Kidney Care Choices incentivizes participants to better manage kidney disease to delay the need for dialysis and encourage kidney transplantation.
Kidney Care Choices includes two participation options:
- Kidney Care First is open to nephrology practices and nephrologists only, subject to eligibility. Participants receive adjusted capitated payments for managing care of aligned beneficiaries with chronic kidney disease stages 4 or 5 and for those on dialysis, and bonus payments for successful kidney transplants.
- Comprehensive Kidney Care Contracting is open to kidney contracting entities, which must include nephrologists or nephrology practices and transplant providers, and may include dialysis facilities and other providers and suppliers. These entities receive adjusted payments for managing beneficiaries with chronic kidney disease stages 4 and 5 and end-stage renal disease, and bonus payments for successful kidney transplants. Kidney contracting entities are responsible for the total cost of care for their patients and can receive a portion of the Medicare savings.
Timeline
Kidney Care Choices launched Jan. 1, 2022, and is anticipated to run for four years, with the option for one or two more performance years at CMS’ discretion.
How we can help
We’ll help you monitor your performance so you can thrive in Kidney Care Choices. Through our analytics, you will be able to:
- trend and project program revenue over time;
- understand patterns of healthcare utilization and outcomes in your aligned beneficiary population by patient risk profile;
- quantify transplants, failures and estimated revenue from kidney transplant bonus payments; and
- monitor the impact of care interventions toward meeting your goals.
We offer
-
Performance Period Monitoring for Alternate Payment Model
We work with providers across the country participating in alternative payment models. DataGen provides key insight and consultation to help hospitals, health systems, post-acute and other healthcare providers evaluate new programs and monitor how effectively their strategies are working to ensure financial stability and high quality care.