NN&I - July 2010
46 Nephrology News & Issues July 2010Renal Provider Survey Subscribe to our free eNewsletter at www.nephronline.com Figure 2. Home dialysis patients as a percentage of total patients, 2009 vs.2010tion by 2,312, or a 72.3% increase. It also almost doubled the number of dialysis clinics it owns with the acquisition. Overall, the 10 largest dialysis providers increased their patient census by 7.5% over the past year, a jump from a 5.7% increase in 2008 and the largest year-to-year increase in the past three years. They provide care to 311,568 patients. According to the United States Renal Data System, there were 368,544 patients on dialysis at the end of 2007, and NN&I estimates that the number of patients receiving dialysis, based on annual increases in the incident rate over the past several years of 3.6%, was 395,458 patients at the end of 2009. The for-profit provider with the smallest growth over the past year was DSI Renal, at 2.3%. That is a positive turn-around for the company, however, based on the loss of 307 patients in 2008. The company hired new CEO Leif Murphy last year, and Mark Kaplan, MD, a well-known researcher in nephrology, as its new chief medical officer last month. As providers grew in patient numbers this year, the bulk of those patients went in-center. Several providers continue to show their strong interest in home therapies, notably Satellite Healthcare (23% of total patients) and Liberty Dialysis, with 14.7%. Both companies improved on their percentage of home patients over the past year. Renal Advantage Inc., which has begun to strengthen its home therapies effort (see page 47) also increased its home patient population. All renal providers in the ranking increased their percentage of home patients compared to the 2009 ranking. Will NN&I's survey show major changes a year from now, with the new payment bundle in place? More than likely it will be too early to tell. But historically, "provider creep" shows that over the past 16 years the ten largest dialysis companies have continued to increase in size, regardless of the reimbursement scheme. Figure 1. The changing face of the 10 largest renal providers: 1995-20101995 2010 Number of patients (total) 75,678 311,567 PD patients 11,954 23,092 HD patients 66,424 288,474 Number of dialysis clinics 1,053 4,185 2009 total % of total patients 2010 Total % of total patientsFresenius Medical Care N.A. 8,174 6.63% 9.262 7.5% DaVita Inc. 10,500 9.17% 11,700 10.2% DCI 1,078 8.31% 1,156 8.9% Renal Advantage Inc. 1,053 9.87% 1,201 11.3% DSI Renal 481 6.25% 523 6.8% Liberty Dialysis LLC 490 9.92% 728 14.7% American Renal Associates 382 7.64% 450 9.0% U.S. Renal Care 258 8.07% 334 10.5% Satellite Healthcare 819 20.43% 921 23.0% Innovative Dialysis Systems 291 8.60% 388 11.5% RenalEconomics_16.indd 46 6/17/10 3:16:12 PM
You must have JavaScript enabled to view digital editions.
