Last fall, seven of the 10 Medicare Administrative Contractors proposed revisions to their payment policies that would restrict the use of more frequent dialysis. This can be defined as any form of hemodialysis beyond the standard three times a week, such as short daily dialysis or nocturnal dialysis every other day. While the MACs have defined payment codes that allow exceptions for patients who need more dialysis on a temporary basis, the revisions would eliminate these modality options for patients who want better care.
The MACs held hearings and accepted comments through December 2017, but it is important that members of the renal community still air their opinions on these potential restrictions to more frequent dialysis. HDU developed a video, accessible on YouTube, in which we interviewed 20 home dialyzors about how they benefit from more frequent dialysis.