Blog entry by Meguid El Nahas
CKD DEFINITION, CLASSIFICATION AND EPIDEMIOLOGY; IS IT ALL ABOUT MONEY...?!
In the US, labelling older people as suffering from CKD 3a (age related decline in kidney function) leads under the Medicare Advantage plans to enhanced reimbursements to large private medical groups; Defining and labelling older people as suffering from "CKD" leads under the HCC system to increased reimbursement.
All too often an older patient with years of stable eGFRs of let say 59ml/min gets suddenly labeled as “CKD stage 3a” to increase his healthcare provider's income...at the expense of burdening the patient with an unnecessary and unjustified diagnosis of "CKD".
THIS MUST STOP!
The CKD classification has to be revised to spare millions the mislabelling of "CKD" even if it costs millions to private healthcare providers in the US...
A new age-sensitive classification has to be adopted.
IT IS HIGH TIME WE STOP MIXING CKD AND BUSINESS...