Alternative Payment Models and Opportunities to Address Disparities in Kidney Disease

Health and health care disparities are pervasive across the spectrum of kidney disease.1 Kidney failure disproportionately affects Black and Hispanic persons, those with low socioeconomic status, and homeless and housing insecure individuals.2-5 The etiology of these disparities stems from complex interrelationships between social disadvantage, medical comorbidities, genetic factors, and historical/structural racism. In the context of the disproportionate impact of coronavirus disease 2019 (COVID-19) on Black and Hispanic communities,6 its bidirectional association with kidney disease,7,8 and heightened awareness of racial injustices in this country, correcting health disparities in kidney disease is all the more crucial.