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Currently, three hemodialysis machines are used for home hemodialysis in the United States. They are made by B. Braun Melsungen, Fresenius and NxStage, a division of Fresenius Medical Care. The systems take different approaches to the process of dialysis. The B Braun is a standard hemodialysis machine and is used in-center and at home.
In 1980, 9.7% of the dialysis population was on home hemodialysis but by 1987 the proportion had dropped to 3.6%. [9] According to a 2011 report by the Organization for Economic Cooperation and Development, the United States of America has the second-highest rate of dialysis among advanced countries after Japan.
The base composite rate as of 2006 is $130 for freestanding dialysis facilities. Medicare caps its payments to facilities at an amount equal to three dialysis sessions per week. Although home dialysis may be given more frequently it is not fully reimbursed by Medicare. [citation needed] An add-on payment supplements the composite rate.
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NxStage Medical, Inc. (/ ˈ n ɛ k ˌ s t eɪ dʒ / NEK-stayj [2]) is an American company that develops, manufactures, and markets systems for the treatment of chronic kidney disease, acute kidney injury, and hypervolemia. It is a subsidiary of Fresenius Medical Care. System One, a portable hemodialysis system, is the company's primary product. [1]
Renal replacement therapy includes dialysis (hemodialysis or peritoneal dialysis), hemofiltration, and hemodiafiltration, which are various ways of filtration of blood with or without machines. Renal replacement therapy also includes kidney transplantation , which is the ultimate form of replacement in that the old kidney is replaced by a donor ...
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