Medicare Program; CY 2027 Changes to the End-Stage Renal Disease (ESRD) Prospective Payment System, Acute Kidney Injury (AKI) Dialysis Payment, and ESRD Quality Incentive Program
- Agencies
- Health and Human Services Department, Centers for Medicare & Medicaid Services
- Type
- Rule
- Published
- Document number
- 2026-22194
Read the full document on FederalRegister.gov PDF
Summary
This final rule updates and revises the End-Stage Renal Disease (ESRD) Prospective Payment System for calendar year 2027. This rule also includes updates to the payment rate for renal dialysis services furnished by an ESRD facility to individuals with acute kidney injury. In addition, this rule updates the requirements for the ESRD Quality Incentive Program.
How it was scored
Democratic to Republican
Leaning Democratic, 51% confidence
Democratic
Republican
Economic left to right
Centrist, 64% confidence
Left
Right
Libertarian to authoritarian
Mixed, 72% confidence
Libertarian
Authoritarian
Scored by jev-1.14.0 on October 30, 2026. A reading describes what the action does, not who issued it, and is based on the summary. Scores are automated and can be wrong. How scoring works