Sarah Tolson highlights the concerns and challenges dialysis programs face under the 2025 ESRD PPS requirements. Sarah Tolson shares what billing departments of dialysis programs need to know about the CMS final rule for the ESRD PPS. It is important to understand the challenges Medicare Advantage plans present for ESRD care. The CMMI renewed its contract with Phreesia to use the Patient Activation Measure to support the Kidney Care Choices Model. CMS will rescind a proposed draft coverage policy that would have limited coverage of noninvasive post-transplant monitoring. The RPA and ASN called for a halt in reductions to Medicare payments to nephrology practices participating in the KCC model. Medicare Advantage plans are posing significant operational and financial hurdles for dialysis programs. Medicare Part D spending on GLP-1 drugs has soared to $5.7 billion, straining Medicare spending. Aetna, in partnership with Monogram Health, will offer in-home care to its Medicare Advantage members with CKD or ESKD. Among recipients of kidney transplantation, adherence to prescribed medication is key in graft survival as well as in ... Each year, as part of the service my company provides to our clients, I review the CMS physician fee schedule for the ... Out-of-pocket costs for guideline-recommended medications for older adults with chronic conditions have decreased over ... A study, presented at the American Heart Association’s Quality of Care and Outcomes Research Scientific Sessions 2021, ... Medicare reimbursement for arthroplasty procedures has changed drastically since the year 2000, with significant ... A study found that the Medicare eligibility threshold of age 65 years was helpful in increasing cancer diagnoses—stage ... Adding to the pile of research linking COVID-19 and vascular issues, a new study indicates that venous thromboembolism ... A study observed significant differences in healthcare resource utilization (HCRU) between patients with multiple ... A new study shows a decline in both Black and White cancer patients following surgery, however, a gap between the two ...