NN&I - July 2010
July 2010 Nephrology News & Issues 45 Renal Provider Survey Subscribe to our free eNewsletter at www.nephronline.comIt's go time. This month, it is anticipated that the final version of the new payment bundle for the end-stage renal disease pro- gram will be released. It is the most significant change in reimbursement for Medicare-funded dialysis services in 30 years, and will take effect on Jan. 1. For the past 16 years, NN&I has been watching the changes in the renal provider landscape with its annual ranking of dialysis facility ownership in the United States. This year's survey shows double-figured growth among the major for-profit providers. Liberty Dialysis showed the most significant increase without a major acquisi-tion, increasing patients by 1,160 over the past year (23.3% increase in patient census). U.S. Renal Care, with its acquisi-tion of Dialysis Corporation of America in May, jumped two spots in the ranking to No. 8, increasing its patient popula-16th annual rankingProvider rankings see minor adjustments, ready for bundle's arrivalBy Mark E. Neumann Dialysis Provider # Patients HD Home HD PD Units Patient growth 5/10 vs (5/09) % growth 5/09 to 5/10 1. Fresenius Medical Care N.A. 132,381 123,119 581 8,681 1,783 9.018 (4.202) 7.3% 2. DaVita Inc. 120,400 108,700 2,000 9,700 1,529 5,721 (6,567) 5.2% 3. Dialysis Clinic Inc. 13,350 12,127 67 1,156 217 303 (158) 2.3% 4. Renal Advantage Inc. 12,000 10,799 396 805 149 1,336 (2,357) 12.5% 5. DSI Renal Inc. 7,868 7,345 91 432 106 176 (-307) 2.3% 6. Liberty Dialysis LLC 6,100 5,372 127 601 108 1,160 (900) 23.5% 7. American Renal Associates 5,800 5,350 30 420 88 800 (700) 16% 8. U.S. Renal Care* 5.508 5.174 94 240 116 2,312 (292) 72.3% 9. Satellite Health Care 4,317 3,396 169 752 50308 (326)7.7% 10. Innovative Dialysis Systems 3,911 3,523 15 373 39 715 (292) 15.5%*acquired Dialysis Corp. of America in May 2010. 2010 totals 311,634 284,905 3,569 23,159 4,185 2009 totals 289,729 266,203 2,836 20,690 3,924 Dialysis Provider Reuse? Percentage 1. Fresenius Medical Care N.A. no n/a 2. DaVita Inc. yes 60% 3. Dialysis Clinic Inc. yes 75% 4. Renal Advantage Inc. yes 50% 5. DSI Renal Inc. no n/a [ growth: 7.5% ] Dialysis Provider Reuse? Percentage 6. Liberty Dialysis LLC yes 25% 7. American Renal Associates yes 5% 8. U.S. Renal Care Inc. no n/a 9. Satellite Healthcare Inc. yes 75% 10. Innovative Dialysis Systems. yes 75%Ten largest U.S. renal providers in 2010 RenalEconomics_16.indd 45 6/17/10 3:16:11 PM
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