Medicare Announces 2027 Dialysis Payment Changes — What Kidney Patients Should Know

Medicare is updating dialysis payment rates and quality requirements for 2027, including changes affecting kidney medications, home dialysis training, and treatment facilities.

RDNE Stock project/Pexels Medicare is changing how much it pays dialysis facilities in 2027, with new rules affecting treatment reimbursements, medications, and quality standards for Americans living with kidney failure.

The Centers for Medicare & Medicaid Services (CMS) announced that its updated dialysis payment rate will increase to $297.52 per treatment, up from $281.71 in 2026.

The agency estimates the changes will increase total Medicare payments to dialysis facilities by approximately 2.7%.

The final rule, issued October 28, 2026, takes effect January 1, 2027, and includes changes affecting medications, smaller dialysis facilities, home dialysis training, and quality reporting.

For Medicare beneficiaries receiving dialysis, understanding these changes can help them ask better questions about their treatment options, coverage, and potential out-of-pocket expenses.

Medicare Dialysis Payment Rates Are Increasing in 2027 The biggest financial change involves Medicare’s End-Stage Renal Disease Prospective Payment System, which determines how dialysis facilities are reimbursed for treating patients with permanent kidney failure.

Under the new rule, the base payment rate increases by $15.81 per treatment, from $281.71 in 2026 to $297.52 in 2027.

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