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On June 27, 2024, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to update payment rates and policies and includes requests for information under the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) for renal dialysis services furnished to Medicare beneficiaries on or after January 1, 2025.  In this rule, CMS is proposing a new ESRD PPS-specific wage index that would be used to adjust ESRD PPS payment for geographic differences in area wages. This proposed methodology would combine data from the Bureau of Labor Statistics Occupation Employment Wage & Statistics and freestanding ESRD facility cost reports to produce an ESRD PPS-specific wage index for use instead of using the hospital wage index values for each geographic area, which are derived from hospital cost report data.  The rule may be viewed at https://www.federalregister.gov/public-inspection/2024-14359/medicare-program-end-stage-renal-disease-prospective-payment-system-payment-for-renal-dialysis and comments are encouraged.

Fact Sheet: https://www.cms.gov/newsroom/fact-sheets/calendar-year-2025-end-stage-renal-disease-esrd-prospective-payment-system-pps-proposed-rule-cms








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