End-Stage Renal Disease Prospective Payment System CY 2024 Rule Update

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On June 26, 2023, the Centers for Medicare & Medicaid Services (CMS) released the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) Calendar Year (CY) 2024 Proposed Rule (CMS-1782-P). The proposed rule would make minimal increases to the ESRD PPS base payment rate, estimated to increase overall Medicare payments to ESRD facilities by 1.6%. The proposed rule includes proposals for new add-on payment adjustments, including a Transitional Pediatric ESRD Add-on Payment Adjustment for pediatric care and a payment adjustment for a three-year period after the Transitional Drug Add-on Payment Adjustment period ends for qualifying drugs and biological products...

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DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

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