Medicare Program: Alternative Payment Model Updates & The Increasing Organ Transplant Access Model

On December 4, 2024, the U.S. Centers for Medicare & Medicaid Services (CMS) and the Department of Health and Human Services (HHS) published this final rule regarding Medicare Alternative Payment model updates with the Increasing Organ Transplant Access model. The Increasing Organ Transplant Access Model (IOTA Model) will test whether performance-based upside risk payments or downside risk payments paid to or owed by participating kidney transplant hospitals increase access to kidney transplants for patients with end-stage renal disease (ESRD) while preserving or enhancing the quality of care and reducing Medicare expenditures . . .