Years ago a number of dialysis providers offered staff-assisted home dialysis. Medicare used to pay enough for dialysis to cover this service under a reimbursement system called "target rate reimbursement." Since the composite rate was introduced in the early 1980's, the amount Medicare pays no longer is enough for most clinics to pay for staff to help with home dialysis. I have heard that some dialysis providers have found a way to offer it. One I've seen displaying at national meetings is Quality Dialysis in Stafford, TX. You can find this clinic on the Home Dialysis Central database. I don't know if this dialysis provider offers this service to any patient no matter what their insurance they have or whether they limit this service to those with commercial insurance or who pay privately. I have known patients at several dialysis clinics who have had home hemo helpers that they paid to help them since Medicare doesn't pay for them.
Some companies offer staff-assisted home dialysis but they are listed with Medicare as durable medical equipment (DME) providers. They be set up with Medicare as Method II suppliers. If they are Method II suppliers, they may get a higher rate of reimbursement than a dialysis clinic that gets paid under the composite rate. I don't think Method II suppliers operate under the regulations that govern dialysis clinics and Networks may not know they exist. Here are some DME providers that may offer staff-assisted home dialysis:
* Dialysis at Home - Boston, MA
* Dialysis Care Associates - Walpole, MA
* Koffel Medical - Libertyville, IL
* Orion Medical Enterprises - N Miami Beach, FL
You can find contact information for these companies on the Medicare website (www.medicare.gov). Look at the provider listing. Choose to search by name and enter the name of the company. Select the state and choose "durable medical equipment" as the type of provider. This should give you the name, address, and contact numbers for the provider. Some also have their own websites.
People occasionally contact us asking about staff-assisted home programs in their area. If anyone knows of dialysis or DME providers that offer staff-assisted home dialysis and how to contact them, please let us know.