Original Investigation

Overlap Between Mandatory and Voluntary Value-Based Kidney Care Model Participation and Home Dialysis Use

JAMA Health Forum 10.1001/jamahealthforum.2026.3046

September 11, 2026 at 11:00 AM EDT

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This study found that simultaneous participation in mandatory and voluntary kidney care models was common (approximately one-fifth of nephrologists) and associated with increased home dialysis use among patients with ESRD compared with participation in the mandatory payment model only, but not when compared with participation in the voluntary payment model alone. Despite complementary incentives, the results did not suggest a synergistic effect of overlapping participation in 2 value-based kidney care models.

Corresponding Author: Sri Lekha Tummalapalli, MD, MBA, MAS, Division of Healthcare Delivery Science lct4001@med.cornell.edu).

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