OPO Encyclopedia

CMS Finalizes the IOTA Model: Mandatory Payment Reform for Kidney Transplant Hospitals

CMS finalized the IOTA Model, a mandatory alternative payment model that tests whether performance-based financial risk for kidney transplant hospitals increases transplant access. Participating hospitals face upside or downside payments based on transplant volume metrics. This creates new dynamics for OPO-hospital coordination — hospitals under IOTA pressure will likely become more aggressive in accepting organ offers.