Budgetary Constraints: The Medicare dialysis bundle operates within a predefined budget allocated by the government. This budgetary constraint imposes a limit on overall spending for dialysis care, which helps control healthcare expenditures at the national level. Dialysis facilities must manage their resources effectively to operate within this budget while providing quality care to patients.
-------------------------------------------- My understanding is that it forces MD's to prescribe lower cost generics in order to stay within the predefined budget allocated by Medicare . Staying outside the bundle allows a more direct access for the patient provided the Co pay is reasonable just my take Kiwi