Filtered field notes — kidney-transplant.
Sorted newest first. Each post links primary sources and methodology.
Immunosuppression adherence drops at month six. Depression runs 25% at year one. The transplant team stops watching at month three. What the data says and why this is a graft-survival problem.
CMS has removed SDOH reporting from inpatient quality programs while expanding outpatient screening mandates. For ESRD and transplant patients — who move across both settings — this creates a structural gap that clinical social workers are now expected to bridge alone.
CMS's new IOTA Model incentivizes transplant centers to improve kidney access. It's a meaningful policy move. But it starts at the wrong end of the pipeline — and the 80% of ESRD patients who never make it to evaluation are still being left behind.
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