U.S. SNF Based Dialysis Market Size, Share & Trends Analysis Report By Region (Northeast, Southeast, Southwest, Midwest, West)- Industry Analysis, Share, Growth, Regional Outlook and Forecasts, 2023-2032

According to Nova one advisor, the U.S. SNF Based Dialysis Market Size was valued at USD 3.80 billion in 2022 and is predicted to be worth USD 10.5 billion by 2032, with a CAGR of 7.42% from 2023 to 2032. 

Key Takeaways:

• Based on region, the Midwest region accounted for the largest revenue share in 2022 due to the presence of the majority of SNFs offering on-site hemodialysis providers
• Improved reimbursements for SNF-based dialysis are expected to boost the demand for the market. In July 2019, the CMS released the ESRD Treatment Choices (ETC) model that is expected to boost dialysis treatment reimbursements, and SNFs are considered the home for the residents and will have higher reimbursements
• The government is taking initiatives to regulate the market and offer higher-quality services to patients. In August 2018, the CMS updated regulations for dialysis centers, which comprise various modalities focusing on the locations of the services. The revised advice confirmed CMS’s acknowledgment of dialysis in nursing homes by revising the State Operations Manual and adding section 2271A, entitled “Dialysis in Nursing Homes
• The SNFs are collaborating with dialysis service providers to offer on-site services at various locations. For instance, in August 2019, The Alden Network introduced on-site hemodialysis services at Alden Town Manor.

The growth can be attributed to an increase in the prevalence of ESRD and a rise in demand for on-site dialysis in skilled nursing care by patients. As per the annual report of the U.S. Renal Data System 2022, around 780,500 individuals in the U.S. were suffering from ESRD in 2020, with around 96.9% among them being on dialysis. The population of patients requiring dialysis services is expected to reach 793,781 by 2022. Patients receiving traditional in-center dialysis services may face problems regarding cardiovascular or hemodynamic instability as well as transportation-related issues.

Moreover, an ever-growing number of ESRD patients with multiple comorbidities, and age-related frailties may require complex skilled nursing facility (SNF) based care. In addition, the collaborations of SNF with external dialysis centers enable enhanced treatment options and easy discharge from acute care settings, as traditional hemodialysis at the centers could be related to recovery times after dialysis and increased treatment period due to transportation. 3-day dialysis services are provided at on-site dialysis in the SNFs, which required 17% lower treatment time than daily dialysis and reduces transportation-related hassles.

The transportation constraints related to dialysis centers are expected to boost the demand for the market over the forecast period. Patients receiving dialysis at dialysis centers are expected to require round-trip transportation to their clinic three times each week. This can be stressful for individuals as well as expensive for SNFs. There are several economic challenges including transportation costs, as the cost of transportation is not covered under Medicare, and time is spent arranging, transporting, and coordinating.

Both hemodialysis and peritoneal dialysis are covered under Medicare. Around 80% of the total costs for treatment are covered under Medicare. Moreover, training sessions for patients opting for home dialysis are covered under Medicare depending on the type of dialysis. Medicare Part A (Hospital Insurance) covers inpatient dialysis services only if the patient is admitted to a Medicare-approved facility, including hospitals, SNFs, hospice care, and home healthcare. The premiums for Medicare Part A are usually paid under Medicare taxes while working. In 2022, the patients are paying USD 1,556 deductible per benefit period.

The COVID-19 pandemic positively impacted the market owing to the reduction in unnecessary hospitalization of ESRD patients and the shifting of them to the SNFs. The demand for on-site dialysis in the SNFs increased due to the risks of getting exposed to the virus associated with the transportation of patients to the in-center dialysis. According to the CDC, in April 2020, around 47% of patients on dialysis in a Maryland skilled nursing facility tested positive for COVID-19 compared to 16% of patients not receiving treatment.

Report Scope of the U.S. SNF Based Dialysis Market

Region Insights

Based on region, the market is segmented into Northeast, Southeast, Southwest, Midwest, and West. The Midwest segment held the largest market share in 2022 and is expected to grow at the fastest rate during the forecast period. The rising prevalence of ESRD in the region is expected to boost the demand for dialysis services in the region. According to the annual report of the U.S. Renal Data System 2022, in 2020, Michigan, Minnesota, North Dakota, South Dakota, and Wisconsin reported 49,651 prevalent ESRD patients, and Missouri, Iowa, Nebraska, and Kansas reported around 28,307 prevalent ESRD patients.

Moreover, the southeast region is expected to witness the fastest growth during the forecast period owing to the rising utilization of these services at SNFs by ESRD patients. As per the annual report of the U.S. Renal Data System 2022, around 69.4% of ESRD patients opted for dialysis for treatment, and around 30.6% of patients opted for functioning transplants. In-center hemodialysis services were the most frequently utilized therapy for the treatment of ESRD in the region.

The West region is expected to witness significant growth during the forecast period. This can be attributed to the rising initiatives by the SNFs in the region to offer on-site dialysis services. For instance, in September 2019, Brookdale Senior Living collaborated with Dialyze Direct to offer on-site dialysis services at four SNFs in Texas. Dialyze Direct is offering on-site dialysis services at Brookdale Willowbrook Place, Brookdale Galleria, Brookdale Patriot Heights, and Brookdale Lakeway in Texas.

Some of the prominent players in the U.S. SNF Based Dialysis Market include:

• Genesis Healthcare
• Brickyard Healthcare (Formerly Golden LivingCenters)
• Plaza Healthcare
• Carespring
• Generations Healthcare Network
• Arbors Of Ohio
• Medilodge
• The Alden Network
• Avalon Health Care
• Batavia Nursing Care Center

Segments Covered in the Report

This report forecasts revenue growth and country levels and provides an analysis of the latest industry trends in each of the sub-segments from 2018 to 2032. For this study, Nova one advisor, Inc. has segmented the U.S. SNF Based Dialysis market.

• Regional

• Northeast
• Southeast
• Southwest
• Midwest
• West