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Dialysis

Nearly 40 years after Congress created a unique entitlement for patients with kidney failure, U.S. death rates and per-patient costs are among the world's highest while the biggest for-profit providers flourish. More »

Our Dialysis Facility Tracker allows patients to compare clinics on such measures as patient survival, infection control, hospitalization rates and transplant rates. Explore the data »

An untold number of dialysis patients are injured or die as a result of needle dislodgments, but Medicare rules don't require clinics to report such adverse incidents to outside authorities. More »

Officials with the Centers for Medicare and Medicaid Services told Sen. Grassley they are now providing Dialysis Facility Reports, statistical compilations on each of the nation’s 5,000-plus dialysis clinics, to anyone upon request and are trying to add the reports to Medicare’s Dialysis Facility Compare website. More »

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  updates since last visit

How are the Dialysis Centers Near You?

A roundup of local coverage using data from our updated Dialysis Facility Tracker.

Federal Grand Jury Probes Major Dialysis Provider

DaVita, the country’s second-largest dialysis provider, announced in a financial filing that a U.S. Attorney’s Office investigation into the company’s business practices is “preliminary.”

Dialysis: The Story So Far

Feds to Follow ProPublica, Release Dialysis Clinic Data

Officials with the Centers for Medicare and Medicaid Services told Sen. Grassley they are now providing Dialysis Facility Reports, statistical compilations on each of the nation's 5,000-plus dialysis clinics, to anyone upon request and are trying to add the reports to Medicare’s Dialysis website.

Led by California, Inspection Backlogs Weaken Dialysis Oversight

An investigation by ProPublica found that some states are failing to meet inspection targets for the nation’s more than 5,000 dialysis clinics. Patient advocates say the backlog increases risks for patients in a system that has one of the industrialized world’s highest mortality rates.

Explore Quality of Care at Dialysis Facilities Near You

Learn about the quality of care at individual dialysis clinics near you.

Dialysis Data, Once Confidential, Shines Light on Clinic Disparities

ProPublica obtained data about the performance of more than 5,000 U.S. dialysis clinics. ProPublica’s Dialysis Facility Tracker allows patients to compare clinics on such measures as patient survival, infection control, hospitalization rates and transplant rates.

Sen. Grassley Demands Information on Dialysis Clinic Conditions

Sen. Charles Grassley, R-Iowa, sent a letter Tuesday to Dr. Donald Berwick, administrator of the Centers for Medicare and Medicaid Services, expressing concern about clinic conditions and oversight described in a report published by ProPublica and the Atlantic Monthly in November.

Life and Death Choices as South Africans Ration Dialysis Care

In South Africa, life-saving dialysis treatments are rationed based not only on a patient's medical condition but social factors such as living conditions and the patient's support network.

New Study Shows Higher Mortality Risk at For-Profit Dialysis Chains

A new study shows that patients treated at dialysis clinics run by the largest U.S. for-profit chains have a higher risk of death than patients treated by the biggest nonprofit chain.

When Needles Dislodge, Dialysis Can Turn Deadly

An untold number of dialysis patients are injured or die as a result of needle dislodgments, but Medicare rules don't require clinics to report such adverse incidents to outside authorities.

Read the Leaked P.R. Plan to Spin Our Dialysis Investigation

The umbrella group Kidney Care Partners (KCP), an advocacy and lobbying organization for dialysis providers, patient groups, drug companies and others, drew up a plan to respond to our investigation into dialysis care.

Editor’s Note: How We Got the Government’s Secret Dialysis Data

After two years of delays, the government recently fulfilled ProPublica's request for data that track whether death, hospitalization and infection rates at dialysis clinics are better or worse than expected.

Inform Our Investigations

Inside a Dialysis Treatment

In-center hemodialysis is the most common blood-cleansing therapy used by Americans with kidney failure. Here's how it works.

In Dialysis, Life-Saving Care at Great Risk and Cost

Nearly 40 years after Congress created a unique entitlement for patients with kidney failure, U.S. death rates and per-patient costs are among the world's highest while the biggest for-profit providers flourish.

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