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CMS news on End Stage Renal Disease (ESRD) Prospective Payment System (PPS) for 2027

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.

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