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July 22, 2014

Centers for Medicare & Medicaid Services (CMS) Releases Medicare End-Stage Renal Disease (ESRD) Payment Rule

On Monday, July 1, 2013, the Centers for Medicare & Medicaid Services (CMS) released a proposed rule implementing payment and other policy changes to the Medicare End-Stage Renal Disease (ESRD) Prospective Payment System (PPS).  The proposed rule seeks to implement the ESRD payment reductions provided under the American Taxpayer Relief Act (ATRA) enacted earlier this year.  (More information on the ATRA is available here.)

In addition, CMS also proposes changes to the ESRD Quality Incentive Program (QIP).  A CMS fact sheet highlighting the proposed changes to the QIP is available here.

Comments on the proposed rule are due on August 30, 2013.  A copy of the proposed rule is available here.  A CMS fact sheet highlighting the proposed rule is available here.

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About the Author

Medicare Reimbursement and Health Policy Director

Anna Schwamlein Howard is the Medicare Reimbursement & Health Policy Director in the firm’s Health Government Relations team.

A nationally recognized authority on health care reform issues, Anna has considerable experience in government relations and regulatory affairs. Specifically, she has extensive knowledge with the Medicare Modernization Act, medical privacy and prescription drug issues, Medicare physician payment legislation, the Affordable Care Act, and other federal health issues impacting the lives of older Americans.

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