Market Intel: Holding Out For Home Hemodialysis: Still-Modest Market Promises Bigger Growth
• By Jenny Blair
End-stage renal disease (ESRD) affects 600,000 Americans, striking over 120,000 people a year, and most of these patients require renal replacement therapy, such as hemodialysis. For most, that means a several-hour treatment, three times a week, at a dedicated outpatient center run by a service company like DaVita, Inc., or Fresenius Medical Care. But getting dialyzed at home is another option. Just under 2% of patients do home hemodialysis (HHD) today, but a growing number of companies are betting that this number could increase substantially.
The benefits of home hemodialysis is expected to drive the market for enabling technologies • Source: Shutterstock
According to the US Renal Data System's 2015 report, 468,000 patients in the country underwent dialysis in 2013. Globally Fresenius Medical Care AG & Co. KGAA , the largest dialysis service provider, estimates that there are currently three million patients with kidney failure that regularly undergo dialysis. And their numbers are expected to rise, driven in part by the increase of chronic diseases such as obesity and diabetes.
The cost of treating these patients is also substantial. In 2013, the Centers for Medicare and Medicaid Services (CMS) spent $30.9bn on these patients, accounting for 7.1% of total expenditures....
Medtronic expects operating profit to grow approximately 7% in fiscal 2026, excluding tariff impacts. If tariffs materialize at the upper end of the projected range, operating profit growth could drop by 2.2 to 3.2 percentage points.
Announced after three years of negotiation, the FTA eliminates tariffs on 99% of Indian product types, covering nearly all trade value, and reduces tariffs on 90% of UK products. Although not yet formally signed, the deal is being positioned by the Indian government as “transformative,” with an estimated economic impact of $6.4bn for the UK alone by 2040.
Medtronic’s diabetes spin-out – a process likely to run up to 18 months and involve 20% IPO followed by a split-off for Medtronic shareholders – will allow firm to focus on higher-margin devices.
