Published: Fri, July 12, 2019
Medical | By

Using Obamacare Funds, Trump Aims To Shift Dialysis Care To Patients' Homes

Using Obamacare Funds, Trump Aims To Shift Dialysis Care To Patients' Homes

The state of care for patients with chronic kidney disease and end-stage renal disease (ESRD) is unacceptable: too many at-risk patients progress to late-stage kidney failure; the mortality rate is too high; current treatment options are expensive and do not produce an acceptable quality of life; and there are not enough kidneys donated to meet the current demand for transplants.

Trump said his order was meant to increase the supply of donated kidneys, make it easier for patients to undergo dialysis in the comfort of their own homes and prioritize the development of an artificial kidney. That won't happen overnight - some of the initiatives will require new government regulations. "We are excited that the Administration is focused on improving the organ supply so that more patients can get a kidney transplant".

"Many, many people are dying while they wait", he said. "What they do is so incredible". Officials cited a study that suggests long term it may be possible to find 17,000 more kidneys and 11,000 other organs from deceased donors for transplant every year.

For families like those of 1-year-old Hudson Nash, the lack of organs is frightening. 'I was depressed to be in the center tied to a chair for four hours next to people I did not know, ' she said.

"More patients undergoing dialysis can do so from the comfort of their own home", President Trump said during a news conference announcing the signing.

More than 30 million American adults have chronic kidney disease, costing Medicare a staggering $113 billion. "People with kidney disease deserve the best care and hope for a better life". In tandem with the Administration's support and collaboration, Kidney Care FIRST is slated to achieve improvements in kidney care nationwide by focusing on five major pillars: awareness and prevention; patient empowerment; quality and access to quality care; innovation; and, research.


Trump's speech expanded on a host of initiatives already underway within the administration. For more information, please visit www.asn-online.org or contact the society at 202-640-4660. According to CMS, the payment adjustments would offer incentives to work with beneficiaries and caregivers in choosing ESRD treatment setting and support greater utilization of home dialysis and kidney transplants.

Home options include portable blood-cleansing machines, or what's called peritoneal dialysis that works through an abdominal tube, usually while patients are sleeping.

The Comprehensive Kidney Care Contracting Models will open up capitated payments for kidney care patients to providers who will have responsibility for the total cost and quality of care for patients and share in Medicare savings. The initiative aims to dramatically increase the number of patients getting dialysis at home, rather than in costly dialysis centers, and double the annual number of kidneys available for transplants.

In partnership with nephrologists, we are best positioned to deliver in the home dialysis space, as the largest provider of home dialysis in the U.S. We're accelerating home growth with our investments in technologies, such as home remote monitoring and a telehealth platform, to make it easier for patients to treat at home.

Today, about 14% of patients in kidney failure get at-home dialysis or an early transplant.

Trump's wife, Melania, was hospitalized for several days in May of 2018 after an embolization procedure to treat a benign kidney condition. The administration is relying on the innovation center even as it argues in federal court that the law that created it is unconstitutional and should be struck down entirely. The new payment models are expected to start next year.

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