Trump issues executive order on kidney care: 6 notes

President Donald Trump issued an executive order July 10 detailing plans to transform kidney care in the U.S.

Six quick things to know about the order:

1. The order laid out three specific goals:

  • Reduce new cases of end-stage renal disease by 25 percent in 10 years. Currently, more than 726,000 Americans have ESRD and more than 100,000 Americans begin dialysis every year, according to the Trump administration.
  • Increase the percentage of ESRD patients who receive dialysis at home or a kidney transplant to 80 percent by 2025. About 12 percent of patients undergo dialysis at home.
  • Double the kidneys available for transplant by 2030. Almost 100,000 people are waiting for a transplant.

2. To accomplish these goals, CMS' innovation center unveiled four optional Medicare payment models. The models aim to use incentive payments to improve providers' management of kidney disease and prevention efforts.

3. CMS also released a proposed rule for a mandatory model called "ESRD Treatment Choices," which would target dialysis providers and incentivize them to move treatment into patient homes.

4. The administration plans to transform the organ donation and transplant process. This includes plans to increase financial support for organ donors.

5. To improve kidney supply, the order includes provisions to encourage artificial kidney development. It plans to launch prize competitions through a public-private partnership to accomplish this goal.

6. HHS will launch a public awareness campaign about kidney disease.


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