CMS: Medicare Program; Alternative Payment Model Updates and the Increasing Organ Transplant Access (IOTA) Model

Federal Register

Dec 11, 2025

Notice of a proposed rule from the Centers for Medicare & Medicaid Services (CMS) updating and revising the Increasing Organ Transplant Access Model (IOTA Model) for Performance Year (PY) 2, which will begin on July 1, 2026. The IOTA Model tests 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. Comments are due by February 9, 2026.

Access · Health conditions · Hospitals · Medicare · Policy · Reimbursement and payment models · Service delivery models · Specialty care