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December 06, 2017


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Gary Peterson

You are obviously proposing a radical change. I believe you are proposing to pay dialysis patients for “hitting their numbers.” Politically, I think this would be an incredibly hard sell. U.S. taxpayers are already paying for a carve-out in the Medicare program that exists just for dialysis patients and costs approximately $80,000 per patient per year. Aren’t wellness and avoiding complications enough of an incentive? Also, paying dialysis patients to be engaged and involved in their care would likely result in similar demands from millions of people with diabetes, heart disease/failure and other chronic conditions.

I believe expecting dialysis patients to manage their overall care would be overwhelming for the vast majority, especially new patients. It takes years to develop understanding and expertise in the complexities of the various therapies and in the self-interests of the industry players. If your system was implemented, I believe nearly all new patients would have to rely on an advocate to help them. Who would fill that role… and at what price/cost?

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