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Health


BIDEN’S HEALTH DEPARTMENT LOOKS TO PUSH EQUITY REQUIREMENTS ON TRANSPLANT LISTS



(BRENDAN SMIALOWSKI/AFP/GettyImages)

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Kate Anderson Contributor
May 27, 2024 9:36 AM ET
Font Size:

The Department of Health and Human Services (HHS) is looking to push equity
requirements on hospitals providing kidney transplants, according to a recent
proposal.



The proposal, announced May 8, will help President Joe Biden’s administration’s
plan to address “racial bias” when it came to wait times and “profiteering and
inequity” by transplant hospitals, Secretary Xavier Becerra said in the press
release. HHS’ proposal would incentivize hospitals to prioritize low-income
patients via a point system and create “health equity” plans to address patient
gaps. (RELATED: EXCLUSIVE: Swing State’s Pension Funds Used To Advance ‘Racial
Equity,’ Climate Initiatives, Report Finds)



“The organ transplant industry, like every other part of society, is not immune
to racial inequities,” Becerra said in the press release. “Black Americans
disproportionately struggle with life-threatening kidney disease, yet they
receive a smaller percentage of kidney transplants. The Biden-Harris
Administration is taking concrete steps to remove racial bias when calculating
wait times and rooting out profiteering and inequity in the transplant process.”

WASHINGTON, DC – MAY 04: U.S. Secretary of the Department Of Health And Human
Services (HHS) Xavier Becerra testifies before a Senate Appropriations
Subcommittee, on Capitol Hill, May 04, 2022, in Washington, DC. (Photo by Kevin
Dietsch/Getty Images)

If implemented, participating hospitals would be scored annually based on the
total number of transplants, acceptance rates, and post-transplant success, but
a large portion of those points, 60 out of 100, are based on the number the
hospital performed compared to the government target, which places extra weight
on low-income patients, according to the proposal.

“Each kidney transplant that is furnished to a patient who meets the low-income
definition would be multiplied by 1.2, thus counting that transplant as 1.2
instead of 1,” the proposal reads. “The resulting count of the overall number of
kidney transplants performed during the PY [performance year], after the health
equity performance adjustment is applied, would then be compared to the
transplant target.”





The rule would also require transplant hospitals to adhere to “additional
performance incentives … to improve equity in the transplant process,” according
to the press release. One of the requirements would force hospitals to have a
health equity plan so they can see “gaps in access among populations in their
communities.”

“For example, participants could establish programs to educate and support
potential living donors from underserved communities or to provide
transportation assistance to patients on a waitlist,” the press release reads.
“Participating transplant hospitals would also have the flexibility to address
barriers related to social drivers of health, such as food insecurity and
out-of-pocket prescription drug costs.”

Dr. Stanley Goldfarb, a kidney specialist and founder of Do No Harm, told the
Washington Free Beacon that the administration likely wants to avoid saying
“We’re doing this for black patients,” but that the proposal has the same
effect.



“And so I think what they’ve just decided is, ‘We’ll just give an incentive to
the hospitals to do this and let them figure out how to do this,'” Goldfarb
said. “But I don’t know that there’s a real system in place to allow that. So
either you’re going to have a system that ends up being purely on the basis of
race, or it’s going to be a system that fails totally.”

HHS did not immediately respond to the Daily Caller News Foundation’s request
for comment.

All content created by the Daily Caller News Foundation, an independent and
nonpartisan newswire service, is available without charge to any legitimate news
publisher that can provide a large audience. All republished articles must
include our logo, our reporter’s byline and their DCNF affiliation. For any
questions about our guidelines or partnering with us, please
contact licensing@dailycallernewsfoundation.org.







Tags : department of health and human services equity organ transplant xavier
becerra
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Kate Anderson







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