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


Working Towards Payment Stability for VAC Centers of Excellence

​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.​


Our Coalition

The Dialysis Vascular Access Coalition (DVAC) is a coalition of medical specialty societies, physicians, and vascular access centers of excellence (VACs) in the office and ASC setting that provide vascular access services to individuals with advanced chronic kidney disease and End-Stage Renal Disease (ESRD). VACs treat more than half of a million cases per year across the country in a safe, specialized, patient-preferred setting.



Vascular access centers of excellence (VACs) serve as specialized, patient-focused, centers dedicated to providing vascular access creation and preservation services in the office or ASC setting.


Fistulas are recognized as the best vascular access option for patients. Conversely, central line catheters have demonstrated high infection rates, high hospitalization rates, and high costs. 

Latest News

October 6, 2021

DVAC: Do Not Leave Dialysis Patients In The Cold

September 15, 2021

Dialysis Vascular Access Coalition Submits Comment Letter Opposing Clinical Labor Policy

July 28, 2021

Dialysis Vascular Access Coalition Sees Proposed 20% Medicare Cut to Dialysis Vascular Access Services As a Key Driver in Health System Consolidation and Health Inequity

June 14, 2021

Medicare Needs Reimbursement Stability for Vascular Access


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Washington, D.C. 20001

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