CMS completes organ transplant access model

• Improving the quality of care before, during, and after transplantation.
• Make the most of deceased donor kidneys.
• Identify more living donors and assist potential living donors through the donation process.
• Improving access to kidney transplants by addressing social determinants of health and other barriers to care.
• Improving care coordination and patient-centeredness in the kidney transplant process. and
• Reduce Medicare spending.

CMS selected half of the contributing service areas (DSAs) and all eligible kidney transplant hospitals within those regions. 103 hospitals— Participate in a mandatory model in which the other half of the DSA acts as a comparison group. The selected hospitals are non-pediatric transplant hospitals that have performed an average of 11 or more kidney transplants per year in the three years prior to the start of the model.

Participating hospitals are being provided support to provide better care coordination, improve quality of care, and address the health-related social needs (HRSN) of patients awaiting transplant. In addition, hospitals are eligible to receive incentive payments based on their performance scores in three areas: achievement, efficiency, and quality. This model uses one-sided risk in the first performance year and introduces two-sided risk in the second performance year.

For more information on how to subscribe and activate your one-week free trial, please visit health manatPlease contact us.barrett jeffers.