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Centers for Medicare & Medicaid Services

*                 ETC Model Announcement on the Impact of Hurricane Helene*

CMS recognizes the ongoing disruptions to patient care and the health care ecosystem resulting from the tremendous impacts of Hurricane Helene to Baxter’s North Cove manufacturing site. As we monitor its implications on participants in the ESRD Treatment Choices (ETC) Model and their ability to deliver home dialysis services across the country, we will continue to hear from model participants and explore options to best accommodate participants on key performance metrics in this mandatory model.

Impacts on performance metrics for participants will be examined for Measurement Years (MYs) 7, 8, and 9 (CY 2024 Q3 and Q4 through CY 2025 Q1 and Q2) and Benchmark Years (BYs) 7, 8, and 9. A decrease in home dialysis in these time periods would begin to affect model performance payment adjustments in July 2025.

The CMS Innovation Center is considering an array of options to address the challenges created by the impact of Hurricane Helene, including potential policy and or payment changes to the model. We plan to provide transparent communications to stakeholders and formally announce any updates or changes to our model through rulemaking.

Notes:


* Link to the CMMI ETC Model website for complete announcement: https://innovation.cms.gov/innovation-models/esrd-treatment-choices-model [ https://nam10.safelinks.protection.outlook.com/?url=https%3A%2F%2Finnovation.cms.gov%2Finnovation-models%2Fesrd-treatment-choices-model&data=05%7C02%7Ccaroline.lepic%40softrams.com%7Ccc8570b5a161472af1d508dd1f8fdd58%7Cfc8563480cd540268d6f202d13194591%7C0%7C0%7C638701424969457228%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=%2FgfFCUcIA0rW5BtcZMCn%2FdJe1Lf1%2FkTpuaU2bmNugCE%3D&reserved=0 ]
* Please email the ETC Model team at ETC-CMMI@cms.hhs.gov with questions.
Centers for Medicare & Medicaid Services (CMS) has sent this update. To contact Centers for Medicare & Medicaid Services (CMS) go to our *contact us [ http://www.cms.gov/About-CMS/Agency-Information/ContactCMS/index.html ] *page.

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