I've been emailing a long-time member of DialysisEthics and he suggested it might be a good idea to work on getting a bill for minimum outcome standards. In order for the center to get paid the full amount dialyzors would have to have, for example, a KTV of 1.4 or higher. If it was lower, the clinic would get paid on a sliding scale, 95% etc..
I've got some friends involved in politics and I've thought about approaching them with the idea, but I wanted to get some feedback first.
I did also start a topic at the DialysisEthics site:
http://dialysisethics2.org/forum/index.php?topic=561.0