American Society of Pediatric Nephrology Position Paper on Linking Reimbursement to Quality of Care

[摘要] The pediatric ESRD patient is a member of a unique subpopulation of ESRD patients. The cause of ESRD in the pediatric patient differs markedly from the adult patient; treatment modality in the pediatric ESRD patient differs substantially from the adult patient; and outcomes such as growth, development, and school attendance are also unique to the pediatric ESRD patient. In addition, the pediatric nephrology workforce differs substantially from the internal medicine nephrology workforce, and the delivery of care to pediatric ESRD patients is recognized to be more complex than the delivery of care to adult patients. The Center for Medicaid and Medicare Services (CMS) acknowledges the complex needs and labor-intensive nature of care of pediatric ESRD patients, and the CMS has had in place for several years a tiered physician reimbursement payment method based on age. Because of the unique characteristics of the pediatric ESRD population, any changes and alterations in reimbursement will need to take into consideration the multiple distinctive characteristics of this population of ESRD patients.

[学科分类] 泌尿医学

[关键词] Bone marrow necrosis;Sickle cell disease;Hyperhemolysis syndrome