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Advising the Congress on Medicare issues
MedPAC > News > Ambulatory care settings

Category: Ambulatory care settings

MedPAC’s comments on the proposed ESRD Treatment Choices Model

In July 2019, the Centers for Medicare & Medicaid Services proposed a mandatory End-Stage Renal Disease (ESRD) Treatment Choices (ETC) Model that aimed to increase the use of home dialysis by beneficiaries with ESRD, and increase kidney transplantation among adult ESRD beneficiaries (“Medicare Program: Specialty Care Models to Improve Quality of Care and Reduce Expenditures,” Federal… Read more »

Models for preserving access to emergency care in rural areas

The Commission has consistently stated that rural beneficiaries’ access to emergency services needs to be preserved. Since January 2013, there have been 41 hospital closures in rural counties and rural parts of urban communities. While some closures reflect excess capacity in areas, in other cases, the closed hospital has been the sole emergency room in the area. It is both the concern over maintaining access to care and concerns over inefficiencies in the current delivery system that motivated the Commission’s October session on preserving rural access to emergency services.