Staffing Shortages

Workforce shortages are beginning to impact patient care. Media reports indicate numerous instances of hospitals declaring “contingency standards of care,” or ordering ambulance diversions, due to staffing shortages. CMS needs to act before such practices become commonplace in dialysis facilities. Medicare’s proposed dialysis payment for 2024 would only increase reimbursements by 1.7%, despite labor costs that have risen by 9.7% over the past two years. Complicating matters further, calculation errors the past two annual cycles have left payments 4 percentage points below what they should be. DPC has asked Medicare to apply an Essential Worker Safety Catch, to look back on previous updates, and reconsider current forecasts, so updates are accurate and don’t fall behind actual changes in market wages.

Related Information

DPC Expresses Outrage at CMS Indifference to Dialysis Patient Suffering

October 31st, 2023|Categories: Article, Dialysis Funding, Improve Access to Care, Increase Quality of Care, Innovation, News, Staffing Shortages|

On October 27, 2023, the Centers for Medicare & Medicaid Services (CMS) issued its final rule updating payment rates and policies under the end-stage renal disease (ESRD) prospective payment system. This rule fails to [...]

Dialysis Patient Citizens Responds to Disappointing Final CMS Rule That Will Harm Patient Healthcare

October 30th, 2023|Categories: Dialysis Funding, Innovation, News, Press Release, Staffing Shortages|

WASHINGTON, D.C. (October 30, 2023) - Dialysis Patient Citizens (DPC), the nation’s largest patient-led, non-profit advocacy group for dialysis patients, released the following statement in response to the final rule issued by the Centers [...]

  • shrinking workforce, staff shortages, health worker shortage

DPC Commentary Discusses How Workforce Shortages Impact Patients

September 20th, 2023|Categories: Article, Medicare Advantage, Promote Financial Security, Staffing Shortages, Uncategorized|

A commentary about workforce shortage issues authored by DPC Vice President of Public Policy Jackson Williams amplifies findings from this summer’s DPC member survey to explain how ESRD patients have been impacted. The article [...]

  • empty clinic, shrinking workforce, not enough healthcare workers, staffing shortage

AJMC Contributor Article: Medicare’s Leadership Needs to Confront Our Shrinking US Workforce

September 17th, 2023|Categories: Article, Improve Access to Care, Medicare Advantage, News, Policy Issues, Promote Financial Security, Staffing Shortages|

Written by Jackson Williams, JD, DPC Vice President of Public Policy Medicare’s administered pricing system has never had to deal with labor scarcity before. Fifteen years ago, the Institute of Medicine issued [...]

  • workforce shortages, staffing shortages, dialysis machine

Medicare Policy Proposal Jeopardizes Care for Those on Dialysis

September 8th, 2023|Categories: Access to Transplant, Article, Dialysis Funding, Improve Access to Care, Innovation, Medicare Advantage, Policy Issues, Staffing Shortages, Treatment Options|

CEOs of 3 kidney care organizations explain flaws in CMS' recent reimbursement proposal. In recent years, lawmakers have turned their attention to advancing health equity and creating opportunities for the improvement of historically underserved communities—and [...]

DPC’s Letter to Hon. Chiquita Brooks-LaSure, Administrator for CMS, on End Stage Renal Disease (ESRD) Prospective Payment System (PPS) Calendar Year (CY) 2024 Proposed Rule (CMS-1782-P)

August 18th, 2023|Categories: Comment Letter, Improve Access to Care, Medicare Advantage, Protect Patient Care, Staffing Shortages|

August 18, 2023 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) 2024 Proposed [...]

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