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

Who could benefit from this research

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.

Why it matters

Where this research is happening

• Brown University
  Providence, United States Active

Researchers

• Principal investigator: Trivedi, Amal N. — Brown University
• Study coordinator: Trivedi, Amal N.

Related research

Other NIH-funded projects on the same topics.

• Patient-provider conversations and unequal access to home dialysis and kidney transplant

  This project explores how conversations between doctors and patients affect why some Black and Hispanic people with kidney disease don’t get home dialysis or preemptive kidney transplants as often as White or Asian patients.

  NIH research University of California, San Francisco · San Francisco, United States · NIH-11406134

• How payment incentives affect access to home dialysis and kidney transplant

  This project looks at whether changing how dialysis centers are paid helps more patients—especially Black, Hispanic, Native American, and low-income people—get home dialysis or kidney transplants.

  NIH research Brown University · Providence, United States · NIH-11242046

• Understanding challenges and supports for home dialysis and kidney transplants in young people

  This study is looking at what makes it easier or harder for teens and young adults to get home dialysis and kidney transplants from living donors, so we can find ways to improve their care and help more young people get the treatment they need.

  NIH research University of California, San Francisco · San Francisco, United States · NIH-10938010

• Strategies for HIV-to-HIV kidney transplants to increase organ donations

  This project looks at making HIV-to-HIV kidney transplantation more common to help people with HIV get transplants faster by boosting organ donation and changing practice.

  NIH research University of Tennessee Knoxville · Knoxville, United States · NIH-11599369

• Biomarker-guided Immunosuppression in Kidney Transplant Patients

  A multicenter study in kidney transplant recipients is testing whether a biomarker score from HLA-DR/DQ can guide changes in immunosuppression to reduce rejection risk and drug toxicity.

  NIH research Cedars-Sinai Medical Center · Los Angeles, United States · NIH-11550940

• Helping the immune system accept a donated kidney in patients without prior sensitization

  This project will try giving specially treated donor B cells alongside immune-sparing medicines to teach the immune systems of kidney transplant patients without prior antibodies to accept the new kidney.

  NIH research Duke University · Durham, United States · NIH-11528916

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.