Dialysis Patient Citizens News
Dialysis Patients Outraged by CMS Move Giving Insurers Illegal Veto Power Over Access to Private Coverage
Dialysis Patient Citizens says CMS rule tacitly allows insurers to discriminate based on patients’ health condition Washington, D.C. – Advocates for dialysis patients are outraged by an interim final rule issued late yesterday by the Centers for Medicare and Medicaid Services (CMS) that could force patients off their current health plans and jeopardize their access to care. The rule, which CMS wrote with the stated purpose of ensuring that dialysis patients receive accurate information about their health coverage options, instead empowers insurers to prevent those patients from [...]
CMS Updates Policies and Payment Rates for End-Stage Renal Disease Prospective Payment System (CMS 1651-F)
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 [...]
CMS Announces Changes to Dialysis Facility Compare and Star Ratings
On October 28, 2016, the Centers for Medicare & Medicaid Services (CMS) added patient experience survey results and two new clinical quality measures as well as updated the way CMS calculates star ratings on its Dialysis Facility Compare website. The star ratings were originally included on the Dialysis Facility Compare website on January 22, 2015 and were previously updated in October 2015. Currently, there are star ratings on Dialysis Facility Compare, Nursing Home Compare, Physician Compare, Home Health Compare and Hospital Compare. CMS is adding patient experience of [...]
Urge the U.S. Senate to Open Medicare Advantage for ESRD Patients
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
DPC Submits Comments to CMS’ Request for Information
In late August, the Centers for Medicare and Medicaid Services (CMS) placed a Request for Information about insurance steering and the use of third-party payments for insurance premiums. DPC has consistently advocated for patient choice in regards to insurance plans, we believe patients have the right to choose an insurance plan that works best with their health needs and desired outcomes. DPC submitted comments in response to this request emphasizing the increased benefits some exchange plans offer to dialysis patients as opposed to traditional Medicare. In addition to submitting formal [...]
Archive of CMS Contractors’ Reports
Health Care Quality Measures and Transparency Pursuant to a Freedom of Information Act request filed by DPC in 2015, we present here a number of research reports from CMS contractors on health care quality measures and transparency. The link below takes you to a 208-page PDF document produced by CMS in response to the FOIA. Below is a list of the seven reports in the PDF, along with the authoring organization and PDF page numbers at which each individual report begins. FOIA Request File Quality Measures Survey [...]
Patient Group Comments to CMS re: Request for Information on Insurance Steering
Andy Slavitt Acting Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services 200 Independence Avenue, SW Washington, DC 20201 RE: CMS-6074-NC: “Inappropriate Steering of Individuals Eligible for or Receiving Medicare and Medicaid Benefits to Individual Market Plans” Dear Acting Administrator Slavitt: On behalf of the dialysis patients we represent, the American Kidney Fund (AKF), Dialysis Patient Citizens (DPC), and the National Kidney Foundation (NKF) appreciate the opportunity to provide comments on the Request for Information entitled “Inappropriate Steering of Individuals Eligible for or Receiving [...]
Comments to CMS re: Request for Information on Insurance Steering
Andrew Slavitt, Acting Administrator Centers for Medicare and Medicaid Services Department of Health and Human Services Hubert H. Humphrey Building 200 Independence Avenue, SW Washington, D.C. 20201 Re: CMS-6074-NC: “Request for Information: Inappropriate Steering of Individuals Eligible for or Receiving Medicare and Medicaid Benefits” Dear Mr. Slavitt: Dialysis Patient Citizens (DPC) responds herein to the Centers for Medicare and Medicaid Services (CMS) with comments on the above referenced Request for Information. As America’s largest patient-led organization representing dialysis patients, DPC’s membership consists of more than 28,000 dialysis [...]
Dialysis Patient Act Reported Favorably out of the House Ways & Means Committee
In a health subcommittee hearing on September 8, the House Ways & Means Committee reported the Dialysis Patient Act (H.R. 5942) favorably out of committee. This, along with the ESRD Choice Act (H.R 5659), now have the opportunity to reach the House floor for a vote. In the most recent issue of The Kidney Citizen, personalized postcards were included for you to mail to our office to deliver to your legislators on the Dialysis Patient Act. Please take a moment to sign your name, and drop those postcards [...]
CMS-1651-P, Prospective Payment System and QIP
Andrew Slavitt, Acting Administrator Centers for Medicare and Medicaid Services Department of Health and Human Services Hubert H. Humphrey Building 200 Independence Avenue, SW Washington, D.C. 20201 Re: CMS-1651-P: End-Stage Renal Disease Prospective Payment System, Quality Incentive Program Dear Mr. Slavitt: Dialysis Patient Citizens (DPC) appreciates the opportunity to provide the Centers for Medicare and Medicaid Services (CMS) with comments on the proposed payment rule for the Medicare End Stage Renal Disease (ESRD) program. As America’s largest patient-led organization representing dialysis patients, DPC’s membership consists of more [...]