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CMS has also finalized new rules that beginning next year will offer financial incentives for new drugs to treat kidney failure. Proponents of home care say more frequent dialysis can improve patient outcomes by avoiding the so-called “killer gap” – a two-day wait between clinic sessions associated with increased hospitalization and death. Hospitalization accounts for about 40 percent of Medicare spending on dialysis patients. “Imagine if we could keep patients out of the hospital by dealing with this killer gap .. giving them the tools to treat themselves,” said John Milad, CEO of Britain-based Quanta Dialysis Technologies, which is working on a simpler dialysis machine for home use. “The savings that are available there are as big as everything that is being spent on dialysis.” cufflinks target.

CVS is working on its home hemodialysis device with DEKA Research & Development Corp, a New Hampshire-based company owned by Segway scooter inventor Dean Kamen, according to sources familiar with the arrangement. Startups including Quanta, France’s Physidia and California-based Outset Medical, are working on user-friendly dialysis machines for home use. U.S.-based Cricket Health and Somatus use data analysis to detect high-risk chronic kidney disease patients earlier, educate them on treatment options and provide home dialysis services cufflinks target. Cricket CEO Arvind Rajan said the government could save money via a flat fee to manage patients earlier in the disease and reward providers who keep costs down. “The most profitable thing you can do is keep a patient from kidney failure and the least profitable thing you can do is have the patient on in-center dialysis,” he said..

WASHINGTON (Reuters) – U.S. construction spending unexpectedly fell in December as investment in both private and public projects dropped, leading economists to expect that the government will trim its economic growth estimate for the fourth quarter cufflinks target. The report from the Commerce Department on Monday was further evidence the economy lost momentum at the tail end of 2018. Growth is slowing as the stimulus from a $1.5 trillion tax cut and increased government spending ebbs. Trade tensions between the United States and China as well as slowing global economies are also hurting domestic activity..

The construction spending report extended the run of weak December economic data, that has included retail sales, housing starts, trade and home sales cufflinks target. “The report is in line with the U.S. economy losing some steam at the end of the year,” said Steven Shields, an economist at Moody’s Analytics in West Chester, Pennsylvania. Construction spending declined 0.6 percent after an unrevised 0.8 percent increase in November. Economists polled by Reuters had forecast construction spending rising 0.2 percent in December. Construction spending increased 1.6 percent on a year-on-year basis..

It rose 4.1 percent in 2018, the weakest reading since 2011. The release of the December report was delayed by a five-week partial shutdown of the government that ended on Jan cufflinks target. 25. Based on the construction spending data, economists expect the government will pare its fourth-quarter gross domestic product estimate by at least one-tenth of a percentage point to a 2.5 percent annualized rate. The government reported last Thursday that the economy grew at a 2.6 percent rate in the October-December period, slowing from the third quarter’s brisk 3.4 percent pace..