Table 1.

History of government policies to increase home dialysis use in the United States

Policy (Year)Key Features
Composite rate (1983)Same reimbursement for HD and home dialysis
Omnibus Budget Reconciliation Act (1990)PD payment =130% of median composite payment for in-hospital HD
Prospective Payment System (2011)Bundled payment for dialysis treatment and medications
Advancing American Kidney Health (2020)Up to 3% increase in reimbursement for home dialysis
  • HD, hemodialysis; PD, peritoneal dialysis.