Trump Signs Executive Order to Transform Kidney Care

Trump Signs Executive Order to Transform Kidney Care

WASHINGTON-President Donald Trump signed an executive order Wednesday revamping care for kidney disease so more people whose kidneys fail can have a chance at early transplants and home dialysis, and others don't get that sick in the first place.

Another goal is to improve prevention of kidney disease.

The goal is to reduce the number of kidney patients by 25% by 2030 and provide incentives for preventive care. Almost 97,000 people are on the kidney transplant waiting list today, but in 2018 fewer than 22,000 kidney transplants were performed because there were not enough organs for all.

The moves could save lives and millions in Medicare spending, the AP reported. The demonstrations will, among other things, create incentives for dialysis providers to offer the treatment in a patient's home.

The dialysis market also remains highly concentrated, with just two major players - DaVita and Fresenius - dominating it.

About 200,000 Medicare patients are expected to take part in the models, the Department of Health and Human Services said. 'I have been a kidney doctor for 35 years, and this is the most game-changing thing ever to happen, ' he said. Most recently, Johnson participated in a conversation with the White House health policy team on kidney disease, July 1. 'If the law is invalidated, the Innovation Center, and all its authorities, would be eliminated, ' said Nicholas Bagley, a University of MI law professor.

The administration's focus on kidney health is not only unprecedented, it's personal-Secretary Azar's own father was on dialysis and received a kidney transplant. Last year, there were 21,167 kidney transplants. Patients are shunted to dialysis centers as a default, and once on it, they "rarely switch", he said. Since 1973, all Americans with end-stage kidney disease have been entitled to coverage through Medicare. "We look forward to continuing to work with nephrologists to help create even better care models for our unique population of patients". Trump said the initiative would also hold organ procurement organizations more accountable so that fewer usable organs are discarded. The policy would also help 11,000 more Americans get hearts, lungs and livers annually.

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Alongside efforts to boost the number of kidneys eligible for donation, the executive order is also advancing efforts to develop an artificial kidney system and public education about early diagnosis and treatment of kidney disease. "Doing this from the home is a dramatic long overdue reform, something people have been asking for, for many many years".

IMPROVING TREATMENT OPTIONS: The current quality of care for patients with kidney disease is unacceptable and treatment options are far too expensive. She had to go to a center for the dialysis when the home dialysis stopped working.

"I've spoken to people (on dialysis)". Patients often have dialysis several days a week.

Under the executive order, Medicare must change payment models so that they will incentivize doctors at dialysis centers to get people diagnosed with kidney disease sooner, explained Azar.

DaVita shares rose 4.2% to $54.80, but were still trading 5% lower than before news of the pending kidney care announcement broke on Monday.

The Kidney Care First Model would give nephrology practices adjusted capitated payments for their kidney care patients based on their health outcomes, utilization rates and quality measures. Educating patients about kidney disease is critical to prevention and slowing its progression. President Trump says if Obamacare is scrapped by the court, Republicans will have a plan to replace it but it could leave millions of Americans, especially those with preexisting conditions, with great uncertainty.