Increasing the use of peritoneal dialysis can help the kidney care community reach Advancing American Kidney Health goals, but CMS will need to re-think incentives beyond what newly proposed payment models are offering nephrologists and dialysis providers, according to an editorial.
“The [Advancing American Kidney Health] AAKH has undoubtedly increased excitement among the nephrology community, specifically as it relates to home dialysis,” Eric L. Wallace, MD, and Michael Allon, MD, nephrologists at the University of Alabama at Birmingham, wrote. “As the initiative has the potential to dramatically change the face of nephrology care in the United States, it is critical that all steps be taken to ensure its success. Poorly executed efforts to rapidly increase home dialysis without promoting and funding a robust infrastructure may result in suboptimal outcomes, thus having an unintended, prolonged negative effect on home dialysis.”
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