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DPC Responds to Medicare’s Move Toward Medically Necessary Dental Care

2024-03-29T01:09:21+00:00August 26th, 2022|Categories: Access to Transplant, Article, Comment Letter, Dental Coverage, Improve Access to Care, Medicare Advantage|

DPC submitted a comment letter applauding the Center for Medicare and Medicaid Services (CMS) for its announcement that it will cover dental work for kidney transplant candidates when oral health issues are a barrier to transplant surgery. “This proposal is an important recognition and clarification of CMS’s existing authority, which will help to ensure that Medicare beneficiaries can access and afford more of the dental care they need to advance their health,” DPC said. CMS also asked whether there are “types of surgery, or clinical scenarios involving acute or chronic conditions that would have an improved patient outcome if certain dental [...]

DPC’s Letter to Hon. Chiquita Brooks-LaSure, Administrator for CMS, on Move Toward Medically Necessary Dental Care

2024-03-29T01:09:22+00:00August 25th, 2022|Categories: Comment Letter, Dental Coverage, Medicare Advantage, Protect Patient Care|

August 25, 2022 Hon. Chiquita Brooks-LaSure, Administrator Centers for Medicare & Medicaid Services 7500 Security Boulevard Baltimore, MD  21244 Re: CMS-1770-P (Section II.L.) Dear Administrator Brooks-LaSure: Dialysis Patient Citizens (DPC) writes to offer its comments on the above referenced proposed rule. DPC's membership, currently over 30,000, is restricted to kidney disease patients and their family members. DPC is a patient-led organization.  Our by-laws require that the President, Vice President and at least 51% of the Board be current dialysis patients.  The non-dialysis patients serving on our Board are former dialysis patients with kidney transplants. Our volunteer board members have represented [...]

DPC’s Letter to Hon. Chiquita Brooks-LaSure, Administrator for CMS

2024-03-29T01:09:22+00:00August 18th, 2022|Categories: Comment Letter, Medicare Advantage, News, Protect Patient Care, Quality Incentive Program, Uncategorized|

August 18, 2022 Hon. Chiquita Brooks-LaSure, Administrator Centers for Medicare & Medicaid Services 7500 Security Boulevard Baltimore, MD  21244 Re:       End Stage Renal Disease (ESRD) Prospective Payment System (PPS) Calendar Year (CY) 2023 Proposed Rule (CMS-1768-P) Dear Administrator Brooks-LaSure: Dialysis Patient Citizens (DPC) writes to offer its comments on the above referenced proposed rule. DPC's membership, currently over 30,000, is restricted to kidney disease patients and their family members. DPC is a patient-led organization.  Our by-laws require that the President, Vice President and at least 51% of the Board be current dialysis patients.  The non-dialysis patients serving on our Board [...]

DPC Submits Comments on Medicare’s 2022 ESRD Payment Rule

2024-03-29T01:09:22+00:00August 18th, 2022|Categories: Article, Comment Letter, Medicare Advantage, Protect Patient Care, Quality Incentive Program|

DPC’s comment letter on Medicare’s 2022 ESRD Payment Rule highlighted the impact that labor shortages may have on dialysis patients. “Currently, there are nearly two job openings for every available unemployed worker. Vulnerable patients need a labor market in which there is a one-to-one ratio of health care workers for vacancies in essential jobs. Over the long term, the government may need to act to foster interest among young people in healthcare careers and facilitate their preparation for such roles. But in the immediate term, it is necessary to ensure that wages for jobs like dialysis technicians are competitive.” DPC is [...]

Dialysis Patient Citizens Applauds New Legislation Prohibiting Discrimination Against Dialysis Patients

2024-03-29T01:09:22+00:00August 1st, 2022|Categories: Medicare Advantage, Press Release, Private Insurance Coverage, Protect Patient Care|

WASHINGTON, D.C. (August 1, 2022) -- Dialysis Patient Citizens (DPC) today released the following statement applauding the introduction of H.R. 8594 by Representatives Yvette Clarke (D-NY-9), Buddy Carter (R-GA-1), Jodey Arrington, (R-TX-19), and Danny Davis (D-IL-7) to prohibit discrimination against dialysis patients in insurance coverage. “We thank Representatives Clarke, Carter, Arrington, and Davis for introducing this essential piece of legislation that will protect dialysis patients from facing unjust discrimination in their health coverage,” said DPC Board President Andrew Conkling. “Dialysis patients have a right to continue on employer-provided plans for 30 months after being diagnosed with End-Stage Renal Disease (ESRD), [...]

Rhode Island Medigap Legislation Signed by Governor McKee

2024-03-29T01:09:22+00:00July 21st, 2022|Categories: Article, Medicare Advantage, Medigap Coverage, State Advocacy|

On June 30,2022, Rhode Island Governor Dan McKee signed into law H. 7244 and S. 2194, which provide guaranteed issue access to Medicare Supplement Insurance coverage – known as Medigap – for under age 65 residents with End Stage Renal Disease (ESRD) and qualified disabled. The legislation becomes effective July 1, 2023. The new law also provides premium protections through the premium rate review process of the Office of the State Health Insurance Commissioner. While DPC is disappointed that this legislation limits access only to Medicare Supplement Plan A, we recognize this is a major step by Rhode Island that qualified [...]

Medicare Dental Coverage for Transplant Candidates May be on the Way

2024-03-29T01:10:06+00:00July 5th, 2022|Categories: Article, Dental Coverage, Medicare Advantage|

The Centers for Medicare & Medicaid Services (CMS) is proposing expanded coverage of “medically necessary” dental treatment, including treatments necessary to qualify for an organ transplant. DPC and other consumer advocates have been pressing for this change for several years. Medicare currently pays for dental services in a limited number of circumstances, such as when that service is an integral part of specific treatment of a beneficiary’s primary medical condition. Some examples include reconstruction of the jaw following accidental injury, tooth extractions done in preparations for radiation treatment for cancer involving the jaw, or oral exams preceding kidney transplantation. CMS is [...]

Medicare Proposes Small Pay Increase for Dialysis Facilities

2024-03-29T01:10:06+00:00July 1st, 2022|Categories: Article, Dialysis Funding, Medicare Advantage|

On June 21, 2022, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to update payment rates and policies under the End Stage Renal Disease (ESRD) Prospective Payment System (PPS) for renal dialysis services furnished to Medicare beneficiaries for the year beginning January 1, 2023. Under the ESRD PPS for 2023, Medicare expects to pay $8.2 billion to approximately 7,800 ESRD facilities for furnishing dialysis services. The proposed 2023 ESRD PPS base rate is $264.09, which would be an increase of $6.19 to the current base rate of $257.90. CMS projects that the updates for CY 2023 would [...]

Supreme Court Erases Kidney Patients’ Insurance Protections

2024-03-29T01:10:07+00:00June 22nd, 2022|Categories: Article, Dialysis Funding, Medicare Advantage, Private Insurance Coverage, Protect Patient Care|

A U.S. Supreme Court ruling has nullified the law that protects dialysis patients from discrimination by insurers, threatening the system of financing kidney care that has stood for 40 years. The Court ruled that employer health plans may limit dialysis benefits. For four decades, employers understood the law as prohibiting limitations that only applied to dialysis. Some health benefit consultants encouraged a few small employers to disregard the law by paying no more than Medicare rates for dialysis. DaVita sued them, and one of the cases was appealed to the Supreme Court. The decision means that employers and insurers can [...]

Dialysis Patient Citizens Statement Following Supreme Court Decision in Marietta Memorial Hospital v. Davita

2024-03-29T01:10:07+00:00June 21st, 2022|Categories: Medicare Advantage, Press Release, Private Insurance Coverage, Protect Patient Care|

WASHINGTON, D.C., (June 21, 2022) -- Following the United States Supreme Court decision in the case of Marietta Memorial Hospital v. Davita, Dialysis Patient Citizens (DPC) Board of Directors President Andrew Conkling issued the following statement: “DPC is deeply disappointed by today’s Supreme Court decision,” said DPC Board President Andrew Conkling. “Congress long ago reaffirmed privately-insured patients’ right to continue on their employer-sponsored plan for 30 months. This played an important role in preserving patient choice and incentivizing insurers to detect and treat Chronic Kidney Disease. ESRD patients are among the most vulnerable Americans and face some of the largest [...]

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