Increasing Organ Transplant Access (IOTA) Model

Current understanding

The Increasing Organ Transplant Access (IOTA) Model is a CMS alternative payment model (APM) aimed at increasing kidney transplant access and improving outcomes at participating transplant hospitals. CMS periodically updates the model’s performance year parameters and regulatory text through rulemaking.

Evidence log

• 2025-03-14 — Block Organ Transplant Purchases from China Act of 2025: cross-connection with block-organ-transplant-purchases-china-act: Both concern federal policy shaping which organ transplants are payable and how organs flow through the U.S. OPTN system. (novelty: 3)
• 2025-07-22 — Living Donor Protection Act of 2025: cross-connection with living-donor-protection: Living donor insurance and leave protections complement CMS’s IOTA model by addressing non-clinical barriers that limit the living donor supply feeding the transplant system. (novelty: 2)

Open questions

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