On July 2, 2012, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would update Medicare policies and payment rates for end-stage renal disease (ESRD) facilities paid under the ESRD Prospective Payment System (PPS) for calendar year (CY) 2013. The proposed rule also would strengthen incentives for improved quality of care and better outcomes for patients through improvements to the ESRD Quality Incentive Program (QIP). Performance scores on the proposed QIP measures during the CY 2013 performance period would affect payments to dialysis facilities in CY 2015. The proposed rule [PDF] appeared in the July 11, 2012, Federal Register. For more information, go to the CMS website - Details for Regulation Number: CMS-1352-P. ANNA reviewed the rule, solicited feedback from members, and submitted comments to CMS on August 31, 2012. Click here to read ANNA's comments to CMS. CMS will respond to comments in the final ESRD PPS rule for CY 2013 to be published by November 1, 2012.