PAPER OF THE WEEK: When Patients With Kidney Failure Still Don't Take Medication

February 8, 2020
Mary Caffrey
Mary Caffrey

The article identifies issues such as poor socioeconomic background and lack of family and social support as factors in poor medication adherence, which today are recognized as social determinants of health

Welcome to Paper of the Week, which looks back at research and commentary from the past 25 years in The American Journal of Managed Care®, and why they matter today.

This week’s paper, “Medication Noncompliance in Patients With Chronic Disease: Issues in Dialysis and Renal Transplantation,” examines the problems with patients who must undergo a kidney transplant but still don’t stick with basic medication regimens for conditions like hypertension, which add to their medical challenges.

The article identifies issues such as poor socioeconomic background and lack of family and social support as factors in poor medication adherence, which today are recognized as social determinants of health.

This week, CMS offered a proposal for helping patients with end-stage renal disease enroll in Medicare Advantage, which complement payment models for renal treatment called Kidney Care First. Overall, the current initiatives in CMS are designed to make nephrologists, dialysis centers, and others involved in renal care more accountable for patients’ overall health.

For the Paper of the Week, visit ajmc.com.

For more about Kidney Care First, see ajmc.com.