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The national rollout of CROWNWeb for all federally certified dialysis clinics will soon be complete, according to the Centers for Medicare & Medicaid Services (CMS).

The number of physicians employed by hospitals or medical groups continues to increase, reflecting changing trends in physician reimbursement and pay-for-performance models as well as the increased infrastructure to support ongoing changes.

Health care reimbursement is undergoing a fundamental change from volume-driven to value-driven care. The Patient Protection and Affordable Care Act of 2008 has marshaled this transformation in the dominant payment model. This legislation, as yet unproven in its benefits, has placed disproportionate burdens on medical practices, challenging the business models on which they are built.

Recent Ebola cases have shown that dialysis can play a key role in the survival of critically ill patients. Given the potential importance of renal replacement therapy (RRT) for these patients—and the need for biocontainment procedures to protect caregivers—nephrologists should take active roles in creating treatment plans at their facilities, experts said.

The American Society of Nephrology (ASN) has developed and released the first benchmarks for training nephrology fellows in home dialysis modalities. The need for these guidelines was identified at the 2012 National Summit on Home Dialysis Policy, where stakeholders recognized inadequate training as a key barrier to utilization of home-centered therapies.

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Gary H. Gibbons, MD, is director of the National Heart, Lung, and Blood Institute (NHLBI), the third largest institute at the NIH, with an annual budget of more than $3 billion. Before joining the NHLBI, Gibbons served

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