Financial Ties, Market Structure, Commercial Prices, and Medical Director Compensation in Dialysis.

ABSTRACT:

Importance

Growing consolidation in the dialysis industry has raised concerns about market power and the potential need for antitrust enforcement, but a lack of data previously prevented a systematic analysis of these issues.

Objective

To document the consolidation of dialysis facilities through chain ownership and vertical integration between dialysis facilities and physicians, as well as study associations between consolidation and commercial prices for outpatient hemodialysis and medical director compensation.

Design, setting, and participants

This economic evaluation combined data from Freedom of Information Act requests, Medicare claims, cost reports, commercial prices, and physician registries to conduct a retrospective study of market structure, compensation, a

SUBMITTER: Xia X 

PROVIDER: S-EPMC12177639 | biostudies-literature | 2025 Jun

REPOSITORIES: biostudies-literature