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Federal Register · November 24, 2025
The title they went with Medicare Program; End-Stage Renal Disease Prospective Payment System, Payment for Renal Dialysis Services Furnished to Individuals With Acute Kidney Injury, End-Stage Renal Disease Quality Incentive Program, and End-Stage Renal Disease Treatment Choices Model Noisy translates that to

Medicare will pay less for kidney dialysis, ending a bonus program

What happened
Medicare has updated its payment system for kidney dialysis, reducing the amount it pays for these services. It also ended a program that gave bonuses to dialysis providers for certain treatment choices.
Why it matters
This rule changes the financial incentives for kidney dialysis providers. They will now receive less money for standard treatments and lose the extra payments they got for encouraging specific treatment options. This could push providers to cut costs or change how they offer care.
The signal
Watch for changes in the number of dialysis clinics, or shifts in the types of kidney treatment options offered to patients, over the next 12-24 months.
If you insist
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