A recent proposed rule released by the Centers for Medicare & Medicaid Services (CMS) provided guidance for market stabilization of the Affordable Care Act. Within this proposed rule, network adequacy provisions for dialysis clinics provided a narrow scope for insurers. In comments submitted by DPC on March 6, we argued stronger time and distance criteria need to be added to these provisions.
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.
In a lawsuit filed by DPC against the Department of Health and Human Services, a federal court has blocked a regulation that would have given insurers veto power over ESRD patients’ access to private coverage. The judge called the regulation, that could have forced dialysis patients off their current health insurance and jeopardized their access to care, “arbitrary and capricious.”
Lawsuit charges that CMS rule to take effect Jan. 13 gives 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.
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.
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.
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.
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.
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 in the mail for us to pass along on your behalf.