In late November, the Centers for Medicare & Medicaid Services (CMS) issued this final rule that finalizes payment updates for the End-Stage Renal Disease (ESRD) Prospective Payment System starting January 1, 2026. The final rule includes increases to the base payment rate for dialysis services and new payment adjustment for non-labor costs for providers located in Alaska, Hawaii, and the US Territories. Additionally, the final rule includes changes to the ESRD Quality Improvement Program and the early termination of the ESRD Treatment Choices Model.