U.S. Dialysis Services Market - Focused Insights 2024-2029

MARKET INSIGHTS

The U.S. Dialysis services market was valued at USD 21.74 billion in 2023 and is expected to reach USD 23.48 billion by 2029, growing at a CAGR of 1.29% during the forecast period. The demand for dialysis services is increasing due to a growing dialysis patient population, rising government initiatives aimed at improving kidney health, and a significant prevalence of chronic and acute kidney failure. The number of individuals requiring dialysis treatment is expanding rapidly.

MARKET DEFINITION

Dialysis is a vital medical intervention that removes excess fluid and waste products from blood when the kidneys fail to function adequately. It is administered to patients with acute or chronic kidney disease, and the growing prevalence of kidney failure is a key driver of the demand for dialysis services.

MARKET TRENDS & DRIVERS

Shift toward Mobile and Ambulatory Services

The increasing demand for dialysis services, coupled with the trend towards mobile care, has led to significant growth in mobile dialysis provision. These services offer cost-effective solutions, expanding access to care beyond traditional settings. Odulair LLC, a US leader in mobile medical manufacturing, provides diverse dialysis services through mobile clinics, units, and facilities, delivering hemodialysis, peritoneal dialysis, and short-term dialysis at off-site locations. The rising patient population and the need for accessible kidney care, particularly in underserved communities and during disaster response, are driving the market's expansion.

Increasing Awareness and Government Initiatives for Kidney Health

Increased awareness of kidney health has led to significant government and health authority action. The global rise in chronic and end-stage kidney disease is a major driver of kidney care demand. Government-led patient advocacy programs are focused on improving dialysis outcomes. The Kidney Health Initiative (KHI), a collaborative effort between ASN and the FDA since 2012, addresses development challenges in kidney health. The KHI Project, which began in 2015, has stimulated market growth through dialysis innovation. The KHI PFPC supports stakeholder collaboration and provides patient-centric guidance. Joint initiatives, such as the 2020 CDC and ASN project on dialysis infections, highlight the positive influence of government initiatives on dialysis services and market expansion.

Increased Market Concentration through Mergers & Acquisitions in Dialysis Service Sector

The dialysis service industry has experienced increased market concentration through mergers and acquisitions. Major firms have strategically acquired smaller providers to expand their service offerings. Fresenius Medical Care, a leading multinational company, undertook a significant acquisition in 2022 to advance its 2025 growth strategy, focused on value-based kidney care. This initiative led to the formation of a new entity by combining Fresenius Health Partners with Cricket Health's technology platform and InterWell Health's extensive nephrologist network. The resulting entity, InterWell Health, aims to enhance home dialysis services through integrated expertise.

MARKET RESTRAINTS

Barriers to Adoption of Dialysis Services

The adoption of dialysis services is hindered by biological and external factors. Hemodialysis and peritoneal dialysis are impacted by variables such as dialysis volume, flow, composition, and dwell time. Patients face challenges including symptom burden, dietary and fluid adherence, dialysis session constraints, and polypharmacy, all of which impede market growth. Common and distinct challenges in both hemodialysis and peritoneal dialysis act as restraints, negatively affecting market expansion.

SEGMENT ANALYSIS

• Insight By Service Type: In 2023, the hemodialysis segment dominated the U.S. dialysis services market, holding the largest share. This dominance is due to the widespread acceptance of hemodialysis and the extensive network of dialysis centers offering these services. The rising prevalence of diabetes and hypertension, coupled with a shortage of transplantable kidneys, is expected to further drive market growth.
• Insight By End-User Type: The home dialysis segment is projected to experience the highest growth in the U.S. dialysis services market during the forecast period. This growth is driven by increasing adoption of home dialysis, supported by favorable Medicare and insurance policies. The COVID-19 pandemic significantly accelerated this trend, with government and private entities expanding home dialysis services.
• Insight By Disease Type: The chronic kidney disease (CKD) segment is projected to exhibit the fastest-growing CAGR during the forecast period. This growth is driven by the rising prevalence of CKD, increasing kidney health initiatives, and improved dialysis access for CKD patients. Projections indicate CKD will be a leading cause of death by 2040, signifying substantial future market opportunities. The COVID-19 pandemic further amplified CKD and end-stage kidney disease (ESKD) conditions, creating additional demand for dialysis services.
• Insight By Age Group Type: In 2023, the above-60 age group dominated the U.S. dialysis services market, holding the largest share. This dominance is primarily driven by the increasing geriatric population with kidney disorders. The global rise in this demographic is also contributing to the escalating costs of dialysis services. Factors such as the higher prevalence of CKD, ESKD, AKI, and viral and chronic disease-related infections are positively influencing the adoption of dialysis services.

COMPETITIVE LANDSCAPE

The U.S. dialysis services market report features exclusive data on 28 vendors, highlighting a highly competitive landscape. Competition is driven by domestic, regional, and global companies, with established distribution channels and broad geographic reach. The COVID-19 pandemic significantly boosted demand for home dialysis, leading to increased competition among market participants. Prominent vendors in this market include Baxter Renal Care Services, Dialysis Clinic (DCI), and Innovative Renal Care.