Trump Administration Launches Kidney Health Initiative

DaVita Fresenius Medical Fall on Trump Overhaul Report

DaVita Fresenius Medical Fall on Trump Overhaul Report

"We are excited by the Administration's enthusiasm to support kidney health and promote the benefits of transplantation and look forward to working with the administration on these ambitious policy proposals moving forward".

"I am here to say we are fighting by your side and we are determined to get you the best treatment in the world", Trump said.

Kidney disease is the ninth-leading cause of death in the USA and a major expense for the federal government. Under the KCF Model, participating nephrology practices would receive adjusted fixed payments on a per-patient basis for managing patients with late-stage chronic kidney disease and patients with ESRD. The stock had tumbled 9.8% over the past two sessions in anticipation of the executive order. The proposed mandatory ESRD Treatment Choices (ETC) Model, which would account for approximately 50% of Medicare beneficiaries with ESRD, would apply payment adjustments to the adjusted ESRD Prospective Payment System per treatment base rate to selected facilities, as well as the monthly capitation payment to selected clinicians, based on their home dialysis and kidney and kidney-pancreas transplant rates. "It is unclear at this point what the incentives are for a shift to home dialysis", Gupte said by email.

"The longer you're on dialysis, the outcomes are worse", said Dr. Amit Tevar, a transplant surgeon at the University of Pittsburgh Medical Center, who praised the administration's initiatives. In touting the new effort, Health and Human Services Secretary Alex Azar and CMMI Director Adam Boehler spoke about how kidney disease has affected their families. CareDx offers products along the pre- and post-transplant testing continuum, and is the leading provider of genomics-based information for transplant patients. Her kidney failure struck while she was being treated for another disease, and she woke up in the hospital attached to a dialysis machine.

A bonus to kidney specialists who help prepare patients for early transplant, including steps that can begin before dialysis is required.

In what may prove a shock to doctors, Donald Trump has claimed kidneys have "a very special place in the heart". Azar believes the executive order will save money in the long run.

Today, about 11% of patients in kidney failure get at-home dialysis and an additional 3 percent get an early transplant.

He made those remarks before signing an executive order on advancing American kidney health in Washington, D.C. on Wednesday.

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Doubling the number of kidneys available for transplant by 2030. Trump said the initiative would also hold organ procurement organizations more accountable so that fewer usable organs are discarded.

Expand support for living donors by paying for lost wages and childcare expenses.

And he predicted that USA researchers would one day create artificial replacement kidneys.

Education is important to slow the progression of kidney disease. Previous administrations, including Barack Obama's, have suggested similar initiatives, but not much has changed.

The current Medicare payment system encourages in-center hemodialysis as the default treatment, the Centers for Medicare & Medicaid Services said. "Care of kidney patients has been broken in the United States for a long time, plagued with a corporate duopoly [and] a lower income minority population losing out", he wrote.

Healthcare has been a key issue for Trump, who tried and failed to replace the Affordable Care Act, also known as Obamacare, but has rolled back key provisions, such as the penalty for not having health insurance.

Ultimately, though, he said what is needed is whole new technology that can make dialysis an easier process on the body.

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