ESRD
Conditions
Keywords
ESRD, Home Dialysis, Compensation
Brief 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).
Interventions
OTHERNo 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.
Sponsors
Satellite Healthcare
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* All nephrologists in the US who care for dialysis patients.
Exclusion criteria
* Nephrologists who have not cared for dialysis patients in the last year.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| To provide data to facilitate a data-driven adjustment of the capitated physician payment for caring for home dialysis patients. | Day 1 | Compilation of survey data from US nephrologists with dialysis patients. |
Countries
United States
Outcome results
None listed