Accountable care organizations and ESRD: The time has come

American Journal of Kidney Diseases

Volumn 59, Issue 5, 2012, Pages 724-733

  Nissenson, Allen R ^a   Maddux, Franklin W ^b   Velez, Ruben L ^c   Mayne, Tracy J ^a   Parks, Jess ^a  

^a DAVITA INC   (United States)

^b FRESENIUS MEDICAL CARE NORTH AMERICA   (United States)

^c Dallas Nephrology Associates   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ACCOUNTABLE CARE ORGANIZATION; CATHETER; CHRONIC KIDNEY DISEASE; COMORBIDITY; HEALTH CARE PERSONNEL; HEALTH CARE POLICY; HEALTH CARE QUALITY; HEALTH PROGRAM; HEALTH SERVICE; HOSPITAL ADMISSION; HOSPITAL DISCHARGE; HOSPITAL READMISSION; HUMAN; INSURANCE; KIDNEY FAILURE; KIDNEY GRAFT; MEDICARE; NEPHROLOGIST; OUTPATIENT CARE; PHYSICIAN; REVIEW;

EID: 84859805502     PISSN: 02726386     EISSN: 15236838     Source Type: Journal    
DOI: 10.1053/j.ajkd.2012.02.004     Document Type: Article

References (44)

1. Brown EA. Can quality of life be improved for the increasing numbers of older patients with end-stage kidney disease? Expert Rev Pharmacoecon Outcomes Res. 2010;10(6):661-666.
2. Fried LF, Shlipak MG, Crump C, et al. Renal insufficiency as a predictor of cardiovascular outcomes and mortality in elderly individuals. J Am Coll Cardiol. 2003;41(8):1364-1372. (Pubitemid 36438998)
3. Rifkin DE, Shlipak MG, Katz R, et al. Rapid kidney function decline and mortality risk in older adults. Arch Intern Med. 2008;168(20):2212-2218.
4. Yarlas AS, White MK, Yang M, Saris-Baglama RN, Bech PG, Christensen T. Measuring the health status burden in hemodialysis patients using the SF-36(R) health survey. Qual Life Res. 2011;20(3):383-389.
5. Chiu YW, Teitelbaum I, Misra M, de Leon EM, Adzize T, Mehrotra R. Pill burden, adherence, hyperphosphatemia, and quality of life in maintenance dialysis patients. Clin J Am Soc Nephrol. 2009;4(6):1089-1096.
6. US Renal Data System. USRDS 2011 Annual Data Report: Atlas of Chronic Kidney Disease and End-Stage Renal Disease in the United States. Vol 2. Bethesda, MD: National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases; 2011:e208, e282.
7. St Peter WL, Khan SS, Ebben JP, Pereira BJ, Collins AJ. Chronic kidney disease: the distribution of health care dollars. Kidney Int. 2004;66(1):313-321. (Pubitemid 38870108)
8. Astor BC, Eustace JA, Powe NR, et al. Timing of nephrologist referral and arteriovenous access use: the CHOICE Study. Am J Kidney Dis. 2001;38(3):494-501. (Pubitemid 32803059)
9. Stack AG. Impact of timing of nephrology referral and pre-ESRD care on mortality risk among new ESRD patients in the United States. Am J Kidney Dis. 2003;41(2):310-318. (Pubitemid 36152448)
10. Ortega T, Ortega F, Diaz-Corte C, Rebollo P, Ma Baltar J, Alvarez-Grande J. The timely construction of arteriovenous fistulae: a key to reducing morbidity and mortality and to improving cost management. Nephrol Dial Transplant. 2005;20(3):598-603. (Pubitemid 40378431)
11. Arbor Research Collaborative for Health. End-Stage Renal Disease (ESRD) Disease Management Demonstration Evaluation Report: Findings From 2006-2008, the First Three Years of a Five-Year Demonstration, Prepared for The Centers for Medicare & Medicaid Services. 2010.
12. Nissenson AR, Deeb T, Franco E, Krishnan M, McMurray S, Mayne TJ. The ESRD Demonstration Project: what it accomplished. DaVita Inc. Nephrol News Issues. 2011;25(7):39-41.
13. Sauer PF, Farrell RE, Lazarus JM. The ESRD Demonstration Project: what it accomplished. Fresenius Medical Care North America. Nephrol News Issues. 2011;25(7):32, 34-35, 37-38.
14. Berwick DM. Making good on ACOs' promise - the final rule for the Medicare shared savings program. N Engl J Med. 2011;365(19):1753-1756.
15. HR 4872, Health Care and Education Affordability Reconciliation Act, enacted March 29, 2010:5.
16. American Hospital Association, 2010 Committee on Research. AHA Research Synthesis Report: Accountable Care Organizations. Chicago, IL: American Hospital Association; June 2010.
17. HR 3590, Patient Protection and Affordable Care Act. Enacted March 22, 2010.
18. US Census Bureau. Highlights: 2009. http://www.census.gov/hhes/www/ hlthins/data/incpovhlth/2009/highlights.html. Accessed July 27, 2011.
19. Compilation of the Social Security Laws. 1972. http://www.socialsecurity. gov/OP-Home/ssact/title18/1881.htm.
20. Centers for Medicare & Medicaid Services. Fistula First Breakthrough 2011. http://www.cms.gov/ESRDQualityImproveInit/04-FistulaFirstBreakthrough. asp#TopOfPage. Accessed October 15, 2011.
21. Centers for Medicare & Medicaid Services. Medicare coverage of kidney dialysis and kidney transplant services. 2011; p 12. http://www.medicare.gov/ Publications/Pubs/pdf/10128.pdf. Accessed October 13, 2011.
22. HR 6331, The Medicare Improvements for Patients and Providers Act of 2008 (MIPPA), enacted on July 15, 2008.
23. Centers for Medicare & Medicaid Services. End-stage renal disease prospective payment system. Fed Regist. 2010;75(155):49029-49214.
24. Mayne TJ, Burgess M, Weldon J. Finding the case mix adjusters in the CMS proposed bundle. Nephrol News Issues. 2009;10:34-38.
25. Nissenson AR, Mayne TJ, Krishnan M. The 2009 proposed rule for prospective ESRD payment: perspectives from a large dialysis organization. Am J Kidney Dis. 2010;55(2):223-226.
26. Centers for Medicare & Medicaid Services. End-Stage Renal Disease Prospective Payment System and Quality Incentive Program. Fed Regist. 2011;76(218):70228-70318. http://www.gpo.gov/fdsys/pkg/FR-2011-11-10/pdf/2011- 28606.pdf. Accessed December 10, 2011.
27. Tollen LA. Physician Organization in Relation to Quality and Efficiency of Care: A Synthesis of Recent Literature. Commonwealth Fund pub. no. 1121. The Commonwealth Fund, New York, NY; April 2008.
28. Centers for Medicare & Medicaid Services Medicare Program. Medicare shared savings program: accountable care organizations. Fed Regist 2011;76(212):67802-67990.
29. Cauchi R. State legislation opposing certain health reforms, 2009-2010, National Conference of State Legislatures. 2010. http://www.ncsl.org/?tabid= 18906. Accessed October 10, 2011.
30. McClellan M, McKethan AN, Lewis JL, Roski J, Fisher ES. A national strategy to put accountable care into practice. Health Aff (Millwood). 2010;29(5):982-990.
31. Rosenthal MB, Cutler DM, Feder J. The ACO rules - striking the balance between participation and transformative potential. N Engl J Med. 2011;365(4):e6.
32. Wilensky GR. Lessons from the physician group practice demonstration - a sobering reflection. N Engl J Med. 2011;365(18):1659-1661.
33. Centers for Medicare and Medicaid Services. Fact sheet: Medicare Physician Group Practice Demonstration: physicians groups continue to improve quality and generate savings under Medicare physician pay for performance demonstration; 2009. http://www.cms.gov/DemoProjectsEvalRpts/downloads/PGP-Fact- Sheet.pdf. Accessed September 15, 2011.
34. Newman D. Accountable Care Organizations and the Medicare Shared Savings Program, Congressional Research Service, CRS Report for Congress 7-5700, R41474. 2010.
35. Lorenzo V, Martn M, Rufino M, Hernandez D, Torres A, Ayus JC. Predialysis nephrologic care and a functioning arteriovenous fistula at entry are associated with better survival in incident hemodialysis patients: an observational cohort study. Am J Kidney Dis. 2004;43(6):999-1007. (Pubitemid 38691494)
36. Mendelssohn DC, Malmberg C, Hamandi B. An integrated review of "unplanned"dialysis initiation: reframing the terminology to "suboptimal" initiation. BMC Nephrol. 2009;10:22.
37. Wasse H, Kutner N, Zhang R, Huang Y. Association of initial hemodialysis vascular access with patient-reported health status and quality of life. Clin J Am Soc Nephrol. 2007;2(4):708-714.
38. Wingard RL, Pupim LB, Krishnan M, Shintani A, Ikizler TA, Hakim RM. Early intervention improves mortality and hospitalization rates in incident hemodialysis patients: RightStart program. Clin J Am Soc Nephrol. 2007;2(6):1170-1175.
39. Robertson J, Chen G, Goel P, Levine R, Benner D. Effect of IMPACT Program on Clinical Indicators of Incident Hemodialysis Patients. Munich, Germany: European Renal Association-European Dialysis and Transplant Association; 2010.
40. Manley HJ, Cannella CA, Bailie GR, St Peter WL. Medication-related problems in ambulatory hemodialysis patients: a pooled analysis. Am J Kidney Dis. 2005;46(4):669-680. (Pubitemid 41383945)
41. US Renal Data System. USRDS 2010 Annual Data Report: Atlas of Chronic Kidney Disease and End-Stage Renal Disease in the United States. Vol 2. Bethesda, MD: National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases; 2010:s269-s280.
42. Centers for Medicare&Medicaid Services. [CMS 5003-N] RIN 0938-ZA39 Medicare Program; Demonstration: End-Stage Renal Disease-Disease Management. Fed Regist. 2003;68(107):notice 33495.
43. Coughlin J, Pope J, Leedle B. Old age, new technology and future innovations in disease management and home health care. Home Health Care Manage Pract. 2006;18(3):196-207.
44. Rastogi A, Linden A, Nissenson AR. Disease management in chronic kidney disease. Adv Chronic Kidney Dis. Jan 2008;15(1):19-28.