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From January 2016, payment for oral-only renal medications (including phosphate binders and cinacalcet) was expected to be included in the new Medicare bundled end-stage renal disease (ESRD) prospective payment system (PPS). The implementation of the ESRD PPS has generated concern within the nephrology community because of the potential for inadequate funding and the impact on patient quality of care.

journal of managed care and specialty pharmacy

Managing Oral Phosphate Binder Medication Expenditures Within the Medicare Bundled End-Stage Renal Disease Prospective Payment System: Economic Implications for Large U.S. Dialysis Organizations