CMS to End Kidney Failure Payment Model Two Years Early After Failing to Improve Outcomes or Reduce Costs

The Centers for Medicare and Medicaid Services (CMS) has announced the early termination of a payment model designed to address kidney failure. Initially scheduled to run through 2027, the program will now conclude in 2025, two years ahead of its planned end date. The decision follows an evaluation that found the initiative did not achieve its intended goals of improving care outcomes or reducing costs for patients with kidney failure.

The experimental payment model aimed to incentivize better care coordination and encourage home dialysis use by altering reimbursement structures for providers. However, CMS determined that the trial failed to demonstrate significant improvements in patient outcomes or cost savings during its implementation period. This marks a notable shift in federal efforts to reform dialysis care, as kidney disease remains a critical public health issue affecting millions of Americans annually. Further details on how CMS plans to address these challenges moving forward have not yet been disclosed.

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Date: December 1, 2025

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