The Conference Call on Q3 2026 takes place on November 3, 2026
The U.S. Centers for Medicare & Medicaid Services (CMS) published the final rule on End Stage Renal Disease (ESRD) Prospective Payment System (PPS) for 2027 on their website:
Calendar Year (CY) 2027 End-Stage Renal Disease (ESRD) Prospective Payment System Proposed Rule | CMS
The final rule is largely in line with our expectations.
FME remains committed to working with CMS, U.S. Department of Health & Human Services, and stakeholders across the kidney care ecosystem to advance innovations including high-volume hemodiafiltration (HvHDF), expand patient choice, and improve access to therapies across the entire continuum of kidney care.
Selected data points from the CMS rule:
CMS final rule | 2027 (draft rule) |
ESRD PPS rate – base rate | $297.65 (draft rule: $299.55) |
Net Market Basket Update | +1.9% (draft rule: +1.1%) |
ESRD PPS rate – LDO | +3.5% (draft rule: +1.9%) |
Phosphate binders –rate increase included in ESRD PPS base rate above | $12.85 (draft rule: $15.96) |
DefenCath – add-on payment adjustment | + $8.3220 US$ (draft rule: + $5.5951 US$) |
Changes in percent are against prior year.
Please refer to the CMS website for the full set of details.