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. 2021 May 1;181(5):698-699.
doi: 10.1001/jamainternmed.2020.7372.

Payment for Dialysis Services in the Individual Market

Erin Trish  1   2   3   4 , Matthew Fiedler  2   4 , Ning Ning  3 , Laura Gascue  1 , Loren Adler  2   4 , Eugene Lin  1   5   6
Affiliations

Payment for Dialysis Services in the Individual Market

Erin Trish et al. JAMA Intern Med. .

Abstract

This cross-sectional study examines the prevalence and spending of patients with end-stage kidney disease in the individual market.

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Conflict of interest statement

Conflict of Interest Disclosures: Dr Trish reported research funding from USC-Schaeffer Brookings Initiative for Health Policy during the conduct of the study and grants from Arnold Ventures and Commonwealth Fund and personal fees from Blue Cross Blue Shield Association, Premera, Multiplan, and Cedars-Sinai Health System outside the submitted work. Dr Lin reported grants from the National Institute of Diabetes and Digestive and Kidney Diseases (grant K08DK118213) during the conduct of the study as well as personal fees from Acumen, LLC and support from the University Kidney Research Organization outside the submitted work. No other disclosures were reported. Drs Trish and Fiedler and Mr Adler receive support from Arnold Ventures. Drs Trish and Fiedler receive support from the Commonwealth Fund. Dr Fiedler receives support from the Robert Wood Johnson Foundation.

References

    1. Hoffman A, Sloan CE, Maciejewski ML, Wang V. Medicare enrollment among patients with end-stage kidney disease receiving dialysis in outpatient facilities between 2005 and 2016. JAMA. 2020;323(13):1314-1316. doi:10.1001/jama.2020.0704 - DOI - PMC - PubMed
    1. Jost T. CMS acts on premium payments by dialysis facilities, special enrollment period eligibility. Accessed February 10, 2021. https://www.healthaffairs.org/do/10.1377/hblog20161213.057930/full/ - DOI
    1. Childers CP, Dworsky JQ, Kominski G, Maggard-Gibbons M. A comparison of payments to a for-profit dialysis firm from government and commercial insurers. JAMA Intern Med. 2019;179(8):1136-1138. doi:10.1001/jamainternmed.2019.0431 - DOI - PMC - PubMed
    1. Centers for Medicare & Medicaid Services; US Department of Health and Human Services . Medicare Program; conditions for coverage for end-stage renal disease facilities-third party payment. Fed Regist. 2016;81(240):90211-90228. - PubMed
    1. Andrews M. Judge upends effort to limit charity funding for kidney patients’ insurance. Accessed February 10, 2021. https://khn.org/news/judge-upends-effort-to-limit-charity-funding-for-ki...

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