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Doctor: Medicare rule may discourage home dialysis
By Rita Rubin

Medicare’s just-released proposed rule for revamping how it pays for treating chronic kidney failure could discourage dialysis centers from training patients to dialyze at home, a University of Washington kidney doctor said Wednesday. As expected, the rule “bundles” the reimbursement for dialysis into a single payment, with a base rate of $198.64 per treatment. Patient and location factors, such as the local wage index, could raise the payment.