米国の血液透析装置およびサービス市場

Research Overview

Maintaining Profitability in the Challenging Reimbursement Paradigm

A major challenge in the dialysis industry is the high cost pressures faced by manufacturers and service providers. Medicare reimburses a majority of the treatments performed by dialysis clinics. The low Medicare reimbursement rates have put significant pressure on these clinics to reduce cost, which have forced manufacturers to contain profitability as well as threaten innovation. The imminent dearth in skilled staff for dialysis clinics and constraints of cost-containment within the current reimbursement system necessitate the development of novel methods to increase profitability. Solutions involve novel workflow cost containment strategies as well as consolidation of service providers and manufacturing companies, which allow increased margins.

Growing Number of ESRD Patients will Drive Growth in the Dialysis Market

The number of ESRD patients is expected to grow significantly, fueled by increases in the incidence of diabetes and obesity. Sheer growth in patient numbers will drive the market for dialysis products and services. Significant growth is expected in the market for dialyzers and in niche markets for machines such as the home hemodialysis market.

Niche Markets like Home Hemodialysis Hold Untapped Potential

Frequent or longer dialysis gives better clinical outcomes for patients than dialysis currently practiced in-center. Given the choice and means to do so, an estimated 50 percent of dialysis patients would chose to treat themselves at home. Medical Directors from several independent clinics are attempting to create home hemodialysis programs that both, benefit their patients and increase profits. Home hemodialysis is a solid value proposition for the future of the dialysis industry. It holds tremendous potential that has remained virtually untapped to date. Home hemodialysis significantly reduces the need to hire and train more staff to keep up with the growing patient population. These savings in cost per treatment make it possible to treat at home within the current reimbursement paradigm while increasing profit margins on treating patients who are beneficiaries of Medicare. New machines with better safety features and easier to use interfaces will increase confidence in patients' ability to administer their own care. Machines that reduce the need for infrastructural changes at home

Benefits of this Service

Develop New Market Opportunities for Growth

Provides manfacturers with new market strategies in the hemodialysis market, with strategies to grow based on new applications and alternative pathways.

Reduction in costs

Study provides insight into the cost of hemodialysis treatments and strategies to reduce cost through innovative approaches within the current reimbursement paradigm.

Improvements in Brand Recognition

The research service provides a view of the features and characteristics of highest importance to dialysis clinics. End User Analysis included in the study provide insight into customer demands and allows manufactureres to better meet the growing needs of clinics and dialysis service provider facilities.

Identification of new market trends that provide opportunities

The study identifies some new market trends and provides an analysis of the home hemodialysis market examining potential opportunities in the dialysis industry.

Increasing Revenues

The study looks at methods to increase revenues for the dialysis services industry. Dialysis clinics provide dialysis services to patients and receive reimbursement largely through Medicare. Methods to increase revenues for clinics are discussed in the study.

Market Sectors

• U.S. Total Hemodialysis Equipment Markets
• U.S. Hemodialysis Machines Market and End User Analysis
• U.S. Hemodialysis Dialyzers Market
• U.S. Vascular Grafts Market
• U.S. Dialysis Services Market

Technologies

End Stage Renal Disease (ESRD) is a permanent failure of an individual's kidneys. As a result, toxins, excess fluids and waste products build up in the body and have to be eliminated from the blood through dialysis.

Hemodialysis is the process of removing excess water and waste products from a patient's blood whose kidneys do not perform this function efficiently. It may be accomplished by passing the patient's blood through a dialysis machine with filters (hemodialysis) or by using the inner lining of the abdomen to filter the blood using a dialysate passing through it with a catheter.

Hemodialysis Machines are units that prepare the dialysate, regulate the flow of blood and dialysate through the dialyzer and monitor parameters of the dialysis treatment during hemodialysis. The machine also maintains the pressure differential in the dialyzer required for efficient dialysis. It also pumps the patient blood, adds anti-coagulants and monitors and records the patient's vital signs.

The dialyzer is an artificial kidney usually composed of hollow fiber strands. There are two compartments within the dialyzer - the blood compartment and the dialysate compartment separated by a semi-permeable membrane. The pressure differential between the two compartments causes excess water and toxins to pass out of the blood into the dialysate, which is then discarded.

Dialysate is a chemical bath used during dialysis to draw fluids and toxins out of the blood stream and supply electrolytes and other chemicals to the bloodstream.

A Vascular graft or an arteriovenous graft is a soft tube made of synthetic or natural material that connects an artery to a vein to create an access site to remove blood from the patient and to return it after dialysis.

What's Included

• Industry Challenges, Market Drivers and Restraints
• Upcoming Market and Technology Trends
• End User Analysis for Hemodialysis Machines
• Revenue Forecasts for the U.S. Hemodialysis Equipments Market
• Competitive and Market Share Analysis for the U.S.

Table Of Contents

1. Executive Summary

• 1. Introduction

• 1. U.S. Hemodialysis Equipment and Services Markets

2. Overview

• 1. Introduction

• 1. Scope and Segmentation
• 2. Definitions and Abbreviations

• 2. Research Methodologies

• 1. Research Methodology
• 2. Units Forecast Methodology
• 3. Revenue Forecast Methodology

• 3. Frost & Sullivan Awards

• 1. Product Innovation Award of the Year
• 2. Best Bang for the Buck Award of the Year
• 3. Competitive Strategy Leadership Award of the Year
• 4. Market Penetration Leadership Award of the Year

3. Total U.S. Hemodialysis Equipment Markets

• 1. Market Dynamics

• 1. Overview
• 2. Market Drivers
• 3. Market Restraints
• 4. Challenges and Strategies

• 2. Market Engineering Analysis

• 1. Market Engineering Measurements

• 3. Market Forecasts and Analysis

• 1. Total Market Forecast
• 2. Market Share Analysis

• 4. Competitive Analysis

• 1. Competitive Structure
• 2. Competitive Factors

• 5. Major Market Participants

• 1. Database of Key Industry Participants

4. Hemodialysis Machine Markets

• 1. Market Dynamics

• 1. Overview
• 2. Market Drivers
• 3. Market Restraints
• 4. Challenges and Strategies

• 2. Market Engineering Analysis

• 1. Market Engineering Measurements

• 3. Market Forecasts and Analysis

• 1. Revenue Forecast
• 2. Unit Forecast
• 3. Market Share Analysis

• 4. Competitive Analysis

• 1. Competitive Structure
• 2. Competitive Factors
• 3. Product Analysis
• 4. End-user Survey Analysis

5. Hemodialysis Dialyzer Markets

• 1. Market Dynamics

• 1. Overview
• 2. Market Drivers
• 3. Market Restraints
• 4. Challenges and Strategies

• 2. Market Engineering Analysis

• 1. Market Engineering Measurements

• 3. Market Forecasts and Analysis

• 1. Revenue Forecast
• 2. Unit Forecast
• 3. Market Share Analysis

• 4. Competitive Analysis

• 1. Competitive Structure
• 2. Competitive Factors
• 3. Product Analysis

6. Vascular Grafts Markets

• 1. Market Dynamics

• 1. Overview
• 2. Market Drivers
• 3. Market Restraints
• 4. Market Analysis

7. Hemodialysis Services Markets

• 1. Overview

• 1. Overview
• 2. Reimbursement Trends
• 3. Home Hemodialysis

• 2. Market Dynamics

• 1. Market Drivers
• 2. Market Restraints
• 3. Challenges and Strategies

• 3. Market Forecasts and Analysis

• 1. Patient and Facility Analysis and Forecast
• 2. Market Share Analysis

• 4. Competitive Analysis

• 1. Competitive Structure
• 2. Competitive Factors
• 3. End-user Survey Analysis

8. Appendix

• 1. Decision Support Databases

• 1. Prevalence of Diabetic Population
• 2. Government Healthcare Spending
• 3. Prevalence of Hypertension
• 4. Prevalence of Obese Population
• 5. Number of Kidney Transplants Performed
• 6. Total Population

List of Figures

SEGMENT 3

• Total Hemodialysis Equipment Market: Key Market Driver (U.S.), 2005-2011
• Total Hemodialysis Equipment Market: Key Market Restraint (U.S.), 2005-2011
• Total Hemodialysis Equipment Market: Impact of Top Industry Challenges (U.S.), 2005-2011
• Total Hemodialysis Equipment Market: Hemodialysis Machine and Dialyzer Revenue Forecasts (U.S.), 2001-2011
• Total Hemodialysis Equipment and Service Providers Market: Database of Key Industry Participants by Product Type (U.S.), 2004

SEGMENT 4

• Total Hemodialysis Machine Market: Market Drivers Ranked in Order of Impact (U.S.), 2005-2011
• Home Hemodialysis Machine Market: Market Drivers Ranked in Order of Impact (U.S.), 2005-2011
• Total Hemodialysis Machine Market: Market Restraints Ranked in Order of Impact (U.S.), 2005-2011
• Home Hemodialysis Machine Market: Market Restraints Ranked in Order of Impact (U.S.), 2005-2011
• Total Hemodialysis Machine Market: Impact of Top Industry Challenges (U.S.), 2005-2011
• Total Hemodialysis Machine Market: Revenue Forecasts (U.S.), 2001-2011
• Hemodialysis Machine Market: Revenue Forecasts for Freestanding Facilities (U.S.), 2001-2011
• Hemodialysis Machine Market: Revenue Forecasts for Non-freestanding Facilities (U.S.), 2001-2011
• Home Hemodialysis Machine Market: Revenue Forecasts (U.S.), 2001-2011
• Total Hemodialysis Machine Market: Unit Shipment and Average Selling Price Forecasts (U.S.), 2001-2011
• Hemodialysis Machine Market: Unit Shipment Forecasts for Freestanding Facilities (U.S.), 2001-2011
• Hemodialysis Machine Market: Unit Shipment Forecasts for Non-freestanding Facilities (U.S.), 2001-2011
• Home Hemodialysis Machine Market: Unit Shipment and Average Selling Price Forecasts (U.S.), 2001-2011
• Total Hemodialysis Machine Market: Market Share Trends of Major Market Participants (U.S.), 2004
• Total Hemodialysis Machine Market: Competitive Structure (U.S.), 2004
• Total Hemodialysis Machine Market: Hemodialysis Machines Offered by Major Market Participants (U.S.), 2004

SEGMENT 5

• Hemodialysis Dialyzer Market: Market Drivers Ranked in Order of Impact (U.S.), 2005-2011
• Hemodialysis Dialyzer Market: Market Restraints Ranked in Order of Impact (U.S.), 2005-2011
• Hemodialysis Dialyzer Market: Impact of Top Industry Challenges (U.S.), 2005-2011
• Total Hemodialysis Dialyzer Market: Revenue Forecasts (U.S.), 2001-2011
• Single-use Hemodialysis Dialyzer Market: Revenue Forecasts (U.S.), 2001-2011
• Reusable Hemodialysis Dialyzer Market: Revenue Forecasts (U.S.), 2001-2011
• Total Hemodialysis Dialyzer Market: Unit Shipment and Average Selling Price Forecasts (U.S.), 2001-2011
• Single-use Hemodialysis Dialyzer Market: Units Shipment and Average Selling Price Forecasts (U.S.), 2001-2011
• Reusable Hemodialysis Dialyzer Market: Units Shipment and Average Selling Price Forecasts (U.S.), 2001-2011
• Total Hemodialysis Dialyzer Market: Market Share Trends of Major Market Participants (U.S.), 2004
• Total Hemodialysis Dialyzer Market: Competitive Structure (U.S.), 2004
• Total Hemodialysis Dialyzer Market: Hemodialysis Dialyzers Offered by Major Market Participants (U.S.), 2004

SEGMENT 6

• Hemodialysis Vascular Grafts Market: Key Market Driver (U.S.), 2005-2011
• Hemodialysis Vascular Grafts Market: Market Restraints Ranked in Order of Impact (U.S.), 2005-2011
• Hemodialysis Vascular Grafts Market: Percent of Total Prevalent U.S. Hemodialysis Population using Grafts for Vascular Access Site Forecasts (U.S.), 2001-2011
• Hemodialysis Vascular Grafts Market: Percent of Total Prevalent U.S. Hemodialysis Population using Catheters for Vascular Access Site Forecasts (U.S.), 2001-2011
• Hemodialysis Vascular Grafts Market: Percent of Total Prevalent U.S. Hemodialysis Population Using Fistula for Vascular Access Site Forecasts (U.S.), 2001-2011
• Hemodialysis Vascular Grafts Market: Number of Hemodialysis Patients with Grafts as Primary Access Types Forecast (U.S.), 2001-2011
• Hemodialysis Vascular Grafts Market: Number of Hemodialysis Patients with Catheters as Primary Access Types Forecast (U.S.), 2001-2011
• Hemodialysis Vascular Grafts Market: Number of Hemodialysis Patients with Fistula as Primary Access Types Forecast (U.S.), 2001-2011
• Hemodialysis Vascular Grafts Market: Percent Utilization of Types of Vascular Grafts Forecasts (U.S.), 2001-2011
• Hemodialysis Vascular Grafts Market: Number of Hemodialysis Patients with Types of Vascular Grafts Forecasts (U.S.), 2001-2011

SEGMENT 7

• Hemodialysis Service Providers Market: Market Drivers Ranked in Order of Impact (U.S.), 2005-2011
• Hemodialysis Service Providers Market: Market Restraints Ranked in Order of Impact (U.S.), 2005-2011
• Hemodialysis Service Providers Market: Impact of Top Industry Challenges (U.S.), 2005-2011
• Hemodialysis Service Providers Market: Forecasts for Dialysis Patients (U.S.), 2001-2011
• Hemodialysis Service Providers Market: Growth Rate of Prevalent ESRD Patients by Age (U.S.), 2001-2011
• Hemodialysis Service Providers Market: Growth Rate of Prevalent ESRD Patients by Primary Cause of Disease (U.S.), 2001-2011
• Hemodialysis Service Providers Market: Forecasts for Dialysis Clinics (U.S.), 2001-2011
• Hemodialysis Service Providers Market: Forecasts for Freestanding and Non-Freestanding Dialysis Clinics (U.S.), 2001-2011
• Hemodialysis Service Providers Market: Forecasts for Hemodialysis Stations (U.S.), 2001-2011
• Hemodialysis Service Providers Market: Dialysis Treatment Forecasts (U.S.), 2001-2011
• Hemodialysis Service Providers Market: End-User Analysis Showing Features Most Valued in Hemodialysis Machines (U.S.), 2005-2011