DVAC supports policies that promote dialysis vascular access in the ASC and office settings, where the outcomes are superior.

​In the 2017 Physician Fee Schedule, the Centers for Medicare & Medicaid Services (CMS) cut payments to a key vascular access code by 39%. A survey by the American Society of Diagnostic and Interventional Nephrology (ASDIN) survey in 2017 found that reimbursement levels were so inadequate that more than 20 percent of respondents surveyed stated their centers had closed due to the cuts. More recent Medicare claims data has confirmed a decrease in office-based vascular access services of more than 30 percent since 2017.​ Unfortunately, the 2023 Physician Fee Schedule finalizes yet another round of approximately 15% cuts to office-based vascular access through 2025.