Key facts about PD reimbursement

The Centers for Medicare & Medicaid Services (CMS) continues to offer incentives for home therapy1

  • All dialysis modalities are reimbursed at the same prospective payment system (PPS) per-treatment payment rate, PD benefits under the bundle
  • The three-month waiting period for Medicare coverage is waived if patients choose home therapy over HD

How PD provides financial benefit to the healthcare system2

Average patient Average ICHD patient Average PD patient Net change ICHD vs.
PD patient
Number of reporting facilities NA 5,000 2,200 NA
Average revenue
per Medicare beneficiary year
$41,000 $41,000 $42,000 $1.000
Average cost
per Medicare beneficiary year
$41,000 $42,000 $37,000 ($5,000)
Average margin
per Medicare beneficiary year
$200 ($800) $5,700 $6,500
% margin
per Medicare beneficiary year
0.5% (2.0%) 13% 15%

Adapted from The Moran Company of Analysis 2014. Medicare Institutional Costs Reports submitted from over 4,750 chronic dialysis facilities.