NCT05011136

Physician Reimbursement Home Patients

Physician Reimbursement for Home Dialysis: Assessment of Validity of CMS Compensation for Nephrologists

• Status: Completed
• Phase: —
• Study type: Observational
• Enrollment: 68 (actual)
• Sponsor: Satellite Healthcare · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

This is an observational study using an online survey to solicit information from nephrologists who care for dialysis patients about the time and effort involved in providing care to home dialysis patients.

Detailed description

Physician reimbursement today for care of a home dialysis patient is a capitated reimbursement, defined by the age of the patient and their days on home dialysis. Due to the multiple advantages of home therapy, CMS is working on increasing home dialysis uptake; however, there is little to no data on the time and effort involved in providing care to home dialysis patients. In this study, we will develop and distribute a survey to capture the components of home dialysis patient care and the perceived time and effort of nephrologists across the US to do so. This will provide data for CMS as they consider the adjustment of their policy values in physician reimbursement for home dialysis patient care, which is currently labeled as misvalued (Centers for Medicare and Medicaid Services, 2021).

Conditions

• ESRD

Interventions

Type	Name	Description
OTHER	No intervention. This is a qualitative study	US nephrologists who care for dialysis patients will be asked to complete an internet based survey evaluating the time and effort required for home dialysis patient care.

Timeline

• Start date: 2021-09-01
• Primary completion: 2021-12-31
• Completion: 2021-12-31
• First posted: 2021-08-18
• Last updated: 2022-05-11

Locations

1 site across 1 country: United States