fbpx

About Hannah Bracamonte

This author has not yet filled in any details.
So far Hannah Bracamonte has created 632 blog entries.

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 [...]

LETTER: Making a difference for kidney patients

2024-03-29T01:10:07+00:00July 1st, 2022|Categories: Medigap Coverage, Patient Stories in the News, Spotlight|

DEAR EDITOR: I recently participated in my second advocacy day meetings as part of Dialysis Patient Citizens, and am still overjoyed with the discussions I had with several of our distinguished members of Congress and their staff. I spoke briefly about how my own experience as a dialysis patient took away so much of my independence, and what so many patients have to deal with daily just to stay healthy, on top of appointments and unforeseen hospitalizations. These can seriously affect patients, especially when dealing with hospital bills that can turn into massive debts. For many dialysis patients, Medicare is [...]

Rhode Island Passes Medigap Access Legislation

2024-03-29T01:10:07+00:00June 24th, 2022|Categories: Article, Improve Access to Care, Medigap Coverage|

On Thursday, June 23, 2022, the Rhode Island General Assembly held the final vote leading to passage of two bills granting access to Medigap coverage for dialysis patients under age 65. Sponsored by Rep. Brian Patrick Kennedy (D-District 38), Speaker Pro Tempore, and Senator Dennis L. Algiere (R-District 38), Senate Minority Leader, H 7244 and S 2194 require that Medicare supplement policies be made available to any applicant under age 65 eligible for Medicare due to a disability or End Stage Renal Disease (ESRD). The legislative language in these bills (which is identical) specifies that Medicare Supplement Plan A be made [...]

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 [...]

Aid dialysis patients

2024-03-29T01:10:07+00:00June 20th, 2022|Categories: Medigap Coverage, Patient Stories in the News|

Families have a lot in common, and something mine shares is kidney disease. Both my late mother and I who have suffered from this have had to receive life-saving dialysis treatments that allowed our bodies to continue to function. At the beginning of my dialysis journey, I had insurance through my employer, which covered the costs of these pricey treatments. However, they took up most of my time and energy, and I inevitably had to leave my job. Being unable to work full-time is a persistent problem for patients on dialysis. Because of this, I now live on disability and [...]

Letter: Medigap bill offers lifeline to young dialysis patients

2024-03-29T01:10:07+00:00June 19th, 2022|Categories: Medigap Coverage, Patient Stories in the News|

Dear Editor: Starting dialysis at a young age was hard. I had only recently finished high school, and adjusting to life on dialysis when I was still a teenager was overwhelming. It was even more difficult because I didn’t have reliable access to affordable Medigap coverage for the costs Medicare didn’t pay. Not every state requires Medigap plans to be available to patients under 65, so unless you qualify for disability or another form of coverage, patients are on the hook for what Medicare doesn’t cover. Even when I was able to work before my transplant kidney failed, the premiums [...]

Your Views: Wisconsin kidney patients need financial help

2024-03-29T01:10:07+00:00June 19th, 2022|Categories: Medigap Coverage, Patient Stories in the News|

My life with kidney disease has been one filled with battles. In 2010, I had a double transplant surgery and received a new kidney and liver. Unfortunately, the transplant kidney failed three years ago, and I needed dialysis treatment. These life-saving treatments can be time-consuming, and patients often find themselves unable to work. Working and being on dialysis can be very hard on someone. I’m lucky that I have Medicare covering the majority of the costs and additional insurance paying for what Medicare didn’t before I turned 65. However, many don’t have the benefit of extra insurance picking up where [...]

Letter: Congress should follow NY’s lead on dialysis coverage

2024-03-29T01:10:07+00:00June 18th, 2022|Categories: Medigap Coverage, Patient Stories in the News|

Finding out my kidneys were failing was shocking. During a surgery to remove a portion of one kidney affected by cancer, things took an unexpected turn. Rather than losing a small portion of function in one kidney, I was left with one kidney only functioning at 20 percent. Thanks to an excellent nephrologist, though, I was able to put off starting dialysis for a decade. Since then, two things that have helped a great deal are the flexibility of my home treatments and the access I’ve had to coverage for dialysis. While I received coverage for the portion of treatment [...]

Go to Top