Effects of payment incentives on access to home dialysis and kidney transplants

Impact of Randomized Payment Incentives on Disparities in Home Dialysis and Kidney Transplantation

NIH-funded research Brown University · NIH-10993623

This study is looking at how offering financial rewards to dialysis centers and doctors can help more people, especially those from disadvantaged backgrounds, get access to home dialysis and kidney transplants when they have kidney failure.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionBrown University NIH-funded
Lab location1 site (Providence, United States)
Project IDNIH-10993623 on NIH RePORTER

What this research studies

This research investigates how financial incentives provided to dialysis facilities and clinicians can improve access to home dialysis and kidney transplantation, particularly for socially disadvantaged communities. It focuses on understanding the disparities in treatment options for kidney failure patients, as many are not receiving the most beneficial care. The study will analyze data from the End-stage Renal Disease Treatment Choices Model initiated by CMS, which aims to increase the rates of these treatments through randomized payment incentives. By examining the outcomes of this model, the research seeks to provide insights into how payment reforms can enhance equity in kidney care.

Who could benefit from this research

Good fit: Ideal candidates for this research are adults with kidney failure, particularly those from socially disadvantaged backgrounds who may have limited access to home dialysis or transplantation.

Not a fit: Patients who are not experiencing kidney failure or those who are already receiving adequate treatment may not benefit from this research.

Why it matters

Potential benefit: If successful, this research could lead to improved access to life-saving kidney treatments for disadvantaged patients, ultimately enhancing their quality of life.

How similar studies have performed: Previous observational studies have suggested that payment incentives can increase home dialysis rates, but this research aims to provide more definitive causal evidence.

Where this research is happening

Providence, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.