A4H’s Kidney Care Coalition outlines a roadmap to strengthen and sustain specialty-focused kidney care models in Medicare. The paper offers policy recommendations to improve stability, expand participation, strengthen accountability, and ensure continued access to value-based kidney care beyond 2027.
A4H’s Kidney Care Coalition partnered with independent actuaries at Wakely to reassess the early financial performance of Medicare’s Comprehensive Kidney Care Contracting Model. The analysis found the model could have generated meaningful net Medicare savings under CMS’s 2026 policy changes, with savings expected to grow as providers gain experience and care transformation efforts mature.
A4H’s Kidney Care Coalition released new resources showing that accountable kidney care is improving outcomes and has stronger savings potential than early evaluations suggest. With the CKCC Model set to end in 2027, CMS should build on this progress by creating a stable, long-term pathway for kidney care providers to continue delivering coordinated, patient-centered kidney care.



