Dialysis Patient Citizens News
Poor care? Blame Medicare payments
My husband Raymond and I met on a blind date. Three months later, his kidney unexpectedly failed, and I have walked alongside him on his patient journey ever since. My husband’s life depends on dialysis, the treatment that does what his kidney can’t do. Unfortunately, we confronted problems with our dialysis center that reflect larger trends caused by insufficient reimbursements from the Center for Medicare and Medicaid Services (CMS). Our nation is confronting a demographic crisis, with fewer working-aged people and more patients, which is why we [...]
Letter: Congress needs to act to restore protections for dialysis patients
In the United States, dialysis treatment should be affordable. Unfortunately, inadequate coverage for dialysis often plunges patients into debt. Dialysis should not bankrupt you. In our system, Americans on dialysis almost always wind up using Medicare. Since Medicare only covers 80% of the bill, patients must figure out how to cover the remainder. I was on dialysis for 10 years, and I received a kidney transplant in 2018. I was forced to stop working when I began dialysis, but my mother’s private insurance covered my bill. Private [...]
Congress must not leave kidney patients behind
I have chronic kidney disease. Thankfully, my kidneys are still functioning, but they are at risk of failure any time. I became a dialysis patient advocate because I may eventually have to withstand the difficulties that come with dialysis in America. I am fighting for my future and for the future of all dialysis patients in America. I am concerned with a recent Supreme Court decision that allows private insurers to essentially push new dialysis patients off of their private insurance and onto Medicare soon after beginning [...]
Reimbursement rates for health care professionals needs to be increased
As a patient with End Stage Renal Disease (ESRD), or kidney failure, I know how health care workforce shortages can affect patients. I have been on dialysis for 7 years. At the clinic where I receive dialysis – the life-saving treatment which replaces my kidney function – any staff shortage can mean the difference between a smooth treatment and chaos. America is facing a historic health care workforce crisis. Staffing challenges and high demand have led to gaps in care like longer emergency room wait times. Unfortunately, Medicare is [...]
Letter: Dialysis debt a burden; Congress must act
We Americans with kidney failure must accept the fact that we will be in medical debt for the rest of our lives. To pay for dialysis treatment, some patients keep working and use private insurance. Others live in states that supplement the other 20%. For me, although I have my husband’s private insurance, we still owe thousands of dollars out-of-pocket. I was a single mom when I started dialysis ten years ago, and money has always been tight. I have not been able to pay much more [...]
U.S. Rep. Grothman: Save Wisconsin dialysis patients
Kidney failure changed the course of my life. I began dialysis, the exhausting treatment kidney failure patients need to survive, three months pregnant with my son. I received a kidney transplant, which ultimately failed, and I have been on dialysis for a total of nine-and-a-half years. It’s been an arduous journey. Dialysis costs upwards of $100,000 per year, so most patients rely on some combination of Medicare, Medicaid, private insurance and charity. I began dialysis as a young adult, so I needed Medicaid immediately, but many others [...]
Indiana Passes Affordable Access to Medigap for Under-age 65 Dialysis Patients
DPC is pleased to announce that the State of Indiana has passed into law SB 215, which provides three affordable Medicare supplemental plans (also known as Medigap) to Medicare enrollees under the age of 65 – including to patients with End Stage Renal Disease (ESRD). Senator Kyle Walker (R-IN-31) championed SB 215 in the Indiana Senate. Representative David Abbott (R-IN-18), a kidney transplant recipient himself, championed a companion bill in the Indiana House of Representatives. Governor Eric J. Holcomb (R-IN) signed SB 215 into state law on March [...]
Dialysis Patient Citizens Applauds Passage of Legislation Securing Affordable Treatment for All Dialysis Patients in Indiana
WASHINGTON, D.C. (March 14, 2024) - Dialysis Patient Citizens (DPC), the leading advocacy organization for dialysis patients nationwide, today released the following statement applauding the passage and enactment of SB 215 in Indiana. The law offers three affordable Medicare supplemental plans (also known as Medigap) to Medicare enrollees under the age of 65 – including to patients with End Stage Renal Disease (ESRD). “We are grateful to see Indiana do right by dialysis patients and provide the patient choice and healthcare coverage that all Hossiers deserve,” said [...]
Abilene Reflector-Chronicle: Letter to the Editor
Dear Editor, When I served as my grandfather's caregiver during his dialysis treatments, the most frustrating challenge was the difficulty we faced dealing with Medicare. Slow payments and limited access to services were all too common for us, but thankfully we had access to supplemental insurance that helped cover costs. For many dialysis patients, private insurance plays an important role in providing access to care, either as supplemental insurance like my grandfather had, or as a patient's primary insurer in the early days of treatment. For years, [...]
DPC Advocates Make Their Voices Heard!
DPC’s patient advocates are working hard to make their voices heard through media outreach, by sharing their stories through op-eds and letters to the editor. Coast to coast, patients are letting their local legislators know about the issues that are important to them, and how their votes in Congress affect their lives. Check out the amazing work of our advocates, and if you’re feeling inspired, we encourage you get involved! Learn to how to become a Patient Ambassador and other ways DPC can help you make your voice [...]
The Trouble With Bundles
This op-ed was written by Jackson Williams, DPC Vice President of Public Policy, and originally published on AMJC's website: www.ajmc.com/view/contributor-the-trouble-with-bundles. Payment bundling is a technique aimed at increasing efficiency and reducing low-value care during a treatment episode.In recent years, it has expanded from prospective payment systems (PPS) centered upon a discrete treatment to encompass broader episodes of care surrounding such treatments. For the most part, policymakers and patient advocates have viewed these bundles as a benign form of cost containment. But a spate of new developments—including evaluation reports [...]
Americans on dialysis need Congress’ help
When I began dialysis, I took advantage of Medicare, private insurance and charity funding to pay for my treatment. However, I often speak to other patients who do not have access to supplemental insurance and end up being stuck paying the 20% that Medicare does not cover. Paying out-of-pocket for dialysis is simply impossible for most Americans. For years, Marylanders on dialysis could keep their private insurance for 30 months after their diagnosis, which allows them wider treatment options while adjusting to their new normal. However, a [...]
Letters: Dialysis patients need protections
Dialysis patients often open the mail to find thousands of dollars worth of medical bills they can’t afford. Without the proper insurance, affording dialysis treatment is all but impossible. I began dialysis back in college, so at the time, I took advantage of my mother’s private insurance to cover costs. However, I was kicked off of my mother’s insurance at 26 years old without yet qualifying for Medicare. Suddenly losing private insurance caused significant stress and anxiety in my life, and I know patients who want to [...]
DPC Recognizes Patients and Dialysis Staff as Part of its 20th Anniversary Celebration
In January, DPC kicked off a year-long 20th Anniversary celebration by recognizing one of our outstanding patient advocates, and thanked dialysis facility staff who go above “the extra mile” to provide exceptional care, even in the face of recent staffing shortages. Gene Blankenship was the recipient of DPC’s inaugural Patient Advocacy Champion Award for his work in advocating for dialysis patients with his elected officials. DPC also awarded its inaugural Dialysis Dynamo awards to Amanda Byrd, AA/CCHT, Alicia Caldwell, RN, CDN, Sean Scearce, PA, and Marcy Stites, RN, [...]
Restore hope to dialysis patients
Last year, I wrote to you about my journey as a kidney patient after my diagnosis in 2017 and I’m writing to you again to call on Congresswoman Stephanie Bice to protect kidney patients like me. Recently, a ruling the U.S. Supreme Court made weakens protections for dialysis patients by allowing private insurance to lessen coverage and force patients onto Medicare before the traditional 30-month grace period. The problem is Medicare only covers 80% of a dialysis patient’s bill, including mine. Luckily, I’m able to continue working, [...]
Help dialysis patients
Americans should not have to fight tooth and nail to pay for lifesaving health care. Yet, this is an unfortunate reality for dialysis patients in America. When I began dialysis, I lost my private insurance since I could not work anymore. Relying on Medicare with little family support, I struggled to pay for my required treatment. Traditionally, private insurance companies cover dialysis for 30 months after starting treatment to ensure patients focus on their health, not their finances. Yet, a recent U.S. Supreme Court decision could allow [...]
Action Alert – Protect ESRD Patient Access to Private Coverage
In December, The Restore Protections for Dialysis Patients Act (H.R. 6860) was introduced by Representatives Mike Kelly (R-PA), Yvette Clarke (D-NY), Neal Dunn, MD (R-FL), Danny Davis (D-IL), John Joyce, MD (R-PA) and Raul Ruiz, MD (D-CA) to help ensure that ESRD patients can stay on the insurance coverage of their choice. A recent U.S. Supreme Court decision threatens access to private coverage by permitting health plans to carve off dialysis benefits from their networks and impose restrictive terms on patients. This legislation would restore the protections Congress [...]
2024 Advocacy Day – 24 Hours Left to Apply!
Dialysis Patient Citizens (DPC) will host our 20th Anniversary Celebration and Annual Congressional Advocacy Day May 6-7, 2024. Participants will be selected based on the quality of their applications, legislative priorities, and previous involvement in DPC's advocacy efforts. We will hold a training session ahead of our congressional meeting for those participating to explain the process and review our current legislative “asks.” The application period is open until January 26, 2024. We just ask that you tell us a little about yourself and why you think you would [...]
