Hannah Bracamonte, Author at Dialysis Patient Citizens

Report Finds Star Rating System Does Not Follow Federal Guidelines

Hannah Bracamonte2024-03-29T01:50:32+00:00August 14th, 2015|Categories: 5-Star Ratings, Article, Uncategorized|

The Medicare five-star rating system, maintained by the Center for Medicaid and Medicare Services’ (CMS), has recently come under scrutiny by the Center for Regulatory Effectiveness (CRE). In a letter from last month, CRE officials report that multiple entities have contacted them about the system possibly violating federal regulations. According to the letter, data from the rating system helps in determining rebates, eligibility and bonuses for patients. Current law requires this information be posted on a federal register to receive comments from stakeholders. CRE officials found CMS has instead been posting the information on their website and providing only summaries of comments. [...]

Biosimilar Medication Topic of House Letter to CMS

Hannah Bracamonte2024-03-29T01:50:32+00:00August 14th, 2015|Categories: Improve Access to Care, Increase Quality of Care, Promote Financial Security|

When the FDA approves a generic drug, it’s based on the chemicals contained in the original brand medication. Congress recently enacted a similar process for the approval of “biosimilars” based on the original biologic medication. The main difference is that the “biosimilar” is approved based on its development process. Biosimilars have the potential to be a cheaper alternative for expensive biologic medications such as Epogen, a drug used for anemia management. A letter sent from the House of Representatives to the Centers for Medicaid and Medicare Services (CMS) calls attention to a biosimilar reimbursement proposal in CMS’s 2016 Medicare Physician Fee Schedule proposed [...]

Congress Adopts Key Element of Kidney Community Agenda: Clinics May Soon Dialyze Acute Kidney Injury Patients

Hannah Bracamonte2024-03-29T01:50:32+00:00July 16th, 2015|Categories: Article, Medigap Coverage|

In passing the President's trade legislation last month, Congress enacted a longtime priority of kidney care advocates: permitting patients with acute kidney injury (AKI) to be treated in dialysis clinics. Under current law, AKI patients may only receive dialysis at hospitals, which is more costly to the Medicare program and less convenient for patients. Congress took this measure from the Chronic Kidney Disease Improvement in Research and Treatment Act, the comprehensive kidney bill that DPC has supported, so that the Medicare savings could pay for assistance to displaced workers. While DPC does not endorse the use of Medicare savings to offset [...]

DPC Submits Ideas for Improving ESRD Care to Special Senate Task Force

Hannah Bracamonte2024-03-29T01:50:32+00:00July 16th, 2015|Categories: Article, Care Coordination, Medicare Advantage|

Earlier this spring, the U.S. Senate Finance Committee invited stakeholders to submit ideas to improve care for Medicare beneficiaries with chronic diseases. DPC submitted its comments on June 22 with a focus on how end-stage renal disease (ESRD) patients could benefit from increased care coordination among providers. The Senate Finance Committee oversees the Medicare program and both the current Chairman Orrin Hatch (R-UT) and top Democrat Ron Wyden (D-OR) have prioritized improving patient outcomes while lowering costs. They appointed a bipartisan task force to move forward with the best ideas for achieving these goals. DPC's comments stressed that a main barrier [...]

DPC Writes to Montana state official, in support of a proposed rule allowing Medigap open enrollment for Medicare patients under the age of 65 with disabilities or ESRD

Hannah Bracamonte2024-03-29T01:50:32+00:00July 9th, 2015|Categories: Comment Letter, Medigap Coverage, State Advocacy|

Brett O’Neill, Attorney Office of the Commissioner of Securities and Insurance Montana State Auditor 840 Helena Ave. Helena, MT 59601 RE: Medicare Supplements – ARM 6.6.507B, .507C, .507E, .511, .511A Dear Mr. O’Neill: As the nation’s largest patient-led organization representing dialysis patients, Dialysis Patient Citizens (DPC) works to improve the quality of life for all dialysis patients through education and advocacy. On behalf of our membership, and particularly on behalf of the over 750 dialysis patients in Montana, we are writing in support of the proposed rule allowing for open enrollment in Medigap plans for Medicare patients under the age [...]

DPC Shares Patient Perspective at Congressional Briefing

Hannah Bracamonte2024-03-29T01:50:32+00:00June 11th, 2015|Categories: Article, Medicare Advantage, Medigap Coverage|

Kidney Care Partners, in coordination with the Congressional Kidney Caucus, recently hosted a briefing on Capitol Hill to stress the importance of ensuring quality kidney care now and in the future. The briefing featured opening remarks by Kidney Caucus co-chairs, Rep. Tom Marino (R-PA) and Rep. Jim McDermott (D-WA), who both emphasized the need for increased awareness and research for kidney care issues. Nancy Scott, DPC Education Center Board President, was on hand to provide the patient's perspective to the attendees. Nancy lives by the mantra "end-stage renal disease does not mean the end of your life—just the [...]

Dialysis Patients Protest Proposed Cuts at Illinois State Capitol
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Dialysis Patients Protest Proposed Cuts at Illinois State Capitol

Hannah Bracamonte2024-03-29T01:50:33+00:00May 26th, 2015|Categories: Article, Medicaid, State Advocacy|

Kathleen Haines being interviewed by a Springfield reporter. Dialysis patients and clinicians held a press conference at the Illinois State Capitol in Springfield on May 26 to oppose cuts to Medicaid ESRD payments proposed by Governor Bruce Rauner. Two dialysis patients from central Illinois, Alan Cook and Kathleen Haines, represented Dialysis Patient Citizens at the event, which received coverage on Chicago and Springfield TV news broadcasts. More than 5,000 people, or approximately 30% of Illinois dialysis patients, use Medicaid as their primary or secondary insurance. But all ESRD patients benefit from Medicaid dollars since they shore up the [...]

Chronic Kidney Disease Improvement in Research and Treatment Act Gaining Momentum

Hannah Bracamonte2024-03-29T01:50:33+00:00May 14th, 2015|Categories: Care Coordination, Dialysis Funding, Medicare Advantage, Promote Financial Security|

While only a few weeks after its introduction, the Chronic Kidney Disease Improvement in Research and Treatment Act (H.R. 1130/S. 598) is gaining new cosponsors in Congress. That said, we still have a lot of work to do to ensure this legislation is signed into law. If you want to see better care for dialysis patients, please take a few minutes to contact your Members of Congress and urge them to support this important legislation by clicking here. Representatives Tom Marino (R-PA), John Lewis (D-GA) and Peter Roskam (R-IL) introduced H.R. 1130 as the bill’s original sponsors. They are now joined [...]

Consumer Reports Survey Sheds Light on Unexpected Medical Bills

Hannah Bracamonte2024-03-29T01:50:33+00:00May 14th, 2015|Categories: Article, Promote Financial Security|

If you recently received an unexpected medical bill, you are not alone. The Consumer Reports National Research Center recently conducted a survey which found that nearly one-third of Americans with private health insurance received a surprise medical bill in the last two years. In most cases, patients went to a hospital within their insurance plan’s network, but were treated by a physician who had not contracted with the insurer. Many privately insured Americans regularly face the issue of reimbursement, or lack thereof, for treatment by doctors outside their insurance plan’s network. Only 28% of privately insured Americans surveyed by Consumer [...]

Centers for Medicare and Medicaid Services Crack Down on New Jersey Ambulance Companies that Fraudulently Bill Medicare

Hannah Bracamonte2024-03-29T01:50:33+00:00May 14th, 2015|Categories: Article, State Advocacy, Transportation Services|

The Centers for Medicare and Medicaid Services (CMS) is continuing a four-month crackdown on Medicare fraud in New Jersey. CMS has accused ambulance companies of fraudulently billing Medicare for transporting patients to non-emergency dialysis, chemotherapy and wound care. CMS found that these ambulance trips in New Jersey were twice the national average (from 2002 to 2011), and that the number of trips per patient was up approximately 60%. At least 11 ambulance companies report closing in recent months. The ambulance companies in New Jersey are now required to obtain pre-authorization from Medicare to transport a given patient, and many of [...]

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Dialysis Patient Citizens

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