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Trump signs executive order to improve kidney care

11 July 2019

President Donald Trump signed an executive order underscoring these goals, and the US health agency said it would test new payment structures, including one that rewards end-stage renal disease facilities and doctors who meet targets in these areas.

The U.S. health care system can and should do better helping patients obtain needed kidney transplants and receive home dialysis. Her kidney failure struck while she was being treated for another disease, and she woke up in the hospital attached to a dialysis machine. This can be attributed to kidney disease having no symptoms until the late stages. Compared to the national average, REACH patients: · 22.9% start dialysis at home; 10% is the national average · 51.3% start using a permanent access; 20% is the national average · 55.2% avoid hospitalization before the start of dialysis; 33% is the national average · 6.6% get a pre-emptive transplant; 2.8% is the national average (data from 3,017 patients in 8 locations) "The current administration has demonstrated an interest in changing the status quo of kidney care".

DaVita is the largest provider of home dialysis in the country, continuing to deliver innovative technologies like home remote monitoring and a telehealth platform to make it easier for patients to treat at home. "But what's best for patients is intervening sooner - with early diagnosis, care management to slow progression, support for home dialysis, and time to consider dialysis alternatives such as transplants or conservative care". Almost 97,000 people are on the kidney transplant waiting list today, but in 2018 fewer than 22,000 kidney transplants were performed because there were not enough organs for all. KCP's recommendations include incentivizing transplant through performance measurement and standardizing criteria for waitlist placement to eliminate the selection bias for only those patients most likely to have a successful outcome.

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The president also directed his administration to develop a process to deliver an artificial kidney to patients and increase the efficiency of the organ transplant system.

Since 1966, ASN has been leading the fight to prevent, treat, and cure kidney diseases throughout the world by educating health professionals and scientists, advancing research and innovation, communicating new knowledge, and advocating for the highest quality care for patients.

To learn more about DaVita's integrated kidney care programs, visit "Over the past four years we have been able to test new models of care and share the results of our efforts in the hope that the delivery of kidney care can be improved nationwide". The company is the largest provider of kidney care services in the USA and has been a leader in clinical quality and innovation for 20 years.

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Reducing the number of Americans developing kidney failure by 25% by 2030. First Lady Melania Trump was hospitalized at Walter Reed Medical Center for several days in May 2018 for what the White House described as a benign kidney condition.

"Right now every financial incentive is toward dialysis and not toward transplantation and long-term survivorship", Health and Human Services Secretary Alex Azar, whose father experienced traditional and at-home dialysis before getting a living donor transplant, told a Senate hearing in March.

Allowing reimbursement of lost wages and other expenses for living donors, who can give one of their kidneys or a piece of their liver.

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Trump signs executive order to improve kidney care