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. 2023 Apr 1;107(4):970-980.
doi: 10.1097/TP.0000000000004382. Epub 2023 Mar 31.

Financial Impact of a Culturally Sensitive Hispanic Kidney Transplant Program on Increasing Living Donation

Andrew Wang  1   2 , Juan Carlos Caicedo  3 , Amit K Mathur  4 , Richard M Ruiz  5 , Elisa J Gordon  1   3
Affiliations

Financial Impact of a Culturally Sensitive Hispanic Kidney Transplant Program on Increasing Living Donation

Andrew Wang et al. Transplantation. .

Abstract

Background: In the United States, Hispanic/Latinx patients receive disproportionately fewer living donor kidney transplants (LDKTs) than non-Hispanic White patients. Northwestern Medicine's culturally targeted Hispanic Kidney Transplant Program (HKTP) was found to increase LDKTs in Hispanic patients at 1 of 2 transplant programs with greater implementation fidelity.

Methods: We conducted a budget impact analysis to evaluate HKTP's impact on program financial profiles from changes in volume of LDKTs and deceased donor kidney transplants (DDKTs) in 2017 to 2019. We estimated HKTP programmatic costs, and kidney transplant (KT) program costs and revenues. We forecasted transplant volumes, HKTP programmatic costs, and KT program costs and revenues for 2022-2024.

Results: At both programs, HKTP programmatic costs had <1% impact on total KT program costs, and HKTP programmatic costs comprised <1% of total KT program revenues in 2017-2019. In particular, the total volume of Hispanic KTs and HKTP LDKTs increased at both sites. Annual KT program revenues of HKTP LDKTs and DDKTs increased by 226.9% at site A and by 1042.9% at site B when comparing 2019-2017. Forecasted HKTP LDKT volume showed an increase of 36.4% (site A) and 33.3% (site B) with a subsequent increase in KT program revenues of 42.3% (site A) and 44.3% (site B) among HKTP LDKTs and DDKTs.

Conclusions: HKTP programmatic costs and KT evaluation costs are potentially recoverable by reimbursement of organ acquisition costs and offset by increases in total KT program revenues of LDKTs; transplant programs may find implementation of the HKTP financially manageable.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1.
Figure 1.
Key Budget Impact Analysis Terms
Figure 2.
Figure 2.
Time Studies: Annual Total Hours Dedicated to Implementing the HKTP by Stakeholder Role, Year, and Study Site
Figure 3.
Figure 3.
Annual Percent Change in Hospital, Physician, and Organ Acquisition Revenues for HKTP Participants Who Received Living Donor Kidney TransplantsA
Figure 4.
Figure 4.
Projected Estimate of Total HKTP Living Donor Kidney Transplant Volume by Study Site with HKTP Sustainment (2022 to 2024)
See this image and copyright information in PMC

References

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