2027 End-Stage Renal Disease Prospective Payment System Final Rule
Article Publication Date
Summary
The Centers for Medicare & Medicaid Services (CMS) issued the calendar year (CY) 2027 End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) final rule, which is expected to raise total payments to ESRD facilities by 2.7 percent.
The ESRD PPS provides a bundled, per-treatment payment to ESRD facilities that includes all renal dialysis services furnished for outpatient maintenance dialysis, including drugs and biological products. The rule increases the home and self-dialysis training add-on payment from $95.60 to $138.00, updates the ESRD Quality Incentive Program (QIP), and makes other changes. Additionally, the rule seeks feedback on increasing home dialysis, defining palliative dialysis, and moving from per-treatment to monthly payments.
The ESRD PPS provides a bundled, per-treatment payment to ESRD facilities that includes all renal dialysis services furnished for outpatient maintenance dialysis, including drugs and biological products. The rule increases the home and self-dialysis training add-on payment from $95.60 to $138.00, updates the ESRD Quality Incentive Program (QIP), and makes other changes. Additionally, the rule seeks feedback on increasing home dialysis, defining palliative dialysis, and moving from per-treatment to monthly payments.