Q&A: Dialysis providers charge Medicare Advantage plans more than Medicare

Due to a highly consolidated market, large dialysis providers charge Medicare Advantage plans 27% more for dialysis services than what is charged for Medicare.
Further, the markups, also imposed by other providers, could impact the out-of-pocket spending of patients on dialysis.
Researchers from the University of Southern California (USC) examined 1.06 million claims in 2016 and 2017 for which Medicare Advantage was the primary payer to compare Medicare Advantage outpatient dialysis spending to what fee-for-service Medicare would have paid under the ESRD Prospective Payment System.
For each

Due to a highly consolidated market, large dialysis providers charge Medicare Advantage plans 27% more for dialysis services than what is charged for Medicare.
Further, the markups, also imposed by other providers, could impact the out-of-pocket spending of patients on dialysis.
Researchers from the University of Southern California (USC) examined 1.06 million claims in 2016 and 2017 for which Medicare Advantage was the primary payer to compare Medicare Advantage outpatient dialysis spending to what fee-for-service Medicare would have paid under the ESRD Prospective Payment System.
For each