An ESRD Seamless Care Organization (ESCO) is a partnership among groups of health care providers and suppliers in order to test a new payment model and care delivery method specifically for Medicare beneficiaries with ESRD.

An ESCO is formed by a partnership among Medicare certified dialysis facilities, nephrologists and other and other Medicare enrolled providers and suppliers located in a contiguous geographical area. Through the ESCO model, these partners are able to work together to enhance patient-centered care, improve communication and coordination of care and access to services.

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