CMS proposes CY2027 ESRD payment rate above $299 for the first time
Plus: Kidney Care Choices practices lose $15,000 transplant bonus. The day's rules, money, and enforcement, sourced and tiered below.
Plus: Kidney Care Choices practices lose $15,000 transplant bonus. The day's rules, money, and enforcement, sourced and tiered below.
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American Health Intel
Rules · Money · Medicine · Decoded daily
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| The Service Line |
Monday, July 27, 2026 |
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CMS proposes CY2027 ESRD payment rate above $299 for the first time
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Plus: Kidney Care Choices practices lose $15,000 transplant bonus. The day's rules, money, and enforcement, sourced and tiered below.
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Rule Confidence: High
CMS, the Medicare agency, just proposed raising the dialysis payment rate to $299.55 a treatment for 2027, the first time it has climbed above $299, while reshaping how facilities get paid for new drugs.
The proposal raises home dialysis training pay and adds a new post-drug-add-on payment category, projecting a 1.1% overall payment increase for dialysis facilities. Comments close August 24, 2026.
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Why it matters
Medicare pays for the vast majority of dialysis treatments, so this rate sets the baseline economics for the whole industry; watch whether the 1.1 percent bump survives to the final rule this fall.
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Rule Confidence: High
Nephrology groups in Medicare's Kidney Care Choices model, a value-based kidney care program, just lost the $15,000 bonus they earned for every successful kidney transplant.
CMS's innovation center also cut quarterly chronic kidney disease payments 50% and added a 1% benchmark discount, after the model posted $304 million in net losses model-wide.
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Why it matters
This is a real cut to a Medicare value based kidney care program that lost money; watch how many nephrology practices stay in the model through 2027 versus shifting to MSSP ACOs.
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Also today
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Dialysis facility closures outpace openings for first time this decade Read
GLP-1s slow kidney decline as Medicare shifts transplant incentives to hospitals Read
$1.8 billion: the operator metric for nephrology alignment deals Read
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