Impact of OBRA-90's Dialysis Provisions on Providers and Beneficiaries

HEHS-94-65: Published: Apr 25, 1994. Publicly Released: Apr 25, 1994.

Additional Materials:


Office of Public Affairs
(202) 512-4800

Pursuant to a legislative requirement, GAO provided information on how Medicare End-Stage Renal Disease Program (ESRD) patients are affected by provisions requiring employer-sponsored health care plans to pay for dialysis before Medicare does, focusing on the: (1) amount of money dialysis providers receive; and (2) out-of-pocket payments that Medicare beneficiaries make.

GAO found that: (1) dialysis providers received an average of 80 percent more money when employer-sponsored plans acted as primary payer; (2) Medicare paid very little of the average that providers received; (3) the extension of the secondary-payer requirement increased provider revenues only 1.8 percent, but increased providers' profit margins significantly; and (4) the extension did not significantly increase beneficiaries' out-of-pocket costs, but ESRD patients could experience increased out-of-pocket costs if their employers limited dialysis coverage.

Mar 8, 2018

Feb 20, 2018

Feb 8, 2018

Feb 5, 2018

Jan 30, 2018

Jan 23, 2018

Jan 17, 2018

Jan 16, 2018

Looking for more? Browse all our products here