New CMS Payment Models

CMS has proposed five new experimental ESRD and CKD payment models:

  • Four models will be voluntary:
    • The KCF (Kidney Care First) Model would capitate and incentivize payments to nephrology practices for care of CKD and ESRD patients.
    • Three different CKCC (Comprehensive Kidney Care Contracting) Models would allow the creation of Kidney Contracting Entities (KCEs), which would take full responsibility for the cost and quality of care for ESRD patients in return for capitated payments, with a share of any cost savings rebated.  KCEs would consist of nephrology practices, transplant providers, dialysis providers, and other healthcare providers.
    • These programs would run for four to six years, beginning January 1, 2020.  Find more information on the KCF and CKCC Models at https://www.cms.gov/newsroom/fact-sheets/kidney-care-first-kcf-and-comprehensive-kidney-care-contracting-ckcc-models.

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