Rules › CMS-2026-2245

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

Proposed rule from the Health and Human Services Department, Centers for Medicare & Medicaid Services (docket CMS-2026-2245). 78 comment letters from companies and organizations are listed below.

Agency
Health and Human Services Department, Centers for Medicare & Medicaid Services
Docket
CMS-2026-2245
Published
2026-06-26
Comments due
2026-08-24
Status
Comment period closed August 24, 2026 · no final rule found yet
Total public comments
236
Letters listed here
78

Federal Register notice ↗ · Docket on Regulations.gov ↗

Who commented, by industry

Healthcare 59 Pharma & Medical Devices 11 Insurance 1 Technology, Media & Telecom 1 Manufacturing & Chemicals 1 Advocacy & Nonprofits 1 Agriculture & Food 1 Labor Unions 1 Business Groups & Chambers 1 Other 1

Who commented

Kidney Care Council Trade or professional group Healthcare

filed 2026-08-25

Medical Education Institute Trade or professional group Healthcare

filed 2026-08-25

American Society of Nephrology Trade or professional group Healthcare

filed 2026-08-25

Pennant Group Company Healthcare

filed as “The Pennant Group” · filed 2026-08-25

American Association of Kidney Patients Trade or professional group Healthcare

filed 2026-08-25

U.S. Renal Care, Inc. Hospital or health provider Healthcare

filed 2026-08-25

Renal Healthcare Association (RHA) Trade or professional group Healthcare

filed 2026-08-25

Kaiser Permanente Hospital or health provider Healthcare

filed 2026-08-25

Fresenius Medical Care Hospital or health provider Healthcare

filed 2026-08-25

Renovo Company Healthcare

filed 2026-08-25

BJC Health Hospital or health provider Healthcare

filed 2026-08-25

Advanced Medical Technology Association (AdvaMed) Trade or professional group Pharma & Medical Devices

filed as “AdvaMed” · filed 2026-08-25

Concerto Renal Services Company Healthcare

filed 2026-08-25

American Kidney Fund Nonprofit or advocacy group Healthcare

filed 2026-08-25

Henry Ford Health Hospital or health provider Healthcare

filed 2026-08-25

Alliance for Home Dialysis Trade or professional group Healthcare

filed 2026-08-25

Alliance for Home Dialysis Trade or professional group Healthcare

filed 2026-08-25

Akebia Therapeutics Company Pharma & Medical Devices

filed 2026-08-25

Concerto Renal Services Company Healthcare

filed 2026-08-25

Medicaid & Medicare Advantage Products Association of Puerto Rico (MMAPA) Trade or professional group Insurance

filed as “Medicaid and Medicare Advantage Products Association of Puerto Rico” · filed 2026-08-25

Satellite Healthcare, Inc. Hospital or health provider Healthcare

filed 2026-08-25

Kidney Care Partners (KCP) Hospital or health provider Healthcare

filed 2026-08-25

Biotechnology Innovation Organization (BIO) Trade or professional group Pharma & Medical Devices

filed as “BIO” · filed 2026-08-25

Amgen Inc. Company Pharma & Medical Devices

filed as “Amgen, Inc.” · filed 2026-08-25

CSL Vifor Company Pharma & Medical Devices

filed 2026-08-25

PointClickCare Company Technology, Media & Telecom

filed 2026-08-25

DaVita Company Healthcare

filed 2026-08-25

National Kidney Foundation Nonprofit or advocacy group Healthcare

filed 2026-08-25

Vantive Company Pharma & Medical Devices

filed 2026-08-25

Connected Health Initiative Hospital or health provider Healthcare

filed 2026-08-25

ADVION Advocates Nonprofit or advocacy group Healthcare

filed 2026-08-25

The American Occupational Therapy Association Trade or professional group Healthcare

filed 2026-08-25

LeadingAge Trade or professional group Healthcare

filed 2026-08-25

Renal Physicians Association Trade or professional group Healthcare

filed 2026-08-25

National Alliance for Care at Home Trade or professional group Healthcare

filed 2026-08-25

Academy of Nutrition and Dietetics Trade or professional group Healthcare

filed 2026-08-25

Nonprofit Kidney Care Alliance (NKCA) Trade or professional group Healthcare

filed 2026-08-25

Sanofi Company Pharma & Medical Devices

filed 2026-08-24

Dialysis Clinic, Inc. (DCI) Hospital or health provider Healthcare

filed 2026-08-24

Ardelyx, Inc. Company Pharma & Medical Devices

filed 2026-08-24

National Partnership for Healthcare and Hospice Innovation Nonprofit or advocacy group Healthcare

filed 2026-08-24

Coalition to Transform Advanced Care Trade or professional group Healthcare

filed as “The Coalition to Transform Advanced Care” · filed 2026-08-24

American Health Care Association Trade or professional group Healthcare

filed 2026-08-24

Senior Care Pharmacy Coalition (SCPC) Trade or professional group Pharma & Medical Devices

filed 2026-08-24

Sanford Health Hospital or health provider Healthcare

filed 2026-08-24

CorMedix Therapeutics Company Pharma & Medical Devices

filed 2026-08-24

Renal Support Network Nonprofit or advocacy group Healthcare

filed 2026-08-24

Rogosin Institute Trade or professional group Healthcare

filed as “The Rogosin Institute” · filed 2026-08-24

American Association of Nurse Practitioners Trade or professional group Healthcare

filed 2026-08-24

American Society of Consultant Pharmacists Trade or professional group Healthcare

filed 2026-08-24

Dialysis Patient Citizens Hospital or health provider Healthcare

filed 2026-08-24

American Nephrology Nurses Association (ANNA) Trade or professional group Healthcare

filed 2026-08-24

Kaneka Corporation Company Manufacturing & Chemicals

filed 2026-08-24

CorMedix Therapeutics Company Pharma & Medical Devices

filed 2026-08-24

Atlantic Dialysis Management Services, LLC Hospital or health provider Healthcare

filed 2026-08-24

Coalition for Kidney Supportive Care Trade or professional group Healthcare

filed 2026-08-24

National Association of Nutrition and Aging Services Programs Nonprofit or advocacy group Advocacy & Nonprofits

filed 2026-08-24

National Minority Quality Forum and Nephrologists for Equitable Kidney Care Trade or professional group Healthcare

filed 2026-08-24

Tidal Dioalysis, LLC Company Healthcare

filed 2026-08-24

American Society of Pediatric Nephrology Trade or professional group Healthcare

filed 2026-08-21

Concerto Renal Services Company Healthcare

filed 2026-08-21

The National Grange of the Order of Patrons of Husbandry Nonprofit or advocacy group Agriculture & Food

filed 2026-08-21

National Patient Advocate Foundation Nonprofit or advocacy group Healthcare

filed 2026-08-21

American Academy of Hospice and Palliative Medicine Trade or professional group Healthcare

filed 2026-08-21

Texas Nursing Home Coalition Trade or professional group Healthcare

filed 2026-08-21

National Forum of ESRD Networks Trade or professional group Healthcare

filed 2026-08-21

A. Philip Randolph Institute Labor union Labor Unions

filed 2026-08-13

American Nurses Association Trade or professional group Healthcare

filed 2026-08-13

United States Hispanic Business Council Trade or professional group Business Groups & Chambers

filed 2026-08-10

The Jentosy Project Nonprofit or advocacy group Other

filed 2026-08-04

Intermountain Health Hospital or health provider Healthcare

filed 2026-08-04

Ignite Medical Resorts Hospital or health provider Healthcare

filed 2026-08-04

National Renal Care Hospital or health provider Healthcare

filed 2026-07-31

National Renal Care Hospital or health provider Healthcare

filed 2026-07-31

Elevate Care Hospital or health provider Healthcare

filed 2026-07-31

National Renal Care Hospital or health provider Healthcare

filed 2026-07-31

National Renal Care Hospital or health provider Healthcare

filed 2026-07-31

Center to Advance Palliative Care Hospital or health provider Healthcare

filed 2026-07-22