CTAC on the Hill: Advancing Kidney Care Through Value-Based Models

CTAC + Jan 25, 2026

C-TAC was proud to participate in the Hill briefing Improving Kidney Care with Innovative Payment & Delivery Models, which opened with remarks from Bill Novelli, Co-Founder & Co-Chair of C-TAC. His remarks set the stage for a bipartisan discussion focused on what is working in kidney care—and how value-based models are improving the patient experience while strengthening system sustainability.

Some highlights include:

  • The Kidney Care Choices (KCC) model is a bipartisan value-based framework delivering real, measurable improvements for patients, including greater access to home-based care and more coordinated ESRD treatment.

  • KCC has emerged as one of the strongest models to date from the Center for Medicare and Medicaid Innovation, demonstrating that value-based care can produce meaningful outcomes, not just concepts.

  • Speakers Purva Rawal and Brendan Fulmer emphasized that KCC is informing broader physician payment reform and could serve as a foundation for how Medicare beneficiaries receive kidney care.

  • The model has driven significant progress in transplantation—widely recognized as the best outcome for patients—with preemptive transplants increasing by 69% and living donor transplants by 22%.

  • Clinician leaders from the National Kidney Foundation, Renal Physicians Association, Evergreen Nephrology, DaVita, and Strive Health agreed that value-based kidney care works and leads to better patient outcomes.

  • Panelists stressed the importance of early intervention and sustained investment, noting that preventing dialysis requires addressing kidney disease earlier and committing to long-term models that deliver returns over time.

  • There was strong consensus that a successor to CKCC must follow—and that the model should be made permanent to preserve gains, reduce disparities, and continue improving care for patients with kidney disease.

C-TAC remains committed to advancing value-based policies that ensure everyone facing a serious illness has access to the care they need, when and where they need it—while elevating the patient voice and strengthening the health care system for the future.