CMS issues final rule for mandatory organ transplant payment model

American Hospital Association November 26, 2024

The Centers for Medicare & Medicaid Services Nov. 26 released a final rule for the Increasing Organ Transplant Access Model. This new mandatory payment model will test whether performance-based incentives or penalties for participating transplant hospitals will increase access to kidney transplants for patients with end-stage renal disease while preserving or enhancing quality of care, improving equitable access to kidney transplant care and reducing Medicare expenditures. The model will run for six years. Participation will be mandatory for all eligible hospitals (i.e. nonpediatric kidney transplant hospitals meeting minimum volume thresholds) located within half of the nation’s donation service areas. CMS posted a list of the 103 hospitals required to participate on their website.

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