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									4 Renal & Urology News           MARCH 2010         www.renalandurologynews.com




     FROM THE MEDICAL DIRECTOR


                                                                                  EDITORIAL ADVISORY BOARD
   Paid for Good                                                                  Medical Director, Urology                                                       Medical Director, Nephrology
                                                                                  Robert G. Uzzo, MD, FACS                                                        Kamyar Kalantar-Zadeh, MD, PhD, MPH
   Outcome Measures                                                               G. Willing “Wing” Pepper Chair
                                                                                  in Cancer Research
                                                                                  Professor and Chairman
                                                                                                                                                                  Associate Professor of Medicine
                                                                                                                                                                  and Pediatrics, and Director,
                                                                                                                                                                  Dialysis Expansion & Epidemiology
                                                                                  Department of Surgery                                                           Harbor-UCLA Division of
                                                                                  Fox Chase Cancer Center                                                         Nephrology & Hypertension



   W
                ho could have guessed                                             Temple University                                                               Los Angeles BioMedical Research Institute,
                that one day physicians                                           School of Medicine                                                              The David Geffen School
                                                                                  Philadelphia                                                                    of Medicine at UCLA
                would be paid based on
   the outcomes of patients under their                                           Urologists                                                                      Nephrologists
   care? This is the imminent reality in
                                                                                  Frank R. Cerniglia Jr, MD                                                       Andrew J. Bleyer, MD, MS
   nephrology. As part of the Medicare                                            Attending Pediatric Urologist                                                   Professor of Internal Medicine/Nephrology
                                                                                  Children’s Urology of Virginia                                                  Wake Forest University School of Medicine
   Improvements for Patients and                                                  Richmond, Va.                                                                   Winston-Salem, N.C.
   Providers Act (MIPPA), dialysis clin-                                          Christopher S. Cooper, MD                                                       Suphamai Bunnapradist, MD
                                                                                  Director, Pediatric Urology                                                     Director of Research
   ics will have incentives to improve                                                                                                                            Department of Nephrology
                                                                                  Children’s Hospital of Iowa
   outcomes, including adjustable com-                                            Iowa City                                                                       Kidney Transplant Research Center
                                                                                                                                                                  The David Geffen School of Medicine
   posite rates.                                                                  Michael Grasso, MD
                                                                                                                                                                  at UCLA
                                                                                  Chairman, Department of Urology
     Since 1983, Medicare has paid for                                            Saint Vincent’s Catholic Medical Centers                                        Csaba P. Kovesdy, MD
                                                                                  New York City                                                                   Assistant Professor of
   dialysis using a composite rate that                                                                                                                           Clinical Internal Medicine
                                                                                  R. John Honey, MD
   includes reimbursement for dialysis                                                                                                                            University of Virginia
                                                                                  Head, Division of Urology,
                                                                                                                                                                  Charlottesville
                                                                                  Endourology/Kidney Stone Diseases
   treatment, clinic staff, ancillary items such as blood tubes and dialysate     St. Michael’s Hospital
                                                                                                                                                                  Chief of Nephrology
                                                                                                                                                                  Salem VA Medical Center
   fluid, and some medications. The upcoming MIPPA system will expand              University of Toronto
                                                                                                                                                                  Salem, Va.
                                                                                  Stanton Honig, MD
   the bundled coverage so that there will be even fewer “separately              Associate Clinical Professor of Surgery/Urology
                                                                                                                                                                  Edgar V. Lerma, MD, FACP, FASN, FAHA
                                                                                                                                                                  Clinical Associate Professor of Medicine
   billable” items. Some believe that the new bundling system, due to             University of Connecticut
                                                                                                                                                                  Section of Nephrology
                                                                                  School of Medicine, Urology Center
   start in 2011, will be the most dramatic change in the dialysis payment        New Haven
                                                                                                                                                                  Department of Medicine
                                                                                                                                                                  University of Illinois at Chicago
   system since the Medicare end-stage renal disease program began in             J. Stephen Jones, MD, FACS                                                      College of Medicine
                                                                                  Chairman                                                                        Chicago
   1973. Others, however, are more concerned with the so-called “quality          Departm
								
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