Treatment Options for Patients with Dialysis-Requiring Acute Kidney Injury (AKI)

In 2015, President Obama signed into law the Trade Preferences Extension Act. This law would allow dialysis-requiring Acute Kidney Injury (AKI) patients to receive treatment at a Medicare-certified End Stage Renal Disease (ESRD) facility. Currently, these patients face limited options for treatment, each of which comes with major challenges.

The new law has the potential to increase access to care for AKI patients who require dialysis, while simultaneously facilitating earlier hospital discharge. Implementation of the new law will be a major focus for ASN in the coming year.

Although many health professionals will be pleased to hear that patients with dialysis-requiring AKI now have outpatient treatment options, ASN contends that CMS must address areas of concern before final implementation. For example, the care and treatment of patients with AKI requiring dialysis is fundamentally different than that of standard care for patients with ESRD requiring dialysis. Recognition of the difference is critical in order for CMS to develop appropriate regulations, guidance documents, and survey tools, regarding clinical care guidelines or pathways, payment and reimbursement, and clinical quality value monitoring.