On July 10, 2019, President Trump signed an Executive Order launching the Advancing American Kidney Health initiative, led by the Department of Health and Human Services.
Since the signing of the executive order, HHS has taken numerous actions to advance American kidney health, including:
- The Centers for Medicare & Medicaid Services launched the Kidney Care Choices payment model, a voluntary model to provide new incentives for delaying the need for dialysis in patients with chronic kidney disease, which is expected to enroll more than 200,000 Medicare beneficiaries.
- CMS proposed the ESRD Treatment Choices model, a mandatory model that aims to increase rates of home dialysis and transplants, and is currently considering comments on it.
- CMS proposed a rule to change the way organ procurement organizations (OPOs) are held accountable for their performance, estimating that the number of annual transplants would increase from about 32,000 to 37,000 by 2026, for a total of almost 15,000 additional transplants in that time.
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