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About Hannah Bracamonte

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So far Hannah Bracamonte has created 605 blog entries.

DPC Mourns the Loss of Board Member

2024-03-29T01:50:30+00:00January 19th, 2016|Categories: Article, Board Members|

Dialysis Patient Citizens was saddened to learn of the recent passing of board member Nance Lehman. Nance was a tremendous advocate for ESRD patient across the country and especially in her home state of Montana. Nance met with legislators in Washington D.C. on numerous occasions and was known to move legislative staff with her compelling stories. Most recently, Nance represented the patient perspective as a voting representative of Kidney Care Partners (KCP). Nance was committed to creating a better policy environment for ESRD patients across the country. Her contributions to Dialysis Patient Citizens will always be remembered, and the kidney [...]

2015 Year in Review

2024-03-29T01:50:30+00:00January 19th, 2016|Categories: 5-Star Ratings, Access to Transplant, Article, Care Coordination, Charitable Premium Assistance, Dialysis Funding, Innovation, Medicare Advantage|Tags: |

Happy New Year!  In 2015, DPC leadership and its strong patient advocacy efforts at the state level fought to: prevent dramatic cuts to dialysis funding in Alabama and Illinois and preserve charity payments for dialysis patient premiums. Other highlights include: The opportunity for DPC CEO Hrant Jamgochian and board member Bob Lee to testify in front of the Oregon insurance commissioner on the discriminatory language found in two private insurance plans that would limit coverage for ESRD patients. The commissioner ruled against the language. DPC board member Danny Iniguez discussed health disparities in kidney disease at the National Black Caucus [...]

DPC Urges CMS to Prioritize Patient Access

2024-03-29T01:50:30+00:00January 19th, 2016|Categories: Access to Transplant, Care Coordination, Charitable Premium Assistance, Medicare Advantage, Medigap Coverage, Transportation Services|Tags: |

Last month, DPC sent a letter commenting on the “Notice of Benefit and Payment Parameters for 2017” proposed rule. This annual rule by the Centers for Medicare and Medicaid Services (CMS) contains proposed changes to the exchange plan coverage of the Affordable Care Act. DPC’s letter focuses on the importance of insurance coverage and network quality for end-stage renal disease (ESRD) patients. One issue the letter comments on pertains to network adequacy. Network adequacy describes an insurance plan’s ability to provide a sufficient amount of in-network providers to subscribers in the plan. Suggestions to improve network adequacy include requiring all [...]

RE: CMS–9937–P: Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2017

2024-03-29T01:50:31+00:00December 21st, 2015|Categories: Advance Patient Choice, Charitable Premium Assistance, Comment Letter, Improve Access to Care|Tags: |

Andrew Slavitt Acting AdministratorCenters for Medicare and Medicaid Services 7500 Security BoulevardBaltimore, MD 21244RE: CMS–9937–P: Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2017Dear Acting Administrator Slavitt,On behalf of the more than 430,000 patients who rely upon dialysis services, we appreciate the opportunity to comment on the “Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2017” Proposed Rule (Proposed Rule). We strongly encourage the Centers for Medicare and Medicaid Services (CMS) to protect the rights of all Americans to access coverage in the Marketplaces, consistent with the Affordable Care [...]

Medicaid-Eligible Dialysis Patients Not Fully Informed of Treatment Options, Survey Finds

2024-03-29T01:50:31+00:00December 11th, 2015|Categories: Article, Medicaid, Treatment Options|

End-stage renal disease (ESRD) patients who receive Medicaid are less likely to be informed of home modality and transplantation options than patients covered by Medicare or commercial insurance, according to survey research DPC released earlier this month. DPC recently partnered with Baxter to facilitate a panel discussing these disparities at the National Black Caucus of State Legislators (NBCSL) Conference in Los Angeles, California. The DPC survey found that while about 74 percent of ESRD patients overall are informed about the option of home hemodialysis, there is an information gap of 17 percentage points between patients covered by Medicare (77%) and Medicaid [...]

DPC Submits Feedback to CMS on Proposed Additions to Dialysis Facility Compare Tool

2024-03-29T01:50:31+00:00December 11th, 2015|Categories: 5-Star Ratings, Article, Comment Letter|

The Centers for Medicare and Medicaid Services (CMS) recently announced plans to add more measures to their Dialysis Facility Compare (DFC). The DFC is an online tool that allows users to search and compare dialysis facilities within a certain area based on ratings and certain measures. The added measures would examine fluid management, the rate of blood stream infections in in-center hemodialysis patients and pediatric peritoneal dialysis adequacy. Data collected through the Consumer Assessment of Healthcare Providers & Systems In-Center Hemodialysis (CAHPS ICH) surveys would also be added to the DFC. DPC submitted comments to CMS supporting the addition of these measures [...]

CMS Updates Policies and Payment Rates for End-Stage Renal Disease Facilities for 2016

2024-03-29T01:50:31+00:00November 9th, 2015|Categories: Article, Quality Incentive Program|

On October 30, the Centers for Medicare & Medicaid Services (CMS) issued a final rule to update payment policies and rates under the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) for renal dialysis services furnished after January 1, 2016. The agency said the “ESRD final rule is one of several rules for calendar year 2016 that reflect a broader Administration-wide strategy to provide quality care at lower cost by improving ways to deliver care, pay providers, and use information.” This final rule also includes changes to the ESRD Quality Incentive Program (QIP) for payment years 2017-2019. Under the ESRD [...]

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, [...]

Bipartisan Budget Deal Includes Lower Premium Hikes for Medicare Part B

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

Earlier this week, the President signed a two-year bipartisan budget deal that changes the premium and deductible amounts for Medicare Part B plans. ESRD patients whose Medicare premiums are not deducted from their Social Security checks were initially facing a premium increase of 50 percent to $159 a month, but now will pay around $120 a month. The lower rate was established through a loan from the Treasury Department to the Supplemental Medical Insurance Trust Fund. The difference will be made up through monthly $3 repayment fees added onto beneficiaries’ premiums. The new rate also applies to patients who are under [...]

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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