A new proposed rule from the Centers for Medicare & Medicaid Services (CMS) lays out changes to how Medicare will reimburse providers for dialysis care, as well as how it will assess the quality of dialysis care. Released on Friday, June 26, and open for comment from stakeholders through Tuesday, August 25, the proposal includes several anticipated adjustments to the bundled payment and modest tweaks to the Quality Incentive Program (QIP).
Highlights of the proposed rule related to the Prospective Payment System (PPS) bundle included a reduction to the base rate, overhauls to the low-volume and case-mix adjustments to the base rate, and clarification on how new products might be added to the bundle. Many of the changes to the payment system were anticipated, as Congress had mandated that CMS reassess several PPS elements.
The ASN Quality Metrics Task Force (see box) is analyzing the proposed rule and will provide comments to CMS on behalf of the society.