Medicare Reimbursement Policies and Hemodialysis Vascular Access Outcomes: A Need for Change

作者:Allon Michael*; Dinwiddie Lesley; Lacson Eduardo Jr; Latos Derrick L; Lok Charmaine E; Steinman Theodore; Weiner Daniel E
来源:Journal of the American Society of Nephrology, 2011, 22(3): 426-430.
DOI:10.1681/ASN.2010121219

摘要

In March 2010, the Center for Medicare and Medicaid Services (CMS) convened several clinical technical expert panels (C-TEP) to provide recommendations for improving various aspects of hemodialysis management. One of the C-TEPs was tasked with recommending measures to decrease vascular access-related infections. The members of this C-TEP, who are the authors of this manuscript, concluded unanimously that the single most important measure would be to remove financial and regulatory barriers to timely placement and revision of hemodialysis fistulas and the concurrent avoidance of catheter use. The following position paper outlines the financial barriers to improved vascular access outcomes and our proposals for a future CMS demonstration project.

  • 出版日期2011-3