailment
9. Metabolic syndrome heightens risk for development of uric-acid kidney stones
10. Nighttime Home Dialysis a Boon for Kidney Patients
11. New Survey Reveals Kidney Patients Concern About Medicare Policies
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/28/2016)... ... 2016 , ... After a year and a half of planning the Multiple Pathways of ... Multiple Pathways of Recovery Conference was held May 2 -4, 2016 at the Mystic ... came together to explore the many pathways individuals use to get into and sustain their ...
(Date:5/27/2016)... ... May 27, 2016 , ... Two director-level employees of Horizon Blue Cross Blue ... Industry (TWIN) 2016 honorees. The award recognizes businesswomen who excel in their fields ... Director of the MLTSS (Managed Long-Term Services and Supports) Program at Horizon NJ Health ...
(Date:5/27/2016)... ... , ... This campaign aims to provide a path to improved education and ... and change. , As nearly 795,000 Americans suffering from a new or recurrent stoke ... with an estimated 129,000 of these people dying from stroke, it’s become our nation’s ...
(Date:5/27/2016)... ... 27, 2016 , ... Aimed at nurses and employees in ... courtesy of leaders in the nursing and health care industry. It also provides ... and associations—namely Jones & Bartlett Learning. , Jones & Bartlett Learning is adding ...
(Date:5/26/2016)... ... ... Despite last week’s media reports hinting at a June rate hike after the ... for an interest rate increase, according to Rajeev Dhawan of the Economic Forecasting Center ... Market Committee (FOMC) dot charts are of interest to the press for their noise ...
Breaking Medicine News(10 mins):
(Date:5/27/2016)... PUNE, India , May 27, 2016 ... in the instances of hypertension is driving ambulatory blood ... muscles lose their elasticity and their ability to respond ... blood pressure. This condition can lead to various cardiovascular ... and peripheral vascular disease. These diseases are growing in ...
(Date:5/26/2016)... , May 26, 2016 According ... "Medical Waste Management Market - U.S. Industry Analysis, Size, Share, ... management market in the U.S. was valued at US$ 5.89 ... CAGR of 3.4% from 2015 to 2023 to reach US$ ... analysis of current and emerging needle free drug delivery devices ...
(Date:5/25/2016)... May 25,2016 FDA 510(k) ... Cellvizio platform for urological and surgical applications ... inventor of Cellvizio®, the multidisciplinary confocal laser endomicroscopy ... in the US with the 12 th ... Administration (FDA). This new FDA clearance covers Confocal ...
Breaking Medicine Technology: