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Dialysis & Nephrology Digest - January/February 2026

Blumenthal urges FTC to intensify antitrust scrutiny of dominant dialysis providers - U.S. Sen. Richard Blumenthal is pressing the FTC to step up enforcement against concentration in the dialysis market, where DaVita and...more

Dialysis & Nephrology Digest - December 2025

A systematic review and meta-analysis of 27 observational studies involving over 1,000,000 incident dialysis patients found that peritoneal dialysis (PD) and in-center hemodialysis provide equivalent overall survival for...more

CMS Announces New ACCESS Model, Advancing a National Outcomes-Based Framework for Chronic Care, Health Equity and Community...

The Centers for Medicare & Medicaid Services (“CMS”), through the CMS Innovation Center (“CMMI”), has announced the ACCESS Model—Advancing Clinical Care, Equity and System Sustainability, a national demonstration model...more

CMS Finalizes Mandatory Ambulatory Specialty Model for Heart Failure and Low Back Pain Specialists

On October 31, 2025, the Centers for Medicare & Medicaid Services (CMS) finalized the Ambulatory Specialty Model (ASM) in the CY 2026 Medicare Physician Fee Schedule (PFS) final rule. ...more

Dialysis & Nephrology Digest - November 2025

The final rule for the 2026 Medicare Fee Schedule was released by the Centers for Medicare and Medicaid Services (CMS) on October 31, and it appears to have been finalized almost exactly as it was proposed. ...more

Dialysis & Nephrology Digest - October 2025

Hemodialysis Catheter Market expected to reach $1.9 billion by 2034 - The global hemodialysis catheter market is projected to reach $1.9 billion by 2034, driven by the rising prevalence of chronic kidney disease (CKD) and...more

CMS’s IOTA Model Took Effect July 1, 2025: Implications for Transplant Hospitals and Nephrology Stakeholders

On July 1, 2025, the Centers for Medicare & Medicaid Services (“CMS”), through its Center for Medicare & Medicaid Innovation (“CMMI”), launched the Increasing Organ Transplant Access (“IOTA”) Model. ...more

OIG and DOJ Intensify Remote Patient Monitoring Oversight: 2025 Data Snapshot, FCA Settlement and the Emerging Enforcement...

Federal oversight of Remote Patient Monitoring (“RPM”) is increasing, as agencies like the OIG, CMS and DOJ shift from issuing warnings to actively enforcing regulations. This includes standardized audit metrics and the first...more

Dialysis & Nephrology Digest - September 2025

The Trump administration is withholding funding for multiple CDC programs, including initiatives on diabetes, chronic kidney disease, youth violence prevention, gun injury research, and tobacco use, according to a Wall Street...more

CMS Proposes Comprehensive Updates to Remote Patient Monitoring and Remote Therapeutic Monitoring Reimbursement

On July 14, 2025, the Centers for Medicare & Medicaid Services (“CMS”) issued the CY 2026 Medicare Physician Fee Schedule (“PFS”) Proposed Rule. Published in the Federal Register on July 16, 2025, the rule outlines...more

Dialysis & Nephrology Digest - August 2025

An investigation highlighted concerns about for-profit dialysis clinics in the U.S., which are linked to worse patient outcomes and reduced transplant access. DaVita and Fresenius, controlling over 60% of dialysis centers,...more

CMS’s CY 2026 Fee Schedule Proposal: MSSP Reforms Take Center Stage in Push Toward Value

On July 14, 2025, the Centers for Medicare & Medicaid Services (“CMS”) released the proposed rule for the Calendar Year (“CY”) 2026 Medicare Physician Fee Schedule (“PFS”), formally titled CMS-1832-P....more

Dialysis & Nephrology Digest - July 2025

CMS Releases Proposed Rule for 2026 ESRD PPS - As the nephrology organization representing the specialty on socioeconomic and physician practice issues, the Renal Physicians Association analyzes and disseminates...more

CMS Launches WISeR Model: A Technology-Enabled Effort to Reduce Wasteful Medicare Spending

On June 27, 2025, the Centers for Medicare & Medicaid Services (“CMS”), through its Innovation Center (“CMMI”), released the Request for Applications (“RFA”) for a new payment and service delivery initiative: the Wasteful and...more

CMS Terminates KCF Model and Finalizes Significant Revisions to CKCC Participation and Payment Framework

On May 28, 2025, the Centers for Medicare & Medicaid Services (“CMS”) Innovation Center formally announced the early termination of the Kidney Care First (“KCF”) model effective December 31, 2025, and issued a suite of...more

Significant Restrictions on Texas Healthcare Non-Competes Signed into Law

On June 20, 2025, Texas Governor Greg Abbott signed into law Senate Bill 1318 (SB 1318), enacting sweeping new restrictions on non-compete agreements applicable to physicians and, for the first time, extending similar...more

Dialysis & Nephrology Digest - June 2025

Byonyks, a medical device company focused on advancing dialysis care, today announced that it has received U.S. Food and Drug Administration (FDA) 510(k) clearance for the Byonyks X1 APD Cycler, an automated peritoneal...more

Dialysis & Nephrology Digest - May 2025

DOJ scores first victory in criminal antitrust labor market trial - A federal jury convicted a former home healthcare staffing executive in Las Vegas for orchestrating a three-year wage-fixing conspiracy targeting...more

Dialysis & Nephrology Digest - April 2025

ESRD ETC among value-based care models being ended early by CMS - This decision to end the ESRD ETC payment model and several others on Dec. 31 aligns with CMS’ goal to focus on models that demonstrate potential for...more

CMS Announces Early Termination of the ESRD Treatment Choices (ETC) Model - Financial and Operational Implications for...

On March 12, 2025, the CMS announced its intent to terminate the ESRD Treatment Choices (“ETC”) Model as of December 31, 2025, two years ahead of its original end date....more

Dialysis & Nephrology Digest - March 2025

As Medicare physician reimbursement continues in 2025 to suffer from damaging shortfalls due to budget neutrality and lack of an inflation adjuster, steps are being taken in Congress to address the issue. On January 31, the...more

Dialysis & Nephrology Digest - February 2025

A New Hope in Kidney Transplants: The Promise of Xenotransplantation - Joe’s struggle for a kidney transplant highlights a dire reality: donor shortages are leaving countless patients in limbo. Enter Dr. PK, a pioneering...more

Dialysis & Nephrology Digest - January 2025

Happy New Year and welcome to our 2024 Trade Secret and Restrictive Covenant Year in Review. 2024 was less stressful and dramatic than most people feared at the start of the year, but there still were some significant rulings...more

Dialysis & Nephrology Digest - December 2024

Senators not giving up on reversing CMS physician payment cuts during lame duck session - Forty-one U.S. Senators from both sides of the aisle are urging the upper chamber’s leadership to allow a bill to be introduced...more

Dialysis & Nephrology Digest - November 2024

RPA Perspective: 2025 Medicare Fee Schedule and ESRD PPS Final Rules—Highlights for Nephrology - The final rule for the 2025 Medicare Physician Fee Schedule was released on November 1, and the highlights from the rule...more

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