![]() – about 12% in 2016 – falls far below that of other developed nations. The benefits include increased independence and quality of life. Studies have shown that for patients who require dialysis, dialyzing at home is often preferred by patients and physicians. ![]() ![]() The ETC Model provides additional support to health care providers who treat underserved patients, including those who dually eligible for Medicare and Medicaid, as well as Medicare beneficiaries who are eligible to receive assistance with prescription drug costs through the Part D program (also known as the Low-Income Subsidy).Dialysis facilities and doctors who are part of the ETC Model are encouraged to offer patients education to support their choice of treatment option to replace kidney function.The goal of the ESRD Treatment Choices (ETC) Model is for patients to have greater independence and flexibility by receiving home dialysis and have longer, healthier lives resulting from a kidney transplant.Both these treatment options are known to offer patients increased quality of life. Many patients with end-stage renal disease do not receive education about their treatment options, including the choice to get dialysis at home rather than at a center or the possibility of a kidney transplant.In fall 2021, it became one of the first CMS Innovation Center models to directly address health equity, as social determinants of health have a significant impact on chronic kidney disease and end-stage renal disease. Both of these modalities have support among health care providers and patients as preferable alternatives to in-center hemodialysis, but have been used less than in other developed nations. The End-Stage Renal Disease (ESRD) Treatment Choices (ETC) Model is intended to encourage greater use of home dialysis and kidney transplants for Medicare beneficiaries with ESRD, while reducing Medicare expenditures and preserving or enhancing the quality of care furnished to beneficiaries with ESRD.
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