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regulatoryDecember 11, 2025· Federal Register

CMS Proposes Updates to IOTA Model for Performance Year 2


CMS proposes revisions to the IOTA Model for Performance Year 2, which tests whether performance-based payments to kidney transplant hospitals can increase transplant access. The IOTA Model directly affects OPO-hospital relationships by creating financial incentives for hospitals to accept more kidneys, potentially shifting referral patterns and organ offer acceptance rates.

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cmsiota modelkidney transplantpayment modelproposed ruletransplant access
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