2021 ESRD Treatment Choices (ETC) Model

 2021/10/29 CMS（Centers for Medicare ＆ Medicaid Services）からESRD Treatment Choices (ETC) Modelの最終発表がありました

在宅透析と生体腎移植への診療報酬インセンティブが強化されています 施設だけでなく担当医へのペナルティや再教育プログラムまである目を疑うような内容で、在宅透析への本気度が伺えます 日本でもこのような政策誘導が必要だと感じます CMS final rule updates payment rates for dialysis providers https://www.healio.com/news/nephrology/20211101/cms-final-rule-covering-dialysis-payments-includes-incentives-to-improve-equity-of-care?utm_source=selligent&utm_medium=email&utm_campaign=news&M_BT=4490553463039

CMSのETCモデルのページ https://innovation.cms.gov/innovation-models/esrd-treatment-choices-model MedCityNews 2021/11/1 類似記事 New CMS incentives look to close equity gap in home dialysis, kidney transplants The agency issued a final rule on Friday that would update payment rates for dialysis. It includes a payment model that would incentivize healthcare providers to decrease disparities for in-home dialysis rates and transplant rates among low-income patients. https://medcitynews.com/2021/11/new-cms-incentives-look-to-close-equity-gap-in-home-dialysis-kidney-transplants/

この政策のお手本はカナダ Ontario Renal Network(ORN)です Growing home dialysis: The Ontario Renal Network Home Dialysis Initiative 2012–2019 https://journals.sagepub.com/doi/abs/10.1177/08968608211012805?journalCode=ptda