Public Inspection: CMS: Medicare Program: Calendar Year 2027 Changes to the End-Stage Renal Disease Prospective Payment System, Acute Kidney Injury Dialysis Payment, and ESRD Quality Incentive Program

Federal Register

Jun 25, 2026

Pre-publication notice of proposed rule from the Centers for Medicare & Medicaid Services (CMS) making changes related to End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) for calendar year 2027 and proposing updates to the payment rate for renal dialysis services furnished by an ESRD facility to individuals with acute kidney injury (AKI). Among other things, this rule also proposes updated requirements for the ESRD Quality Incentive Program and includes requests for information (RFI) to inform future policies related to increasing home dialysis uptake, improving palliative dialysis, and supporting alternative dialysis schedules. Comments are due within 60 days of the publication of this notice, which is scheduled for June 26, 2026.

Health conditions · Healthcare quality · Home health · Hospice and palliative care · Legislation and regulations · Medicare · Reimbursement and payment models · Specialty care