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Kidney Care Choices (KCC) is a voluntary alternative payment model built on top of the Comprehensive End-Stage Renal Disease (ESRD) Care (CEC) model structure. The goal of the KCC model is to encourage nephrologists, dialysis facilities, and ESRD healthcare practices to focus on the total care of their patients, and incentivize kidney transplants for chronic kidney disease beneficiaries. Beneficiaries are defined as attributed to a provider in the model if they are diagnosed with stage 4 or 5 chronic kidney disease (CKD) or ESRD, or if they were aligned to a participating KCC practice and then received a kidney transplant. According to CMS, more than 430,000 Medicare ESRD beneficiaries spend an average of 12 hours a week receiving dialysis at a center.1 The KCC Model is structured to incentivize participating practices to avoid putting patients on dialysis but instead perform a kidney transplant.
CareJourney is able to help organizations participating in the KCC model by providing an analysis of the various payment options. There are four payment options for the KCC Model: Kidney Care First (KCF), or a Framework for Improving Renal disease Support & Treatments, and Comprehensive Kidney Care Contracting (CKCC) which has three options; Graduated, Professional, and Global. These alternative payment models take concepts from the new Direct Contracting and Primary Care First models.