Sensipar Bundle

[Tío Riñon]

By moving the drug to the bundle they increase compliance and make the drug easier to control by bypassing the patient and putting it under medical control.  Currently I ignore my hemoglobin results since my doctor is responsible for setting the drug regimen that takes care of my hemoglobin levels.

I assume that you are referring specifically to patients on HD with respect to compliance.  It sounds like PD (and perhaps some of the other modalities) will still receive pills.  I'm not aware of any way for me as a PD patient to get it via IV.  The same is true for Hgb.  Either I have to have self-administer the Epogen or go into the clinic and have the nurse do it.  If I'm not proactive, it doesn't happen.

Now I'm curious about the compliance rates between modalities.  Hmmm...perhaps some student could research this.

[smartcookie]

The dietician at our clinic just had a meeting and was told the IV Sensipar will only be in the bundle for two years and then CMS will look and see if it will be a permanent part of the bundle.