Improving the Care of ESRD Patients: A Success Story

McClellan, William M.; Frankenfield, Diane L.; Frederick, Pamela R.; Helgerson, Steven D.; Wish, Jay B.; Sugarman, Jonathan R.
June 2003
Health Care Financing Review;Summer2003, Vol. 24 Issue 4, p89
Academic Journal
Medicare's health care quality improvement program (HCQIP) is a national effort to improve beneficiaries' quality of care. The end stage renal disease (ESRD) HCQIP was implemented in 1994 in response to criticism about the poor quality of care received by ESRD patients. Quality improvement efforts initiated by the ESRD Networks and dialysis providers in response to the HCQIP have demonstrated substantial improvement in care for dialysis patients. This article describes the evolution of the ESRD HCQIP and its successful application in the ESRD program.


Related Articles

  • Medicare: More Beneficiaries Use Hospice but for Fewer Days of Care: HEHS-00-182.  // GAO Reports;9/18/2000, p1 

    Nearly 360,000 Medicare beneficiaries enrolled in a hospice program in 1998, more than twice the number that chose hospice care in 1992. Although cancer patients account for more than half of Medicare hospice patients, growth in use has been particularly strong among individuals with other...

  • Medicare Choices. Korn, Donald Jay // Financial Planning;Nov2007, Vol. 37 Issue 11, p125 

    The article talks about evaluating Medicare private fee-for-service plans which have been growing in the U.S. It explains Medicare private fee-for-service plan. It cites that these plans do not have any network of healthcare providers. As a result of aggressive marketing, many Medicare...

  • Additional findings from OIG report.  // Hospital Peer Review;Jan2011, Vol. 36 Issue 1, p3 

    The article offers information on the additional findings from the Office of the Inspector General's (OIG) report "Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries" particularly 42% of the common cause for temporary harm was related to medication in the U.S.

  • Show physicians the money.  // Minnesota Medicine;Dec2013 Supplement, p9 

    The article discusses two projects in Minnesota which aims to change the way care is delivered and paid for. It cites the Pioneer ACO program launched in January 2012 as an option for clinically integrated organizations with experience in managing and coordinating patient care and serve a...

  • Establishing Coordinated Care Benefit in the Traditional Medicare Program.  // Aging News Alert;4/3/2009, p12 

    The article reports that officials of the Center for Medicare Advocacy (CMA) have revealed that the U.S. Congress may establish a coordinated care benefit in the traditional Medicare program. CMA says that the absence of such a benefit has been detrimental to Medicare beneficiaries for too long...

  • ESRD Managed Care Demonstration: Financial Implications. Dykstra, Dawn M.; Beronja, Nancy; Menges, Joel; Gaylin, Daniel S.; Oppenheimer, Caitlin Carroll; Shapiro, Jennifer R.; Wolfe, Robert A.; Rubin, Robert J.; Held, Philip J. // Health Care Financing Review;Summer2003, Vol. 24 Issue 4, p59 

    In 1996, CMS launched the end stage renal disease (ESRD) managed care demonstration to study the experience of offering managed care to ESRD patients. This article analyzes the financial impact of the demonstration, which sought to assess its economic impact on the Federal Government, the sites,...

  • Medicare End Stage Renal Disease Program Expenditures: CY 1991.  // Health Care Financing Review;Summer94 Supplement, Vol. 15, p110 

    The article reports on the total cost of Medicare end stage renal disease (ESRD) program expenditures in the U.S. in 1991. Medicare expenditures for medical services provided to ESRD program beneficiaries were $6.1 billion in 1991. Medicare reimburses all covered services for ESRD beneficiaries...

  • Medicare: HCFA Faces Challenges to Control Improper Payments: T-HEHS-00-74. Aronovitz, Leslie G. // GAO Reports;3/9/2000, p1 

    Both the traditional Medicare program and Medicare+Choice contain major information gaps that impede the ability of the Health Care Financing Administration (HCFA) to minimize program losses attributable to improper payments to claims administration contractors. HCFA does not have a clear...

  • Insurance Coverage and Care of Patients with Non--ST-Segment Elevation Acute Coronary Syndromes. Calvin, James E.; Roe, Matthew T.; Chen, Anita Y.; Mehta, Rajendra H.; Brogan Jr., Gerard X.; DeLong, Elizabeth R.; Fintel, Dan J.; Gibler, W. Brian; Ohman, E. Magnus; Smith Jr., Sidney C.; Peterson, Eric D. // Annals of Internal Medicine;11/21/2006, Vol. 145 Issue 10, p739 

    Background: The impact of insurance coverage on the care of patients with non-ST-segment elevation acute coronary syndromes (NSTE ACS) is unclear. Objective: To compare NSTE ACS care patterns by insurance type. Design: Comparison of Medicaid patients younger than 65 years of age and Medicare...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics