Alliance for Home Dialysis Applauds Trump Administration Plan to Revolutionize Kidney Care in America

Thank you, President Trump and Secretary Azar, for your dedication to revolutionizing kidney care in America. Because of your leadership, thousands more Americans living with end stage renal disease (ESRD) will be offered the choice to dialyze at home. Studies show that some patients receiving dialysis treatment in their home can feel healthier, have a reduced rate of heart and blood pressure issues, and enjoy lower rates of hospitalization. While 11.2 percent of U.S. dialysis patients receive dialysis at home, other developed nations have more patients supported on home therapies.

We look forward to working with the Trump Administration to ensure the success of its American Kidney Health Initiative. As a proud coalition of kidney healthcare leaders, we believe that the success of the Initiative and the corresponding demonstration models depends on the right balance of appropriate incentives for doctors and dialysis facilities to provide home dialysis treatment, support to patients who may be interested in home treatments, and minimization of unintended consequences for existing dialysis patients. We applaud the Administration’s comprehensive commitment to the 37 million patients with chronic kidney disease and the more than 726,000 with ESRD. The Alliance for Home Dialysis stands ready to work with the Administration towards final design and implementation of its plan.

Alliance for Home Dialysis

Home dialysis, including peritoneal dialysis and home hemodialysis, are alternatives to in-center, or facilities-based, dialysis treatments given to patients with end-stage renal disease (ESRD).  Today, about 10 percent of the more than 355,000 Americans receiving dialysis do so at home.

The Alliance for Home Dialysis was launched to continue the work begun by delegates at the National Summit on Home Dialysis Policy, held March 2012 in Washington, DC.  At that landmark national forum, leaders from the patient, clinician, industry and academic communities identified a range of concerns that currently hinder, and policy opportunities that can increase, appropriate utilization of home dialysis.

Delegates to the Summit targeted three areas for policy improvements — Accessibility, Accountability and Aligning Incentives, issuing policy recommendations for improvements that garnered consensus and common interest during the forum.  The work of the Alliance will focus on these three areas, and the policy action items that leaders have identified as representing the greatest opportunity to give more patients access to home dialysis.