Medicare Dialysis Facilities: Beneficiary Access Stable and Problems in Payment System Being Addressed

June 2004 Medicare Dialysis Facilities: Beneficiary Access Stable and Problems in Payment System Being Addressed Medicare covers about 90 percent of patients with end-stage renal disease (ESRD), the permanent loss of kidney function. Most ESRD patients receive regular hemodialysis treatments, a process that removes toxins from the blood, at a dialysis facility. A small percentage dialyzes- at home. From 1991 through 2001, the ESRD patient population more than doubled, from about 201,000 to 406,000. As the need for services grows, so do concerns about beneficiary access to and Medicare payment for dialysis services. The Medicare, Medicaid, and . . .