Latest Posts

Healthmap Talks Home Dialysis: Better Outcomes, Patient Experience and Costs

July 14, 2020

According to the U.S. Renal Data System 2019 Annual Report, 124,500 people were newly diagnosed with End Stage Renal Disease #ESRD in 2017, of which 120,834 began #dialysis. About 88% of newly diagnosed patients begin care in a dialysis center at a cost to Medicare of $92,000 per patient. In-home dialysis can improve care, enhance outcomes and lower costs. Advanced technology, clinical expertise and complex care management can uncover the ESRD patients who could benefit most.

For ESRD patients, in-center dialysis has been the paradigm for dialysis management. Of the number of newly diagnosed ESRD patients, 33% may have received little to no pre-ESRD nephrology care, and often “crash” into dialysis when renal failure drives them to the ER. For the majority of these patients, who are often unaware of their disease, overwhelmed by their diagnosis, and unaware of their options, in-center dialysis became the only option and today, continues to be the modality of choice.

But, it doesn’t have to be this way, and frankly it won’t.


Home dialysis: better outcomes, patient experience and costs

In the U.S. home dialysis remains an underused treatment modality for ESRD patients. Despite research showing that home dialysis is as safe and effective as in-center treatment, only about 12% of ESRD dialysis patients are treated at home.

For patients, scheduling dialysis treatments around their lives rather than when a chair is available at the dialysis center is a major improvement with in-home dialysis. Because home dialysis allows more frequent and slower treatment (for instance some patients dialyze overnight versus four hours in a center) patients feel better, require fewer medications, have fewer dietary restrictions and retain kidney function longer. And, important right now, in-home dialysis keeps vulnerable ESRD patients at home, continuing to safely access their life-sustaining treatment.

Home dialysis is also a more cost-effective option. Nurse involvement is limited to remote monitoring to troubleshoot issues should they arise. The frequency with which patients can self-administer their treatment eliminates the in-center treatment “gap” days that are associated with increased hospitalizations, which account for approximately 40% of the cost to Medicare of caring for ESRD patients.


Disrupting the Diagnosis-to-Dialysis-Center Pipeline

For patients who are in otherwise good health, not prone to infection, do not have a pre-existing medical condition that would preclude them from consideration, home dialysis can be a life-altering and cost-saving alternative to in-center dialysis treatment.

The key to disrupting the paradigm of the ESRD diagnosis to dialysis in-center trajectory lies in the ability to identify the ideal candidates for in-home dialysis before they need renal replacement therapy and proactively transition them to in-home treatment. Kidney health management programs can help.

Kidney Health Management (KHM) programs use big data, AI, machine learning and predictive analytics leveraged with clinical expertise and complex care management to proactively identify patients whose medical profiles match that of other ESRD patients who have successfully transitioned to in-home dialysis treatment. Actionable and clinically proven information is provided to the healthcare provider to determine the patient’s appropriateness and readiness for in-home dialysis.

From there, KHM deploys its patient-centric, provider supporting capabilities to empower patients and providers with the information and services needed to make in-home dialysis a success, specifically to:

  • Identify care gaps and take steps to proactively connect the patient to the care and support services they need to make home dialysis a success well in advance of initiating dialysis;
  • Engage the patient in the decision to dialyze at home, provide them with the information they need to make an informed choice;
  • Assess telehealth readiness and capability for a smooth glide path to therapy initiation and ongoing provider communication, support, and education.
  • Support patients throughout the transition and troubleshoot issues that may arise. Ensure patients are adapting well, safely dialyzing at home and have the services they need to successfully and confidently continue their dialysis treatment at home.

Healthmap Solutions works with a number of large health plans to increase the use of in-home dialysis treatment as appropriate for ESRD patients. Our Kidney Health Management program has a 30% to 40% (and growing) success rate in transitioning patients to home dialysis, greatly benefitting the patient, provider and health plan. For more information visit

To stay current on issues and breaking news related to kidney health management and population health management, follow us on LinkedIn, Facebook and Twitter @healthmapcare, and sign up for direct alerts from Healthmap Solutions.


Categorized in:

This post was written by Elevate, Inc.

Comments are closed here.

Get Connected

Join our networks and stay in touch.

Read Our Testimonials

Hear what our customers have to say

“Aakash Patel, Chris Melvin and the rest of the Elevate team simply delivered. The connections Aakash made led to valuable relationships for me and new clients for RevStar. You can’t fully appreciate what Elevate can do for your business until you experience it first hand. I personally recommend their services to anybody looking to grow their network and business within the Tampa Bay community.”

Ken Pomella, PMP – CEO, RevStar Consulting

“If you’re looking to dive into the who’s who of Tampa Bay, Elevate, Inc. is the only way to go. Elevate worked closely with Tampa Bay Plumbers to help us get our foot in the door with the right business and community circles to help us grow. We appreciated Aakash Patel & Chris Melvin’s professionalism, attention to detail, and willingness to go over and above to provide us a quality service. The contacts through Elevate are numerous and professionally beneficial and the staff is always available to us. We enjoyed working with the Elevate team and will definitely keep them in mind for our future business needs.”

April Diemer – Tampa Bay Plumbers

“Working with Aakash and his team at Elevate was a great fit for our growing organization. His team helped us connect with key influencers across the region and identify opportunities. Together you work to define your goals and who you’re targeting and through their connections and network they can make warm introductions to the decisions makers you need to connect with.”

Chon Nguyen – Founder & CEO, Newgentek

“Elevate, Inc’s. business relationship building process and their specialized one-on-one client service has opened doors and created potential opportunities that we wouldn’t have been able to create on our own. If your business would benefit from business relationship building introductions, I highly recommend Elevate, Inc.”

Gary LoDuca – Founder & Owner, Thoughtful Advisors – 401(k) Plan Designs