White Paper
January 6, 2020
Caring for ESRD Beneficiaries in Medicare & Medicare Advantage

This paper analyzes the potential impacts of expanding the choice of Medicare Advantage to all End-Stage Renal Disease (ESRD) beneficiaries in Medicare. It concludes that the benefits of Medicare Advantage would only be fully realized for these beneficiaries if the Medicare Advantage ESRD payment system is accurate, which is currently not the case. The analysis includes background information on kidney failure and its treatments, including dialysis, as well as a summary of Medicare ESRD payment policies. Finally, the paper includes recommendations on how to improve ESRD care in Medicare, including ensuring accurate Medicare Advantage payment for beneficiaries with ESRD to ensure high-quality care and prevent negative effects.

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