Economy

Trump's order aims to revamp kidney care

Trump's order aims to revamp kidney care”

President Trump's executive order aims to reform the nation's organ transplant and kidney dialysis systems and includes proposals to improve the performance of organ procurement organizations, incentivize living kidney and liver donation, ensure patients with kidney disease receive the best dialysis care available at an affordable cost, and increase the number of available organs for transplantation.

President Trump said his administration is taking groundbreaking action to bring new hope to the millions of Americans suffering from kidney disease.

"I've spoken to people (on dialysis)".

Adding: "People that have to go this ... people have loved ones that are working so hard to stay alive, they have to work so hard".

"Those people, I have to say, have never gotten enough credit", Trump said. Almost 97,000 people are on the kidney transplant waiting list today, but in 2018 fewer than 22,000 kidney transplants were performed because there were not enough organs for all.

Additional Medicare changes so that dialysis providers can earn as much by helping patients get dialysis at home as in the large centers that predominate today.

-Medicare payment changes that would provide a financial incentive for doctors and clinics to help kidney patients stave off end-stage disease.

About 200,000 Medicare patients are expected to take part in the models, the Department of Health and Human Services said. Approximately 37 million Americans have chronic kidney disease and more than 726,000 have ESRD. There are almost 100,000 Americans waiting on the list to receive a kidney transplant, and kidney disease ranks as the ninth leading cause of death in America, HHS said.

"In Guatemala, 56% of people (with kidney disease) get home dialysis; in Hong Kong, 85%", said Azar. "It didn't fulfill its promises", said Azar.

It's the first kidney-focused executive order since 1973.

"What President Trump is committed to doing is delivering the affordability that people need, the control that people want, and the quality they deserve in health care", he said. Their members have worked to remove barriers to accessing home dialysis, which include establishing the Kidney Disease Education program through which clinicians can promote modality choices, aligning of home and in-center payment rates to eliminate disincentives for providing home dialysis, and promoting changes to coverage policies to support home hemodialysis.

Today, about 11% of patients in kidney failure get at-home dialysis and an additional 3 percent get an early transplant. This visionary initiative, created to improve patient outcomes and generate significant healthcare savings, addresses the critical areas to significantly improve the lives of individuals with chronic kidney disease, kidney failure, and kidney transplants. Removing process inefficiencies in matching and delivery that result in delayed acceptance by transplant centers will reduce the detrimental effects on organ quality of prolonged time with reduced or cut-off blood supply. But donors are out of work for weeks recuperating, and one study found more than one-third of living kidney donors reported lost wages, a median of $2,712, in the year following donation.

John Commins is a senior editor at HealthLeaders.

HHS will also encourage the development of wearable or implantable artificial kidneys, through cooperation between developers and the Food and Drug Administration, and provide support for KidneyX, the public-private partnership between HHS and the American Society of Nephrology.



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