The Dialysis Bundle and Patients

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Next Steps and What You Can Do

DPC submitted formal comments to CMS before the December 16th deadline and will have these comments on our Web site at We will also recommend that CMS implement a system to monitor changes in patient care that result from a bundled payment. This would allow the agency to have data needed to implement any necessary changes to the bundle that have had a negative impact on patient care.

We hope others in the kidney care community also sent comments that suggest CMS revise its proposed rule on the bundled payment so it addresses these issues that could harm patients if implemented. We have appreciated the effort CMS has put into hearing feedback directly from patients and patient organizations during the recent town hall meeting, and DPC looks forward to continuing to work with CMS to ensure changes to dialysis reimbursement improve the quality of care and quality of life for dialysis patients. RBT

Chad Lennox is the executive director of the nonprofit, 23,000-member Dialysis Patient Citizens, which works to improve the quality of life for all dialysis patients through education and advocacy. He can be reached at
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