Implications of the Advancing American Kidney Health Initiative for kidney transplant centers. Issue 5 (28th October 2019)

• Record Type: Journal Article
• Authors: Hippen, Benjamin E.; Reed, Alan I.; Ketchersid, Terry; Maddux, Franklin W.
• Is Part Of: American journal of transplantation. Volume 20:Issue 5(2020)
• Page Start: 1244
• Page End: 1250
• Publication Date: 2019-10-28
• Subjects: business -- economics -- editorial -- ethics and public policy -- insurance ‐ private -- insurance ‐ public -- law -- legislation -- management -- personal viewpoint; Transplantation of organs, tissues, etc -- Periodicals; 617.95
• DOI: 10.1111/ajt.15619
• Languages: English
• ISSNs: 1600-6135

Abstract

Abstract : The announcement of the Advancing American Kidney Health (AAKH) Initiative on July 10, 2019 was met with a mix of excitement and trepidation, befitting a proposed radical reconfiguration of the delivery of kidney disease care. Aspiring to reduce the incidence of end‐stage renal disease, increase the prevalence of home dialysis, and double the number of organs available for transplant, the AAKH payment models primarily focus on incenting behaviors of general nephrologists, though actualizing positive incentives will require the active cooperation of dialysis providers and transplant centers. Here, we review the AAKH initiatives' potential impact on all stakeholders and opine on financial and regulatory pressures on kidney transplant programs, outlining areas of uncertainty and concern, and suggest key points of reflection for clinical and administrative leaders of kidney transplant centers weighing participation in any of the voluntary payment models. Abstract : The authors review the implications for kidney transplant centers of the proposed payment models outlined in the Advancing American Kidney Health Initiative . Formica and Gill's editorial is on page 1217 .