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

Oct 29, 2026

Pre-publication notice of final rule from the Centers for Medicare & Medicaid Services (CMS) making changes related to the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) for calendar year 2027 and updating the payment rate for renal dialysis services furnished by an ESRD facility to individuals with acute kidney injury (AKI). This rule also updates the requirements for the ESRD Quality Incentive Program. These regulations are effective January 1, 2027.

Health conditions · Healthcare quality · Legislation and regulations · Medicare · Reimbursement and payment models · Specialty care