Hello! The big providers are aiming to get 25% of patients on home, but the issue is largely on the patient side. There's a lot of requirements on behalf of the patient and/or caregiver (from being able to lift heavy boxes to not having pets that can create infection risks) that causes many patients not to choose home care. The financial incentives are very significant for dialysis providers, especially in the value based arrangements (CKCC).
Can you elaborate on the financial incentives piece? What are the financial incentives for home dialysis in CKCC? Thought that program was more so a shared savings/losses model
Hello! The big providers are aiming to get 25% of patients on home, but the issue is largely on the patient side. There's a lot of requirements on behalf of the patient and/or caregiver (from being able to lift heavy boxes to not having pets that can create infection risks) that causes many patients not to choose home care. The financial incentives are very significant for dialysis providers, especially in the value based arrangements (CKCC).
Hi! Agree with all that and discuss most of it here: https://thepostop.substack.com/p/part-5-how-can-we-increase-home-dialysis
Can you elaborate on the financial incentives piece? What are the financial incentives for home dialysis in CKCC? Thought that program was more so a shared savings/losses model
What is included in the bundled payment? Any meds like iron, phosphate binders, Vitamin D, etc?
Sorry for the delay Omar! At a higher level, it's meant to cover the costs of drugs, lab services, supplies, and equipment.
A few years old (though doubt it's changed much), but here's a pretty detailed list of everything included in the bundle: https://medicaid.ms.gov/wp-content/uploads/2015/02/2015ESRDBundled.pdf . The meds you listed are in the there.
Great stuff!