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DPC Complaint to OFM re: Washington State Insurance Plans

2024-03-29T01:50:28+00:00July 19th, 2016|Categories: Charitable Premium Assistance, Comment Letter, Innovation, Private Insurance Coverage, State Advocacy|

Re: Violations of the Medicare Secondary Payer Statute, 42 U.S.C. § 1395y(b), by Washington State Health Insurance Plans Dear Ms. Parker and Ms. Dotzel: We write to bring to your attention the fact that at least three group insurers in the state of Washington are offering large plans with provisions that violate the explicit terms of the Medicare Secondary Payer Statute. These violations not only potentially subject the insurers to statutory civil monetary penalties, but render these insurers’ plans nonconforming under applicable regulations. As America's largest patient-led organization representing 29,000 dialysis patients and family members, Dialysis Patient Citizens (DPC) strives to [...]

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DPC Complaint to Department of Labor re: Insurance Plan Discrimination

2024-03-29T01:50:29+00:00June 28th, 2016|Categories: Charitable Premium Assistance, Comment Letter, Innovation, Private Insurance Coverage|

The Honorable Phyllis C. Borzi Assistant Secretary Employee Benefits Security Administration United States Department of Labor 200 Constitution Ave NW Washington, DC 20210 Re: Violations of Part 7 of the Employee Retirement Income Security Act Relating to Health Plans’ Treatment of End-Stage Renal Disease Dear Assistant Secretary Borzi: On behalf of the 29,000 dialysis patients and family members that we serve, Dialysis Patient Citizens (DPC) asks that the Employee Benefits Security Administration (EBSA) investigate activities some group health plans have undertaken that we believe discriminate against individuals with kidney failure in violation of Part 7 of the Employee Retirement Income Security [...]

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DPC Files Legal Complaint with the Office of Civil Rights over Discrimination by Blue Cross Idaho

2024-03-29T01:50:29+00:00June 6th, 2016|Categories: Article, Charitable Premium Assistance, Legal Defense, State Advocacy|

On behalf of kidney patients nationally, Dialysis Patient Citizens (DPC) filed a legal complaint with the U.S. Department of Health and Human Services’ Office of Civil Rights citing discriminatory behavior by Blue Cross Idaho (BCI) against individuals with kidney failure, a disease which disproportionately impacts minorities. The complaint involves a new BCI policy guideline, targeting policyholders with kidney failure who need three times weekly dialysis to live. Under the policy, BCI screens policyholders with kidney failure to determine how their premiums are paid and dumps individuals who receive financial assistance from the non-profit, federally approved charity, American Kidney Fund (AKF). The non-profit DPC, the nation’s [...]

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Re: Discrimination Against End-Stage Renal Disease Patients by Health Net

2024-03-29T01:50:29+00:00May 3rd, 2016|Categories: Charitable Premium Assistance, Comment Letter, Private Insurance Coverage, State Advocacy|

Janice Rocco California Department of Insurance 300 Capitol Mall Suite 1700 Sacramento, CA 95814 Mary Watanabe Department of Managed Health Care (DMHC) 980 9th Street, Suite 500 Sacramento, CA 95814 Re: Discrimination against end-stage renal disease patients by Health Net Dear Deputy Commissioner Rocco and Deputy Director Watanabe: With 29,000 dialysis patient members, over 4,000 of whom reside in California, Dialysis Patient Citizens (DPC) is the nation’s largest patient-led organization representing individuals with end-stage renal disease (ESRD). On behalf of California’s 84,500 ESRD patients, I want to thank you for meeting with us to discuss the Health Net matter, which [...]

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DPC Delivers Speech on the Importance of Charitable Assistance for Insurance Premiums

2024-03-29T01:50:29+00:00April 19th, 2016|Categories: Article, Charitable Premium Assistance|

For decades, dialysis patients have received financial assistance from nonprofit organizations to help them maintain their private insurance or Medigap coverage. Recently, insurers started to reject these types of payments in an effort to purge kidney patients from their health plans. Jackson Williams, DPC’s Government Affairs Director, and Deborah Darcy, Director of Government Affairs at the American Kidney Fund, presented on this issue at the National Association of Insurance Commissioners’ (NAIC) National Meeting in New Orleans earlier this month. “For nearly 20 years, the American Kidney Fund has held a Federal Advisory Opinion that enables us to provide grants to [...]

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DPC Urges Members to Share Stories of Insurance Assistance from the American Kidney Fund

2024-03-29T01:50:30+00:00March 10th, 2016|Categories: Article, Charitable Premium Assistance, Medigap Coverage|

For decades, dialysis patients have received financial assistance from the American Kidney Fund to help them maintain their private insurance or Medigap coverage. Recently, insurers started to reject those payments from AKF in an effort to purge kidney patients from their health plans. We ask you to please share your stories about the help that AKF has provided and about any problems you have experienced due to an insurance company refusing to take AKF payments. You need not give your name. Click here to take our survey.

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DPC Encourages Participation in National Kidney Month Awareness

2024-03-29T01:50:30+00:00March 10th, 2016|Categories: Article, Charitable Premium Assistance, Dialysis Funding, Get Involved, Take Action, Transplant Donor Protection, Uncategorized|

March is National Kidney Month, which provides you with the perfect opportunity to spread awareness by educating your community and your legislators about kidney disease and the importance of kidney health. You can find educational information on the website of our sister organization, the DPC Education Center to share with your family and community. Additionally, we can provide promotional materials for any awareness events you plan to hold in March. To request materials such as pens and squeezable kidneys, visit our materials request page or call us at 1-866-877-4242. On the legislative front, you can ask your member of Congress to [...]

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2015 Year in Review

2024-03-29T01:50:30+00:00January 19th, 2016|Categories: 5-Star Ratings, Access to Transplant, Article, Care Coordination, Charitable Premium Assistance, Dialysis Funding, Innovation, Medicare Advantage|Tags: |

Happy New Year!  In 2015, DPC leadership and its strong patient advocacy efforts at the state level fought to: prevent dramatic cuts to dialysis funding in Alabama and Illinois and preserve charity payments for dialysis patient premiums. Other highlights include: The opportunity for DPC CEO Hrant Jamgochian and board member Bob Lee to testify in front of the Oregon insurance commissioner on the discriminatory language found in two private insurance plans that would limit coverage for ESRD patients. The commissioner ruled against the language. DPC board member Danny Iniguez discussed health disparities in kidney disease at the National Black Caucus [...]

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DPC Urges CMS to Prioritize Patient Access

2024-03-29T01:50:30+00:00January 19th, 2016|Categories: Access to Transplant, Care Coordination, Charitable Premium Assistance, Medicare Advantage, Medigap Coverage, Transportation Services|Tags: |

Last month, DPC sent a letter commenting on the “Notice of Benefit and Payment Parameters for 2017” proposed rule. This annual rule by the Centers for Medicare and Medicaid Services (CMS) contains proposed changes to the exchange plan coverage of the Affordable Care Act. DPC’s letter focuses on the importance of insurance coverage and network quality for end-stage renal disease (ESRD) patients. One issue the letter comments on pertains to network adequacy. Network adequacy describes an insurance plan’s ability to provide a sufficient amount of in-network providers to subscribers in the plan. Suggestions to improve network adequacy include requiring all [...]

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