{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T03:18:28Z","timestamp":1789183108468,"version":"build-2803163510"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"10","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Kidney360"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:p>The Advancing American Kidney Health (AAKH) initiative has reinvigorated the focus on improving the care of patients with advanced CKD. Multiple interventions have been planned, focusing on education campaigns for both clinicians and patients, delaying the progression of kidney disease and improving utilization of home dialysis modalities and kidney transplantation. Value-based care models for patients with advanced kidney disease are being rolled out, with the ESKD treatment choices model starting in January 2021, and the Kidney Care Choices model planned to start in January 2022. There is increasing emphasis on the role of the nephrologist as the \u201ccaptain of the ship,\u201d leading efforts in care coordination as physician leaders. The transplant reforms have focused on changes to organ procurement organizations aiming to increase availability of organs, and transplants performed, both deceased and living donor, and removing financial disincentives from live organ donation. The American Society of Nephrology (ASN) and the National Kidney Foundation (NKF) are partnering with the Department of Health and Human Services to develop educational material for clinicians and patients. In this review, we discuss these reforms, potential challenges that have arisen, and potential solutions, with emphasis on the Kidney Care Choices model.<\/jats:p>","DOI":"10.34067\/kid.0004552021","type":"journal-article","created":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T15:10:12Z","timestamp":1629126612000},"page":"1677-1683","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":37,"title":["Value-Based Care in Nephrology: The Kidney Care Choices Model and Other Reforms"],"prefix":"10.34067","volume":"2","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1331-141X","authenticated-orcid":false,"given":"Gaurav","family":"Jain","sequence":"first","affiliation":[{"name":"Division of Nephrology, Department of Medicine, University of Alabama in Birmingham, Birmingham, Alabama"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8775-394X","authenticated-orcid":false,"given":"Daniel E.","family":"Weiner","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Tufts Medical Center, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,10,28]]},"reference":[{"key":"B1-20250825","doi-asserted-by":"crossref","first-page":"720","DOI":"10.1053\/j.ajkd.2020.03.028","article-title":"Health policy and kidney care in the United States: Core curriculum 2020","volume":"76","author":"Mendu","year":"2020","journal-title":"Am J Kidney Dis"},{"key":"B2-20250825","doi-asserted-by":"crossref","first-page":"1802","DOI":"10.2215\/CJN.08080719","article-title":"Preparing the nephrology workforce for the transformation to value-based kidney care: Needs assessment for advancing American kidney 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as part of kidney disease policy: Are we there yet?","volume":"31","author":"Nair","year":"2020","journal-title":"J Am Soc Nephrol"},{"key":"B16-20250825","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1681\/ASN.2013111236","article-title":"Vascular access choice in incident hemodialysis patients: A decision analysis","volume":"26","author":"Drew","year":"2015","journal-title":"J Am Soc 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