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California Lawmakers Considering Bill That Would Close Dialysis Centers

2024-03-29T01:13:38+00:00July 19th, 2018|Categories: Article, Dialysis Funding, State Advocacy|

State legislators in California continue to consider legislation, which we believe would harm dialysis patients by ultimately limiting their access to their life-saving treatment. This legislation, which is being pushed by the labor union, Service Employees International Union, would cut reimbursement rates for patients on private insurance to Medicare/Medi-Cal levels, which are already below the actual cost of care. This will cause many facilities across California to close and leave patients scrambling to find their needed care. Last month, we were able to get almost 16,000 people in California to reach out to their state legislator in opposition to this proposal [...]

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Facts About the Dialysis De-Funding Campaign in California

2024-03-29T01:13:39+00:00April 26th, 2018|Categories: Charitable Premium Assistance, Dialysis Funding, State Advocacy|

The Dialysis De-Funding Campaign is sponsored by two labor unions that seek to represent workers at dialysis clinics. Rather than try to unionize dialysis facility employees through elections, they are trying to punish dialysis providers through policies that cost them financially in order to gain voluntary recognition. The three cutback proposals are likely to affect access to care by leading to facility closures, restricting access to private insurance, and decreasing services available from facilities. The Dialysis De-Funding Campaign consists of three measures: Senate Bill 349: Regulates staffing and patient shifts at dialysis clinics. If requirements are not met because a worker [...]

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Dialysis Patient Advocates Seek Restraining Order Against CMS

2024-03-29T01:13:41+00:00January 9th, 2017|Categories: Access to Transplant, Care Coordination, Charitable Premium Assistance, Medigap Coverage, Press Release, State Advocacy|

Lawsuit charges that CMS rule to take effect Jan. 13 gives insurers illegal veto power over access to private coverage Washington, D.C. – Advocates for dialysis patients filed suit in federal court today to prevent the U.S. Department of Health and Human Services (HHS) from enforcing a rule that could force patients off their current health plans and jeopardize their access to care. The regulation, which the Centers for Medicare and Medicaid Services (CMS) issued Dec. 13 outside the formal rulemaking process, gives insurers the power to prevent dialysis patients from receiving charitable premium assistance that makes it possible for [...]

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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 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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CMS to Expand Prior Authorization of Transportation Services to Six More States

2024-03-29T01:50:31+00:00November 9th, 2015|Categories: State Advocacy, Transportation Services|

The Centers for Medicare and Medicaid Services (CMS) will begin expanding a prior authorization model for non-emergency ambulance transportation for dialysis patients into six states: Maryland, Delaware, the District of Columbia, North Carolina, Virginia and West Virginia. The program expansion will begin on January 1, 2016 and requires ambulance providers in those states to obtain documentation from physicians prior to beginning service. CMS plans to reach out to ambulance providers and Medicare beneficiaries about the program through educational materials. This model was originally implemented in New Jersey, Pennsylvania and South Carolina. It came in response to fraud cases found in those states, [...]

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DPC and Patient Advocates Win Oregon Ruling on Discriminatory Insurance Practices

2024-03-29T01:50:31+00:00November 9th, 2015|Categories: Article, Legal Defense, Promote Financial Security, State Advocacy|Tags: |

DPC and kidney advocates won a ruling from the Oregon insurance commissioner against discriminatory language in an insurance policy limiting coverage for ESRD patients. Bob Lee, a DPC Patient Ambassador and ESRD patient, and Hrant Jamgochian, Executive Director of DPC, attended a public hearing on the topic in Salem and presented testimony on behalf of DPC’s membership. The insurance commissioner ruled: Insurers are prohibited from discriminating based on health factors. Insurers may not require enrollment in Medicare, regardless of member entitlement or eligibility. Insurers providing information to members regarding Medicare benefits must ensure the information provided is factual. Insurer communication [...]

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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 [...]

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