September 11, 2019
The Centers for Medicare and Medicaid Innovation posted the second annual report for the Comprehensive End-Stage Renal Disease (ESRD) Care (CEC) Model. The report found that there was a 4% reduction in the number of beneficiaries hospitalized and a 1% increase in the total number of dialysis sessions for beneficiaries participating in the model. Additionally, between performance years 1 and 2 there was a $68 million reduction in total Medicare spending. Overall, the report indicates the CEC model is effective in reducing costs while increasing quality of care for Medicare ESRD beneficiaries. The full report for performance year 2 can be found here, and an overview of the report can be found here.
The CEC model established ESRD Seamless Care Organizations (ESCOs) to provide patient-centered care for Medicare beneficiaries with ESRD. Each ESCO is responsible for the quality of care and financial costs of enrolled patients.
CMS states this model will run through December 2020 with no plans of additional enrollment.
More information about the CEC model can be found on the CEC demonstration website.