Medicare Reimbursement Basics

Reimbursement for chronic hemodialysis and kidney transplantation was scarce until the mid-1960s and haphazard until 1972, when Congress amended the Social Security Act to include coverage for end-stage renal disease for qualified patients. Because the amendment made Medicare the primary kidney transplantation insurer for more than 90 of the United States population, it was Congress and the U.S. Department of Health and Human Services, rather than the commercial health insurance industry, that...