About Hannah Bracamonte

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So far Hannah Bracamonte has created 690 blog entries.

Support dialysis protections

2026-05-05T18:18:26+00:00May 5th, 2026|Categories: Medigap Coverage, Patient Ambassadors, Patient Stories in the News, Private Insurance Coverage, Promote Financial Security|

I was diagnosed with end-stage renal disease, or kidney failure, at only 20 years old. Two years later, I began receiving dialysis to stay alive. I lost my job right before beginning dialysis and ultimately began dialysis on Medicare. Since Medicare only covers 80%, and my disability income disqualified me from Medicaid, I could not cover the remaining 20%. I had to go into medical debt just to survive. Six years of dialysis, a kidney transplant and 17 years later, I can now say that I am out of debt. I became a nurse, received an MBA, worked hard and [...]

Nebraska delegation should support people on dialysis

2026-05-06T15:27:02+00:00May 2nd, 2026|Categories: Medigap Coverage, Patient Ambassadors, Patient Stories in the News, Private Insurance Coverage, Promote Financial Security|

At just 25 years old, I was diagnosed with renal failure caused by systemic lupus and immediately began dialysis. I was pregnant, undergoing chemotherapy and fighting for my life. The last thing I should have had to worry about was losing my health insurance. But I was terrified. My private insurance through Blue Cross BlueShield was the only thing standing between my family and financial ruin. My husband and I even discussed divorcing on paper just to protect him from bankruptcy. No one facing a life-threatening diagnosis should ever have to consider something like that. After 14 months of dialysis, [...]

Protect Dialysis Patients

2026-05-05T17:40:36+00:00May 1st, 2026|Categories: Medigap Coverage, Patient Ambassadors, Patient Stories in the News, Private Insurance Coverage, Promote Financial Security|

I was diagnosed with kidney failure in 2006. I started dialysis immediately and received my first kidney transplant just 18 months later. That kidney gave me 13 years – years I spent working, living fully, and maintaining my health. Then, in 2020, my kidney failed. I returned to dialysis for five and a half years before receiving my second transplant this past February. Throughout my second period on dialysis, I continued working and maintained private insurance through my employer. However, a recent Supreme Court decision made it possible for insurers to push dialysis patients off their private coverage prematurely, causing [...]

Senators, Please Support Dialysis Bill to Restore Protections

2026-05-05T16:44:40+00:00April 25th, 2026|Categories: Medigap Coverage, Patient Ambassadors, Patient Stories in the News, Private Insurance Coverage, Promote Financial Security|

After 18 years on dialysis and nearly four years post-transplant, I have seen firsthand what happens when dialysis patients don’t have the insurance protections they need. As a longtime patient advocate, I’ve watched others struggle through a system that too often pulls the rug out from under people at their most vulnerable. Historically, there’s been legal protections allowing dialysis patients to stay on their private insurance for 30 months before switching to Medicare. That protection was a lifeline. It gave patients a real window to stabilize, navigate their treatment, and potentially receive a transplant before being forced onto Medicare. Without [...]

At Last, A Shorter Patient Experience Survey Comes Out This Spring!

2026-04-20T15:03:09+00:00April 20th, 2026|Categories: Advance Patient Choice, Article, Improve Access to Care, Increase Quality of Care, News|

By Alethea Walls, DPC Board of Directors Medicare’s In-Center Hemodialysis CAHPS (ICH CAHPS) Survey is one of the most meaningful tools patients have to share their experiences and influence improvements in dialysis care. We’re pleased to report that beginning with the next survey round, the questionnaire has been shortened to 39 questions, reducing the length of the old survey by 23 questions. For years, DPC has pointed out to Medicare officials the burden to dialysis patients of this survey. When Medicare surveys health plan enrollees or hospital patients about their satisfaction, they are able to use small samples of large populations. [...]

Federal Court Strikes Down Attempt to Abolish Charitable Premium Assistance for Dialysis Patients

2026-04-20T15:00:27+00:00April 14th, 2026|Categories: Article, Charitable Premium Assistance, Legal Defense, News, Promote Financial Security, Protect Patient Care|

Several years ago, at the behest of the SEIU labor union, the California legislature passed Assembly Bill 290 (AB 290), a bill intended to abolish charitable premium assistance for dialysis patients. In an April 7, 2026, decision, the U.S. Court of Appeals for the Ninth Circuit struck down major provisions of AB 290. The court ruled that the law violated the First Amendment rights of dialysis providers and the American Kidney Fund (AKF), a nonprofit charity. The Ninth Circuit found that AB 290's primary provisions unconstitutionally burdened the right of expressive association. The court struck down the provision that capped reimbursement [...]

Proposed legislation would keep dialysis patients connected to care

2026-05-05T16:45:07+00:00April 13th, 2026|Categories: Medigap Coverage, Patient Ambassadors, Patient Stories in the News, Private Insurance Coverage, Promote Financial Security, Spotlight|

As someone who has been on dialysis for over two decades, I know that access to consistent, affordable care is not optional; it's life or death. Kidney disease almost cost me my life. I spend over a month in the hospital when I was first diagnosed, and dialysis is what allowed me to rebuild my strength and survive. A previous kidney transplant eventually failed, and today I'm back on dialysis and at the top of Colorado's transplant list. Dialysis takes a massive physical and mental toll. Some days, simply getting through treatment feels like a full-time job. Despite the challenges, [...]

Improving Kidney Health Hearing

2026-03-25T18:42:19+00:00March 25th, 2026|Categories: Article, Increase Quality of Care, Innovation, News, Private Insurance Coverage, Promote Financial Security, Protect Patient Care|

Last week, The Ways and Means Subcommittee on Health held a hearing on “Improving Kidney Health Through Better Prevention and Innovative Treatment”. Witnesses included Ashli Littleton, a 36-year-old Medicare beneficiary with ESRD; Suzanne Watnick, MD FASN, a nephrologist and Professor of Medicine in the Division of Nephrology at the University of Washington; Robert Taylor, MD, a nephrologist and Chief Medical Officer of Dialysis Clinic, Inc.; and John Butler, MBA, President and Chief Executive Officer of Akebia since 2013. During the hearing, the witnesses and Members of Congress highlighted many of the struggles ESRD patients face and the need for more innovation [...]

Letter: Protect dialysis coverage

2026-05-05T16:45:24+00:00March 17th, 2026|Categories: Featured Spotlight, Medigap Coverage, Patient Ambassadors, Patient Stories in the News, Private Insurance Coverage, Promote Financial Security, Spotlight|

Since coming to Congress, Rep. Marie Gluesenkamp Perez, D-Skamania, has worked across party lines to help our community. I hope she’ll do so again by helping ensure that Washington’s kidney disease patients, of which I am one, don’t go into financial ruin. After a recent Supreme Court ruling, private insurance companies are now able to push dialysis patients off their coverage and onto Medicare prematurely. Previously, if someone had private insurance when they got diagnosed with kidney failure and started dialysis, they could keep their full coverage for up to 30 months. This ensured that patients could focus on starting [...]

Letter: Utah lawmakers must ensure that life-saving care is affordable and accessible. Expanding access to Medigap plans is crucial

2026-04-20T14:51:26+00:00March 10th, 2026|Categories: Medigap Coverage, Patient Ambassadors, Patient Stories in the News, Promote Financial Security, Spotlight|

In 2009, I was diagnosed with kidney failure. My condition deteriorated so quickly that I was life-flighted and placed in a medically induced coma for 10 days. When I woke up, I had to relearn how to walk and soon began dialysis. My kidneys briefly recovered, but in 2014 they failed again. After spending four years navigating the transplant waitlist, I was fortunate enough to receive a kidney in October 2018 at the University of Utah Hospital. I was able to move forward with transplantation only because I had Medicare during dialysis and later had access to my spouse’s employer-sponsored [...]

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