Rural Dialysis Focus

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Rural dialysis does not pay as well as dialysis in urban facilities, according to a recent report from the Medicare Payment Advisory Commission (MedPAC).

The March 2019 report noted that facilities with high volumes of dialysis earned higher margins because cost per treatment falls with efficiencies, and that urban facilities had higher financial margins (-0.4%) than do rural facilities (–5.5%).

Treatment volume accounted for most of the differential in margins between urban and rural facilities. In 2017, urban facilities averaged about 12,000 treatments, while rural facilities each performed about 7800 treatments. A “low-volume facility” is defined as one that provides