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" ... Cha: This is a blueprint for how to decrease Medicare/Medicaid costs substantially. The Centers for Medicare and Medicaid Services (CMS) 2021 budget is $1.2T, and about 20% of this is spent on someone with CKD or ESRD. Getting this spend under control is one of the key priorities for CMS. CMS is rolling out comprehensive reform in 2021, changing the payment model for kidney disease to incentivize better outcomes and lower cost. This is a blueprint for shifting expenditures for every cardiorenal chronic disease: paying for proactive and preventative care, improving lives while eliminating large avoidable outcomes and costs. ... "