Table 1.

Summary table of Literature Review Findings.

Key Highlights	Summary of Literature Review Findings
Medicare Payment a. Bundled Payment System b. Medicare payment for training c. Medicare physician reimbursement	Reimbursement for HD therapy covers up to three sessions weekly [6]. Medicare pays an adjusted rate of $50 per treatment for up to 25 sessions totaling $1881 [5]. Nephrologists receive a one-time payment of $500 for supervising home dialysis training. They receive $237 monthly for HHD patients compared to $266 for in-center patients [5].
Cost Effectiveness of HHD	➢Cost effectiveness ratio of HHD was $4200 as compared to $11,000 for conventional HD. ➢Annual cost of care difference of $21,000 making HHD cost efficient ($51,252 vs. $29,962) [16,17,18].
HHD and Clinical Outcomes	➢Improved control of hypertension [19,20,22]. ➢Significant decrease of left ventricular mass at 12 months (16 vs. 2 gm, p = 0.001) [19,20]. ➢Patients had higher hemoglobin levels and required 41% less of erythropoietin agent [21].
HHD and Quality of Life	➢Significant in the physical health composite score (3 vs. 0.2; p = 0.004) [19]. ➢Higher utility score conferring higher quality of life (0.77 ± 0.23 vs. 0.53 ± 0.35, p = 0.03) [27].