Home Dialysis Costs Less Than Outpatient Dialysis

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To the Editor: Home dialysis was developed to provide dialysis for more patients at a time when funds were severely limited.1 , 2 Before the Medicare ESRD Program, it was common knowledge that home dialysis cost less than outpatient dialysis at a hospital or facility, yet the HCFA has continued to question whether home dialysis is in fact less expensive. This is because the HCFA has had problems in collecting statistical and cost data needed for management of the ESRD Program3 and because proprietary dialysis corporations have claimed that the cost of home dialysis is inadequately documented and that it in fact . . .

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