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ETC Model: How One Small Dialysis Organization Is Navigating Uncharted Policy Waters
The ETC model proposes to increase access to home dialysis and transplant for patients with ESRD. Implementation of this model is happening while many dialysis organizations are still suffering the far-reaching effects of the coronavirus disease 2019 (COVID-19) pandemic. In addition, the model has t...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Authors. Published by Elsevier Inc. on behalf of the National Kidney Foundation, Inc.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9653300/ https://www.ncbi.nlm.nih.gov/pubmed/35690403 http://dx.doi.org/10.1053/j.ackd.2022.01.001 |
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author | Bhat, J. Ganesh Weiss, Steven |
author_facet | Bhat, J. Ganesh Weiss, Steven |
author_sort | Bhat, J. Ganesh |
collection | PubMed |
description | The ETC model proposes to increase access to home dialysis and transplant for patients with ESRD. Implementation of this model is happening while many dialysis organizations are still suffering the far-reaching effects of the coronavirus disease 2019 (COVID-19) pandemic. In addition, the model has the potential to negatively affect small and independent dialysis organizations disproportionately. It incentivizes home dialysis over transplant and promotes development of new home dialysis programs, rewards achievement over improvement, and places an excessive burden on small and independent dialysis organizations. Advantages of the program include the focus on self-care as an acceptable alternative to home dialysis for some patients and the potential for some organizations to make improvements in care with increased reimbursements. The authors hope that the Centers for Medicare and Medicaid Services will address many of these concerns in updated rulemaking and guidance. |
format | Online Article Text |
id | pubmed-9653300 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | The Authors. Published by Elsevier Inc. on behalf of the National Kidney Foundation, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-96533002022-11-14 ETC Model: How One Small Dialysis Organization Is Navigating Uncharted Policy Waters Bhat, J. Ganesh Weiss, Steven Adv Chronic Kidney Dis Review Article The ETC model proposes to increase access to home dialysis and transplant for patients with ESRD. Implementation of this model is happening while many dialysis organizations are still suffering the far-reaching effects of the coronavirus disease 2019 (COVID-19) pandemic. In addition, the model has the potential to negatively affect small and independent dialysis organizations disproportionately. It incentivizes home dialysis over transplant and promotes development of new home dialysis programs, rewards achievement over improvement, and places an excessive burden on small and independent dialysis organizations. Advantages of the program include the focus on self-care as an acceptable alternative to home dialysis for some patients and the potential for some organizations to make improvements in care with increased reimbursements. The authors hope that the Centers for Medicare and Medicaid Services will address many of these concerns in updated rulemaking and guidance. The Authors. Published by Elsevier Inc. on behalf of the National Kidney Foundation, Inc. 2022-01 2022-06-08 /pmc/articles/PMC9653300/ /pubmed/35690403 http://dx.doi.org/10.1053/j.ackd.2022.01.001 Text en © 2022 The Authors Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. |
spellingShingle | Review Article Bhat, J. Ganesh Weiss, Steven ETC Model: How One Small Dialysis Organization Is Navigating Uncharted Policy Waters |
title | ETC Model: How One Small Dialysis Organization Is Navigating Uncharted Policy Waters |
title_full | ETC Model: How One Small Dialysis Organization Is Navigating Uncharted Policy Waters |
title_fullStr | ETC Model: How One Small Dialysis Organization Is Navigating Uncharted Policy Waters |
title_full_unstemmed | ETC Model: How One Small Dialysis Organization Is Navigating Uncharted Policy Waters |
title_short | ETC Model: How One Small Dialysis Organization Is Navigating Uncharted Policy Waters |
title_sort | etc model: how one small dialysis organization is navigating uncharted policy waters |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9653300/ https://www.ncbi.nlm.nih.gov/pubmed/35690403 http://dx.doi.org/10.1053/j.ackd.2022.01.001 |
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