Medicare Removes Important Protection for Dialysis Patients in Managed Care Plans

2020-05-26T18:43:33+00:00May 26th, 2020|Categories: Article, Medicare Advantage, Treatment Options|

The Centers for Medicare & Medicaid Services (CMS) last week issued a regulation for Medicare Advantage (MA) plans that eliminates time and distance limits from network adequacy requirements for dialysis facilities. Network adequacy requirements for health plans ensure that patients can have access to all necessary providers with reasonable promptness. Time and distance limits prescribe a maximum driving time or distance in miles that a consumer must travel to get to a doctor or facility. The limits are higher in rural areas. CMS replaced the time and distance limits with another standard, a network “consistent with the prevailing community pattern [...]

ESRD Network – Your Resource for Access to Care

2020-04-27T16:40:23+00:00April 27th, 2020|Categories: Article, Improve Access to Care, Medicaid, Medicare Advantage, News, Transportation Services|

The Centers for Medicare & Medicaid Services (CMS), which is the federal Agency that oversees the Medicare program, recently reiterated its commitment to ensuring dialysis patient access to care during the current pandemic. They said that if any dialysis patients are having problems with transportation, that prevent you from getting to dialysis, they want to help. CMS also knows that your dialysis access is your lifeline, so if you have any complications with your fistula, graft or catheter and need help – that is why they created the End Stage Renal Disease (ESRD) Network Program – to help patients. So, while [...]

DPC Supports Increased Access and Quality of Care for Dialysis Patients Amid COVID-19

2020-04-02T14:09:49+00:00March 23rd, 2020|Categories: Care Coordination, Comment Letter, Increase Quality of Care, Medicare Advantage, Transportation Services, Treatment Options|Tags: |

DPC provided feedback to the U.S. Department of Health and Human Services (HHS) regarding the COVID-19-related issues that the kidney community is facing. DPC made recommendations to HHS in the following areas: Transportation COVID-19 Treatments and Vaccinations Home Dialysis People with End-Stage Renal Disease have a higher risk for developing a severe illness from COVID-19. As a result, it is crucial we do all that we can to help this vulnerable population in order to decrease the negative impact and spread of the virus. Read DPC's letter to HHS below for more details: Kumiko Lippold, PhD, MPH Department of Health [...]

DPC Comments on CMS Proposed Rule Regarding Medicare Advantage

2020-03-31T19:36:28+00:00March 10th, 2020|Categories: Care Coordination, Comment Letter, Medicare Advantage, Treatment Options|

In 2021 End-Stage Renal Disease (ESRD) patients will be permitted to enroll in Medicare Advantage (MA) plans, potentially bringing major changes to ESRD care and how patients experience it. When open enrollment begins this fall, we want to make sure patients have access to the same robust benefits offered with MA plans right now. DPC reached out to the Centers for Medicare & Medicaid Services (CMS) with recommendations on how to ensure ESRD patients maintain the access, choice and quality care they expect when these benefits are available to everyone. Currently, the only ESRD patients with MA plans are those [...]

Happy Holidays and DPC’s Top 10 Accomplishments of 2019

2020-03-21T20:40:48+00:00December 20th, 2019|Categories: 5-Star Ratings, About DPC, Access to Transplant, Article, Care Coordination, Charitable Premium Assistance, Dental Coverage, Dialysis Funding, Immunosuppressive Drug Coverage, Innovation, Medicaid, Medicare Advantage, Medigap Coverage, Quality Incentive Program, Transplant Donor Protection, Transportation Services, Treatment Options|

Dialysis Patient Citizens wants to wish you and your family a Happy Holiday, as well as a safe and healthy New Year. Our offices will be closed for the holidays starting December 23 through January 1. We also want to take this opportunity to share our list of Top 10 Accomplishments for 2019, which would not have been possible without your support. Thank you again for helping us elevate the dialysis patient voice with policy makers. We are extremely grateful for all of your advocacy efforts, and we look forward to our continued collaboration in 2020 as we work together to improve dialysis [...]

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

2020-03-21T20:41:19+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 [...]

Happy Holidays and DPC’s Top 10 Accomplishments of 2018

2020-03-21T20:41:51+00:00December 19th, 2018|Categories: Advance Patient Choice, Article, Care Coordination, Charitable Premium Assistance, Dialysis Funding, Get Involved, Medicare Advantage, Medigap Coverage, Take Action, Transplant Donor Protection|Tags: |

Dialysis Patient Citizens wants to wish you and your family a Happy Holiday, as well as a safe and healthy New Year. We also want to take this opportunity to share with you our Top 10 list of accomplishments for 2018, which would not have been possible without your support. Thank you for helping us elevate the dialysis patient voice with policy makers. We are extremely grateful for all of your efforts, and we look forward to our continued collaboration in 2019 as we work together to improve dialysis patient quality of life.

New Pieces of Legislation Passed Mark Up to Improve Dialysis Care

2020-03-21T20:43:09+00:00July 19th, 2017|Categories: Care Coordination, Increase Quality of Care, Medicare Advantage|

View from the gallery as the committee approves the legislation. Two pieces of legislation have been passed by unanimous consent by the Ways and Means Committee with provisions that improve dialysis care. The Medicare Part B Improvement Act of 2017 (H.R. 3178) and H.R. 3168—contain 3 provisions which will improve dialysis care. H.R. 3178 expands access to home dialysis by allowing the use of telemedicine for end-stage renal disease (ESRD) related visits as well as allows new dialysis facilities to received outside accreditation in order to provide treatment. The second piece of legislation includes a provision to allow [...]

Advocating for Patients on World Kidney Day

2020-03-21T20:43:10+00:00March 9th, 2017|Categories: About DPC, Article, Charitable Premium Assistance, Medicare Advantage, Medigap Coverage, What is Kidney Disease?|Tags: |

Today the global community of people fighting kidney disease commemorates World Kidney Day, an effort to raise awareness of the importance of healthy kidneys and reduce the devastating impact of kidney disease, which affects 1 out of every 10 people worldwide. Although the condition is incurable, effective treatments are available. An estimated 2.6 million people with end-stage renal disease (ESRD), or kidney failure, received dialysis in 2010. That number is expected to more than double to 5.4 million by 2030. As the incidence of kidney disease rises, so too does the importance of ensuring that patients have access to lifesaving care. [...]

Urge the U.S. Senate to Open Medicare Advantage for ESRD Patients

2020-03-21T20:44:12+00:00October 13th, 2016|Categories: Article, Medicare Advantage, Take Action|

The ESRD Choice Act (H.R. 5659) unanimously passed in the House of Representatives on September 21. Thanks in large part to your persistent advocacy, we are now one step closer to opening Medicare Advantage enrollment to ESRD patients. Unfortunately, we still need the Senate to take action. Please take a few minutes to urge your Senators to move this issue to the President’s desk for signature. Contact your Senators about the importance of expanding insurance options for ESRD patients. Learn more about Medicare Advantage