title: ESRD special needs plans: a proof of concept for integrated care.
abstract: Since the completion of the Centers for Medicare and Medicaid Services' end-stage renal disease (ESRD) demonstration projects, passage of the Affordable Care Act, and announcement of ESRD Seamless Care Organizations (ESCOs) by CMS' Innovation Center, it seems that ESRD-centered accountable care organizations will be the future model for kidney care of Medicare beneficiaries. Regardless of what you call it--managed care organization, special needs plan, ESCO--balancing quality of health care with costs of health care will continue to be the primary directive for physicians and institutions using integrated care management (ICM) strategies to manage their ESRD patients' health. The renal community has had previous success with ICM, and these experiences could help to guide our way.
authors.forename: Mahesh
authors.initials: M
authors.lastname: Krishnan
authors.forename: Eric
authors.initials: E
authors.lastname: Franco
authors.forename: Stephen
authors.initials: S
authors.lastname: McMurray
authors.forename: Eugene
authors.initials: E
authors.lastname: Petra
authors.forename: Allen R
authors.initials: AR
authors.lastname: Nissenson
mesh_terms: D060866:Accountable Care Organizations / Q000191:economics / Q000331:legislation & jurisprudence; D014487:Centers for Medicare and Medicaid Services, U.S. / Q000191:economics / Q000331:legislation & jurisprudence; D019033:Delivery of Health Care, Integrated / Q000191:economics* / Q000331:legislation & jurisprudence; D017048:Health Care Costs / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000191:economics* / Q000628:therapy*; D008484:Medicaid / Q000191:economics / Q000331:legislation & jurisprudence; D006278:Medicare / Q000191:economics / Q000331:legislation & jurisprudence; D058991:Patient Protection and Affordable Care Act / Q000191:economics / Q000331:legislation & jurisprudence; D011787:Quality of Health Care / Q000191:economics* / Q000331:legislation & jurisprudence; D014481:United States