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DPC Submits Comments to Chronic Care Working Group Re: Medicare Advantage

2024-03-29T01:50:30+00:00January 25th, 2016|Categories: Comment Letter, Medicare Advantage|

Hon. Johnny Isakson Hon. Mark Warner United States Senate Washington, DC 20510 Re: Comments to the Chronic Care Working Group Dear Senators Isakson and Warner: As America’s largest patient-led organization representing persons with end-stage renal disease, with over 28,000 members, Dialysis Patient Citizens (DPC) works to improve quality of life for dialysis patients through education and advocacy. We are grateful to the Working Group for its focus on how chronic illness care could be improved for patients with ESRD. As you know, ESRD patients represent a small portion of Medicare beneficiaries but a disproportionately large percentage of Medicare expenditures. Much [...]

RE: CMS–9937–P: Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2017

2024-03-29T01:50:31+00:00December 21st, 2015|Categories: Advance Patient Choice, Charitable Premium Assistance, Comment Letter, Improve Access to Care|Tags: |

Andrew Slavitt Acting AdministratorCenters for Medicare and Medicaid Services 7500 Security BoulevardBaltimore, MD 21244RE: CMS–9937–P: Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2017Dear Acting Administrator Slavitt,On behalf of the more than 430,000 patients who rely upon dialysis services, we appreciate the opportunity to comment on the “Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2017” Proposed Rule (Proposed Rule). We strongly encourage the Centers for Medicare and Medicaid Services (CMS) to protect the rights of all Americans to access coverage in the Marketplaces, consistent with the Affordable Care [...]

DPC Submits Feedback to CMS on Proposed Additions to Dialysis Facility Compare Tool

2024-03-29T01:50:31+00:00December 11th, 2015|Categories: 5-Star Ratings, Article, Comment Letter|

The Centers for Medicare and Medicaid Services (CMS) recently announced plans to add more measures to their Dialysis Facility Compare (DFC). The DFC is an online tool that allows users to search and compare dialysis facilities within a certain area based on ratings and certain measures. The added measures would examine fluid management, the rate of blood stream infections in in-center hemodialysis patients and pediatric peritoneal dialysis adequacy. Data collected through the Consumer Assessment of Healthcare Providers & Systems In-Center Hemodialysis (CAHPS ICH) surveys would also be added to the DFC. DPC submitted comments to CMS supporting the addition of these measures [...]

DPC Urges Department of Insurance to Protect Dialysis Patient Access in Oregon

2024-03-29T01:50:31+00:00October 26th, 2015|Categories: Comment Letter, Private Insurance Coverage, Promote Financial Security, State Advocacy|Tags: |

Ms. Laura Cali, Insurance Commissioner Department of Consumer & Business Services Insurance Division PO Box 14480 Salem, Oregon 97309-0405 Re: Discrimination against end-stage renal disease patients by Regence health plan Dear Commissioner Cali: With 28,000 dialysis patient members, Dialysis Patient Citizens (DPC) is the nation’s largest patient-led organization representing individuals with end-stage renal disease (ESRD). I am writing on behalf of Oregon’s 3,821 dialysis patients, asking that you ensure that they are treated equitably by the Regence health insurance plan. Regulatory filings by this issuer indicate that its 2016 plan designs are incentivizing disenrollment of ESRD patients in favor of enrolling [...]

Re: Essential Health Benefits – 2017 Benchmark Plans

2024-03-29T01:50:32+00:00September 28th, 2015|Categories: Care Coordination, Comment Letter, Promote Financial Security|Tags: |

Hon. Kevin Counihan Center for Consumer and Information and Insurance Oversight Centers for Medicare and Medicaid Services Hubert H. Humphrey Building 200 Independence Ave, SW Washington, D.C. 20201 Re: Essential Health Benefits - 2017 Benchmark Plans Dear Deputy Director Counihan: Dialysis Patient Citizens, America’s largest patient-led organization representing dialysis patients, is comprised of more than 28,000 dialysis and pre-dialysis patients and their families. We seek to ensure the patient point of view is considered by policy makers. We are writing to comment on the Agency’s List of Proposed 2017 Essential Health Benefits (EHB) Benchmark Plans. States have four options for [...]

Letter to Oregon Insurance Commissioner Emphasizes Importance of Private Insurance

2024-03-29T01:50:32+00:00September 16th, 2015|Categories: Article, Charitable Premium Assistance, Comment Letter, Improve Access to Care, Promote Financial Security, State Advocacy|Tags: |

Regence and Moda, two private insurance plans in Oregon, recently made changes to their 2016 plans that would negatively affect ESRD patients. Specifically, after three months of coverage, any out-of-pocket payments patients make for dialysis treatment will no longer count towards their out-of-pocket maximums. This appears to be an effort to pressure dialysis patients to drop their private coverage and enroll in Medicare. DPC’s letter to the Oregon Insurance Commissioner calls attention to this discriminatory move. Medicare plans do not include an out-of-pocket maximum amount, while most private insurance plans do. Statistics also show that patients with Medicare plans are [...]

DPC Comments on 2016 Prospective Payment System and QIP

2024-03-29T01:50:32+00:00September 16th, 2015|Categories: Comment Letter, Quality Incentive Program|

DPC recently sent a comment letter responding to the proposed payment rule for CMS’s Medicare End Stage Renal Disease program. Using responses from our 2015 Patient Survey, our suggestions focus on how CMS can improve on the key issues of payment and quality for patients. On the payment side, we urge CMS to revise its patient-level payment system by focusing on individuals’ experiences, instead of drawing conclusions based off of large amounts of data. Better support of rural facilities and home dialysis is also important, providing more access and opportunity for treatment. On the quality front, we suggest changes be [...]

RE: CMS-1631-P: Physician Fee Schedule

2024-03-29T01:50:32+00:00August 25th, 2015|Categories: Comment Letter, Immunosuppressive Drug Coverage|

August 25, 2015 Andrew Slavitt, Acting Administrator Centers for Medicare and Medicaid Services Department of Health and Human Services Hubert H. Humphrey Building 200 Independence Avenue SW Washington, D.C. 20201 Dear Mr. Slavitt, Dialysis Patient Citizens (DPC) appreciates the opportunity to provide the Centers for Medicare and Medicaid Services (CMS) with comments on the proposed payment rule for the Medicare End Stage Renal Disease (ESRD) program. As America’s largest patient-led organization representing dialysis patients, DPC’s membership consists of more than 28,000 dialysis and pre-dialysis patients and their families. We seek to ensure the patient point of view is considered by [...]

DPC Writes to Montana state official, in support of a proposed rule allowing Medigap open enrollment for Medicare patients under the age of 65 with disabilities or ESRD

2024-03-29T01:50:32+00:00July 9th, 2015|Categories: Comment Letter, Medigap Coverage, State Advocacy|

Brett O’Neill, Attorney Office of the Commissioner of Securities and Insurance Montana State Auditor 840 Helena Ave. Helena, MT 59601 RE: Medicare Supplements – ARM 6.6.507B, .507C, .507E, .511, .511A Dear Mr. O’Neill: As the nation’s largest patient-led organization representing dialysis patients, Dialysis Patient Citizens (DPC) works to improve the quality of life for all dialysis patients through education and advocacy. On behalf of our membership, and particularly on behalf of the over 750 dialysis patients in Montana, we are writing in support of the proposed rule allowing for open enrollment in Medigap plans for Medicare patients under the age [...]

DPC Urges Arizona to Maintain Medicaid Reimbursement for Dialysis

2024-03-29T01:50:34+00:00February 27th, 2015|Categories: Comment Letter, Medicaid, State Advocacy|

Governor Doug Ducey 1700 West Washington St. Phoenix, AZ 85007 RE: Proposed Cuts to Medicaid Coverage Dear Governor Ducey, As America’s largest patient-led organization representing over 28,000 members, Dialysis Patient Citizens (DPC) works to improve the quality of life of all dialysis patients through education and advocacy. Dialysis is a life-sustaining care delivered to over 12,400 patients in Arizona who have End-Stage Renal Disease (ESRD), also known as kidney failure. For those with ESRD, receiving regular dialysis or a kidney transplant are the only treatments that allow patients to continue living. The number of individuals with kidney failure continues to [...]

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