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Are Kidney Transplant Centers Financially Viable Anymore?

  • 1 Uday Nori, MD, is associate professor of medicine and director of the nephrology fellowship program at Ohio State University Wexner Medical Center in Columbus. Dr. Nori is a member of the Kidney News Editorial Board.
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In the March issue of Kidney News, a study by Axelrod et al. (1) was featured that analyzed the costs of kidney transplantation. The study found that costs are increasing substantially, mostly because of the increased complexity of transplant recipients and a lack of changes in the reimbursement model by payers.

This article will highlight several other points that contribute to the increasing costs and will focus on the unintended effects of the current regulatory environment, as well as review some of the historical aspects of kidney transplantation regulation. Specifically, the combination of increasing regulation by