In September, Medicare's contracted insurance companies, known as Medicare Administrative Contractors (or "MACs"), proposed policy changes that could deny dialysis patient access to more frequent hemodialysis. If their actions are successful, patients needing hemodialysis more frequently than three times per week - even when prescribed as medically-justified by their nephrologist - may have their treatments threatened!

Please click your state on the map below to learn how you can help protect more frequent dialysis for patients who need it!

If you prefer to send a printed letter, you can use these template letters for patients or nephrologists


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.


©2012 Alliance for Home Dialysis