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ESRD Program Projections and Experience

ESRD Program Projections and Experience To the Editor.— From the outset, implementation of the Medicare End-Stage Renal Disease (ESRD) Program has been complicated by problems of inadequate or inaccurate information of policies and progress. Considerable attention has been given to recent articles and testimony suggesting that the total costs have far exceeded expectations and that the Department of Health, Education, and Welfare failed to recognize or support in-home dialysis and transplantation as the preferable, and least costly, treatment alternatives. The following information will record that these suggestions are incorrect. In late 1972, before implementation of Section 2991 of the Social Security Amendments of 1972 began, a comprehensive analysis of the cost and survival implications of various dialysis and transplantation alternatives, including life-cost tables factoring multiple permutations of incidence, mortality, treatment pathway, and patient distribution, was developed by the Office of the Assistant Secretary for Health. Compared with the actual experience for the first five years, http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

ESRD Program Projections and Experience

JAMA , Volume 241 (3) – Jan 19, 1979

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Publisher
American Medical Association
Copyright
Copyright © 1979 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1979.03290290013011
Publisher site
See Article on Publisher Site

Abstract

To the Editor.— From the outset, implementation of the Medicare End-Stage Renal Disease (ESRD) Program has been complicated by problems of inadequate or inaccurate information of policies and progress. Considerable attention has been given to recent articles and testimony suggesting that the total costs have far exceeded expectations and that the Department of Health, Education, and Welfare failed to recognize or support in-home dialysis and transplantation as the preferable, and least costly, treatment alternatives. The following information will record that these suggestions are incorrect. In late 1972, before implementation of Section 2991 of the Social Security Amendments of 1972 began, a comprehensive analysis of the cost and survival implications of various dialysis and transplantation alternatives, including life-cost tables factoring multiple permutations of incidence, mortality, treatment pathway, and patient distribution, was developed by the Office of the Assistant Secretary for Health. Compared with the actual experience for the first five years,

Journal

JAMAAmerican Medical Association

Published: Jan 19, 1979

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