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DPC Comments on CMS Proposed ESRD Annual Payment Rule to Improve Dialysis Patient Quality of Life

2024-03-29T01:13:33+00:00October 11th, 2019|Categories: Access to Transplant, Article, Charitable Premium Assistance, Comment Letter, Dental Coverage, Dialysis Funding, Innovation, Medicare Advantage, Quality Incentive Program, Treatment Options|

Each year—typically during the summer—the Centers for Medicare and Medicaid Services (CMS) puts out rules for how they are going to pay for dialysis treatment. The rules reflect CMS' latest policies, and organizations have the opportunity to provide feedback about the rules before they go into effect on January 1. DPC provided feedback to CMS regarding their end-stage renal disease (ESRD) Annual Payment rule. DPC's letter addresses the following important topics for improving ESRD patient care: Transitional Add-On Payment Adjustment for New and Innovative Equipment and Supplies Anemia Management Social Risk Factors and their Impact on the QIP The Need [...]

DPC Comments on CMS Proposed Rule Regarding ESRD Treatment Choices Model Demonstration

2024-03-29T01:13:34+00:00September 4th, 2019|Categories: Access to Transplant, Comment Letter, Dental Coverage, Innovation, Medicaid, Transplant Donor Protection, Treatment Options|

In response to the Administration's announcement to improve kidney health in America, the Centers for Medicare and Medicaid Services (CMS) proposed a rule to implement a mandatory Medicare payment model designed to increase the number of home dialysis treatments and kidney transplants, all while reducing Medicare expenditures. The rule—referred to as the End-Stage Renal Disease (ESRD) Treatment Choices Model (ETC Model)—would measure clinician and facility performance, as well as the rate of home dialysis and kidney transplants in selected geographic regions. These calculations would result in either an increase or decrease of Medicare funding to a particular facility or clinician, [...]

The Administration’s Plan to Improve Quality of Life and Patient Choice for Dialysis Patients

2024-03-29T01:13:34+00:00July 11th, 2019|Categories: Access to Transplant, Article, Improve Access to Care, Transplant Donor Protection, Treatment Options|

President Donald J. Trump thanks DPC Board Member Nancy Scott prior to signing an Executive Order on Advancing American Kidney Health Wednesday, July 10, 2019, at the Ronald Reagan Building and International Trade Center in Washington, D.C. (Official White House Photo by Shealah Craighead) "I did dialysis. I did not let it do me." Those powerful words were shared by DPC Board Member Nancy Scott shortly before President Trump signed an Executive Order centered around improving kidney health in America on July 10, 2019. Scott was one of only three individuals who the Administration asked to share her [...]

Insights from the Dialysis Patient Citizens 2018 Patient Survey: Patients’ Priorities for Quality Measures and New Innovations in ESRD Care

2024-03-29T01:13:35+00:00March 11th, 2019|Categories: Article, Innovation, Quality Incentive Program, Treatment Options|Tags: |

By Jackson Williams, Director of Regulatory Affairs and General Counsel, Dialysis Patient Citizens Dialysis Patient Citizens (DPC) thanks everyone who completed its 2018 Patient Survey. It is another way to make your voices heard. We use our patient survey to get your input on current issues and to convey your opinions to policymakers in Washington, DC. This year, our survey included questions on two recent developments in Washington: Medicare’s “Meaningful Measures” Initiative: In early 2018, Medicare officials announced plans to reduce the number of quality measures it uses to hold health care providers accountable. This meant that for dialysis care, [...]

NIH Seeks Volunteers to Help Cure Diseases and Solve Health Problems

2024-03-29T01:13:36+00:00February 13th, 2019|Categories: Article, Treatment Options|Tags: |

The National Institutes of Health (NIH) is looking for volunteers to participate in the All of Us program, which is a research initiative that tracks the health of U.S. participants. The initiative is not centered around a specific disease or population. Instead, it is intended to accelerate research and improve a large assortment of health conditions by evaluating the impact of lifestyle, environment and biological makeup on health and disease. Participants may elect to help by filling out surveys, sharing electronic health records, getting a physical, sharing fitness tracker data, providing blood and urine samples, and more. The hope is [...]

Dialysis Patient Citizens Wins Court Ruling Against Insurer Veto on ESRD Patients

2024-03-29T01:13:40+00:00February 16th, 2017|Categories: Access to Transplant, Charitable Premium Assistance, Improve Access to Care, Legal Defense, Medigap Coverage, Treatment Options|

In a lawsuit filed by DPC against the Department of Health and Human Services, a federal court has blocked a regulation that would have given insurers veto power over ESRD patients’ access to private coverage. The judge called the regulation, that could have forced dialysis patients off their current health insurance and jeopardized their access to care, “arbitrary and capricious.” In enjoining the regulation’s enforcement, the U.S. District Court for the Eastern District of Texas held that the rule was 1) procedurally defective because HHS adopted it without first giving the public notice of it and seeking comment on it, [...]

CMS Updates Policies and Payment Rates for End-Stage Renal Disease Prospective Payment System (CMS 1651-F)

2024-03-29T01:13:41+00:00November 14th, 2016|Categories: Article, Dialysis Funding, Quality Incentive Program, Treatment Options|

On October 28, 2016, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that updates payment policies and rates under the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) for renal dialysis services furnished beginning January 1, 2017. Under the ESRD PPS for 2017, Medicare expects to pay approximately $9 billion to approximately 6,000 ESRD facilities to cover dialysis services. The finalized 2017 ESRD base rate will be $231.55. CMS projects that the updates for 2017 will increase total payments to all ESRD facilities by 0.73 percent compared with 2016, amounting to about $80 million. CMS is finalizing an increase to [...]

Did Payment Reform Affect Patient Modality Choice?

2024-03-29T01:50:28+00:00August 11th, 2016|Categories: Dialysis Funding, Improve Access to Care, Medicare Advantage, Treatment Options|

One of the main policy goals of Dialysis Patient Citizens is to Improve Access to Care. This tenet includes improving patient access to all dialysis modalities: home hemodialysis, peritoneal dialysis, in-center hemodialysis and transplantation. Through our annual membership survey, we’ve uncovered various barriers for patients who would like to receive home hemodialysis. Many patients are unable to receive treatments in their home because of a lack of a caregiver, which is a requirement to receive treatment. However, DPC has also uncovered that the type of insurance a patient has may affect the likelihood of whether they are informed of home dialysis [...]

DPC Participates in Home Dialysis Briefing Emphasizing Current Barriers to Treatment

2024-03-29T01:50:29+00:00June 6th, 2016|Categories: Improve Access to Care, Medicaid, Treatment Options|

Hrant Jamgochian, CEO of Dialysis Patient Citizens, participated in a congressional briefing sponsored by the Alliance for Home Dialysis on May 16th. DPC joined hip-hop artist David Rush, former U.S. Representative Karen Thurman, Larry Weisberg and Dr. Sue Quaggin to provide policymakers with policy options to improve access to home dialysis. DPC’s most recent membership survey indicated significant insurance barriers to access for home dialysis. However, the largest barrier for most patients was the lack of a care partner. The DPC survey found that while 74% of ESRD patients overall were informed about the option of home hemodialysis, there was an information gap [...]

Study: End Stage Renal Disease Patients Face Policy Barriers to Home Dialysis

2024-03-29T01:50:30+00:00March 10th, 2016|Categories: Improve Access to Care, Increase Quality of Care, Innovation, Promote Financial Security, Treatment Options|

Current federal policies limit patient access to home dialysis, a treatment option that offers significant clinical and quality-of-life advantages, according to a report released today by Washington, DC-based economist Alex Brill of Matrix Global Advisors (MGA). As a result of policy barriers, Brill finds a key segment of the growing population of patients who have end-stage renal disease (ESRD) miss out on the important health and lifestyle benefits of home dialysis. Brill, formerly chief economist to the House Ways & Means Committee, also finds that innovation in the home dialysis market may not reach patients if barriers cannot be addressed. Fewer [...]

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