CMS Updates Kidney Care Choices Model to Improve Cost Efficiency Through 2027

The CMS Innovation Center is updating the Kidney Care Choices (KCC) Model to address concerns about rising net spending while continuing improvements in quality care through 2027. Key changes include new financial incentives for meeting benchmarks, a reduction in the Chronic Kidney Disease Quarterly Capitation Payment, and the removal of the kidney transplant bonus, all set to take effect in 2026. These adjustments aim to better balance cost containment with quality outcomes in kidney care.

The KCC Model has successfully increased rates of home dialysis and training, demonstrating progress in care quality. However, the model has also led to higher overall spending, prompting the CMS Innovation Center to revise the financial methodology to ensure sustainable cost management. Extending the model through 2027 supports ongoing delivery of coordinated, high-quality care to beneficiaries.

These modifications reflect CMS's commitment to federal budget stewardship and its mandate to decrease costs while evaluating innovative care strategies. The updated KCC Model aligns with CMS's goal to protect taxpayer funds, achieve certification milestones, and prepare for broader implementation of effective kidney care solutions.