The Trump administration on Wednesday set goals to move more kidney disease treatment into patients' homes and increase transplants while reducing the US reliance on more costly dialysis clinics.
The changes won't happen overnight - some of the initiatives will require new government regulations.
Because a severe organ shortage complicates the call for more transplants, the Trump administration will try to ease the financial hardships for living donors by reimbursing them for expenses such as lost wages and child care.
"Those people, I have to say, have never gotten enough credit", Trump said, referring to donors. "What they do is so incredible".
The executive order also includes measures to help groups that collect organs from deceased donors.
As a patient-centric organization dedicated to innovating the field of transplantation for more than 20 years, CareDx is excited about the direction the field is moving and commends HHS for its efforts to support patients living with kidney disease and their goals to increase transplantation.
Doubling the number of kidneys available for transplant by 2030.
Three times a week, hundreds of thousands of Americans with end-stage kidney disease trudge to dialysis centers to get the treatment that keeps them alive.
"Taxpayers spend more on kidney disease - over $110 billion - than we do on the National Institutes of Health, the Department of Homeland Security and NASA combined", Joe Grogan, head of the White House's Domestic Policy Council told reporters.
The president's plans include educating and treating people with early forms of kidney disease and to make kidney transplants easier to get. Only about a third received specialized kidney care before they got so sick.
"My health care providers failed me at the beginning of the dialysis continuum", said transplant recipient Tunisia Bullock of Rocky Mount, North Carolina.
"The way we now pay for chronic kidney disease and kidney failure isn't working well for patients", said Verma in a statement.
Education is important to slow the progression of kidney disease. Of those, 6,442 were from living donors, according to the United Network for Organ Sharing, which oversees the nation's transplant system. According to data from CMS, around 88 percent of ESRD patients in 2016 started treatment with in-center dialysis.
Dialysis "is like a full-time job for people", Trump said at an event in Washington where he was flanked by sufferers of kidney ailments. Medicare pays for end-stage renal disease treatment, including dialysis and kidney transplant.
Reducing the number of Americans developing kidney failure by 25% by 2030. Dialysis in a clinic typically means spending hours in a chair multiple times a week, hooked up to a machine that helps clean the blood of toxins. About 100,000 Americans are waiting for a kidney transplant. "It's a game changer", said American Society of Nephrology (ASN) President Mark E. Rosenberg, MD, FASN. The CKCC Models-Graduated, Professional, and Global-would utilize capitated payments similar to those used under the KCF Model, but the participating providers and facilities would be responsible for the total cost and quality of care for patients, and in exchange, could receive a portion of their Medicare savings. The administration is relying on the innovation center even as it argues in federal court that the law that created it is unconstitutional and should be struck down entirely.