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The company is expanding in home dialysis with its $2 billion purchase of NxStage, a U.S. maker of home-use dialysis machines cufflinks depot review. Fresenius Medical Care said it plans to convert some dialysis clinics into “transitional care units” to train people for care at home. It aims to boost the percentage of its U.S. customers using home dialysis to more than 15 percent by 2022 from around 12 percent currently. DaVita recently launched new technology, including remote monitoring and telehealth, to improve the patient experience at home and “champions” home dialysis, a company spokeswoman said..

Nearly 15 percent of the U.S. adult population was suffering from chronic kidney disease in 2018, fueled by growing rates of diabetes and hypertension, according to the government’s U.S. Renal Data System. In 2016, more than 720,000 people were estimated to have progressed to kidney failure cufflinks depot review. That is forecast to climb as high as 1.26 million people by 2030. Without a transplant, patients with end-stage kidney disease require dialysis to clear their blood of waste and excess fluid, which involves spending three-to-five hours hooked up to a machine three times a week. Home dialysis would not only be cheaper, since it would not require nursing assistance once a patient is properly trained, but could be done at night, freeing people for a regular work schedule..

DaVita and Fresenius Medical Care offer two forms of home dialysis: hemodialysis, which requires a machine and special filter much like in clinics, and peritoneal dialysis, which utilizes the lining of the abdomen to filter waste from the blood cufflinks depot review. CMS is considering the benefits of peritoneal dialysis, which is used more widely outside the United States. Peritoneal dialysis machines are around the size of a desktop printer, smaller than home hemodialysis machines. DaVita believes home dialysis could eventually account for up to 25 percent of treatments if physicians are educated on its merits, and it plans to build fewer new clinics..

Meanwhile, U.S. pharmacy chain CVS is preparing to enter the dialysis business and has more retail outlets than Fresenius Medical Care and DaVita clinics combined, as well as deep enough pockets to drive disruption. CVS said last April its kidney care plans involve a program to identify the disease early and delay the need for dialysis cufflinks depot review. It will also seek regulatory approval for its own home dialysis device. CVS Chief Executive Larry Merlo, in an interview, said it wants a home care solution “which is going to be more patient friendly and we believe lower cost than the therapies that exist today.”..

Medicare pays for home dialysis, but adoption has been slow. Only around 8 percent of end-stage renal disease patients were on home dialysis in 2016 cufflinks depot review. The U.S. Department of Health and Human Services (HHS), which oversees CMS, is also seeking to increase the number of kidney transplants through proposals it hopes will expedite access to organs. More than 20,000 people received kidney transplants in the United States in 2018, a fraction of the more than 100,000 people on the waiting list. HHS Secretary Alex Azar plans to speak to kidney patients on Monday afternoon in Washington D.C..