Medicare Program; CY 2027 Changes to the End-Stage Renal Disease (ESRD) Prospective Payment System, Acute Kidney Injury Dialysis (AKI) Payment, and ESRD Quality Incentive Program
CMS proposes updates to ESRD PPS and AKI payment rates for CY 2027, with changes to the ESRD QIP. Small businesses providing dialysis services or supplies under federal contracts should review proposed payment adjustments and quality measures.
Aforeworn detected this change in the Government Contracting (SAM/FAR) space on July 5, 2026 and published this briefing so affected operators are forewarned rather than caught off guard. It is rated Low urgency. Small businesses with federal contracts or grants involving dialysis services, supplies, or equipment (e.g., ESRD facilities, suppliers, and subcontractors). should confirm how it applies to their specific situation before acting. There is a time constraint attached: Comment period ends 60 days after publication (approx. August 25, 2026).. Acting after that point can mean penalties, a lapsed licence, or lost eligibility — exactly the kind of surprise Aforeworn exists to prevent. Aforeworn monitors Government Contracting (SAM/FAR) continuously and turns every detected change into a plain-English briefing like this one, so you always know first. Forewarned is forearmed.
What changed
Proposed rule updates payment rates for ESRD PPS and AKI dialysis, and revises ESRD QIP measures for CY 2027.
Who it affects
Small businesses with federal contracts or grants involving dialysis services, supplies, or equipment (e.g., ESRD facilities, suppliers, and subcontractors).
What you must do
Review proposed changes to assess impact on reimbursement and quality reporting obligations; submit comments by the deadline if desired.
Deadline
Comment period ends 60 days after publication (approx. August 25, 2026).
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