The Trump administration Wednesday unveiled five new payment models aimed at transforming kidney care—including one that would be mandatory for some providers.

The End-Stage Renal Disease (ESRD) Treatment Choices model will launch Jan.1. The Centers for Medicare & Medicaid Services (CMS) announced that certain ESRD treatment facilities and clinicians who manage care for beneficiaries with this condition will be required to participate, based on their location, which will be randomly selected.

Under the model, CMS intends to adjust payments to these providers either upward or downward based on their home dialysis and transplantation rates, with the aim of reducing the focus on clinic dialysis, officials said.

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