Advance Patient Choice Archives - Page 8 of 13

Medicare Adds Transplant Measure to ESRD Quality Improvement Program
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Medicare Adds Transplant Measure to ESRD Quality Improvement Program

Hannah Bracamonte2024-03-29T01:13:37+00:00November 18th, 2018|Categories: Access to Transplant, Article, Quality Incentive Program|

On November 1, 2018, the Centers for Medicare & Medicaid Services (CMS) issued its final annual rule updating payment policies for the End-Stage Renal Disease (ESRD) Prospective Payment System and the ESRD Quality Incentive Program (QIP). Among new quality measures to take effect beginning in 2022 is Percentage of Prevalent Patients Placed on a Transplant Waiting List (PPPW). This measure was already scheduled to be reported for individual clinics, beginning next year, on CMS’ Dialysis Facility Compare website. Adding it to the QIP means that facilities can be penalized if the percentage of their patients waitlisted for transplant is below [...]

US Department of Labor Protects Living Organ Donors
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US Department of Labor Protects Living Organ Donors

Hannah Bracamonte2024-03-29T01:13:38+00:00September 5th, 2018|Categories: Article, Transplant Donor Protection|

The US Department of Labor's Wage and Hour Division published an opinion letter last week stating that surgery for people who donate an organ qualifies as a “serious health condition” under the Family and Medical Leave Act (FMLA). The letter may provide reassurance to individuals that are considering donating a kidney, but are concerned about losing their jobs due to being away for surgery or post-surgery care. About the Family and Medical Leave Act The FMLA allows “eligible employees of covered employers” the ability to take 12 workweeks of unpaid leave during a 12-month period for certain family and medical [...]

DPC Supports Improved Access to Private Insurance for Patients
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DPC Supports Improved Access to Private Insurance for Patients

Hannah Bracamonte2024-03-29T01:13:38+00:00August 22nd, 2018|Categories: Access to Transplant, Article, Comment Letter, Dental Coverage, Private Insurance Coverage|Tags: Health Insurance Exchange|

Currently, dialysis patients are restricted to 30 months on private insurance coverage before having to go into Medicare. The House of Representatives recently proposed extending this length of time by three months, which is estimated to save Medicare $344 million. Access to private insurance is critical for dialysis patients, and we are very appreciative of the House’s efforts to improve that access. Read our letter below in support of this proposal: Dear Leader McConnell, Minority Leader Schumer, Chairman Hatch, and Ranking Member Wyden: As America’s largest patient-led kidney disease organization representing over 30,000 dialysis patients and family members, Dialysis Patient [...]

Researchers and Journalists Call Out Poorly Performing Organ Procurement Organizations
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Researchers and Journalists Call Out Poorly Performing Organ Procurement Organizations

Hannah Bracamonte2024-03-29T01:13:39+00:00July 16th, 2018|Categories: Access to Transplant, Article|

Recent research and journalism has highlighted significant variations in the ability of regional Organ Procurement Organizations (OPOs) to obtain donor organs for transplants. An analysis by researchers at the University of Pennsylvania rated 35 of 58 OPOs, and identified the best performers among them the OPOs serving Utah and Southern Idaho; Pennsylvania, West Virginia and Delaware; the Finger Lakes region of New York; Wisconsin; and Nebraska. The poorest performing were those serving the New York City region; Southern California; Kentucky; and North Carolina. The New York City OPO’s poor performance was highlighted in a New York Times article last week. [...]

Dialysis Patient Citizens Wins Court Ruling Against Insurer Veto on ESRD Patients

Hannah Bracamonte2024-03-29T01:13:40+00:00February 16th, 2017|Categories: Access to Transplant, Charitable Premium Assistance, Improve Access to Care, Legal Defense, Medigap Coverage, Treatment Options|

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.” In enjoining the regulation’s enforcement, the U.S. District Court for the Eastern District of Texas held that the rule was 1) procedurally defective because HHS adopted it without first giving the public notice of it and seeking comment on it, [...]

Dialysis Patient Advocates Applaud Ruling in Case Against CMS

Hannah Bracamonte2024-03-29T01:13:40+00:00January 25th, 2017|Categories: Access to Transplant, Charitable Premium Assistance, Legal Defense, Medigap Coverage, Press Release|

Federal court blocks CMS regulation that would give insurers veto power over access to private coverage; judge calls it ‘arbitrary and capricious’ Washington, D.C. – Advocates for dialysis patients are celebrating a federal court ruling today to grant a preliminary injunction preventing the U.S. Department of Health and Human Services (HHS) from implementing a regulation that could force patients off their current health insurance and jeopardize their access to care. In enjoining the regulation’s enforcement, the U.S. District Court for the Eastern District of Texas held that the rule was 1) procedurally defective because HHS adopted it without first giving [...]

Dialysis Patient Advocates Seek Restraining Order Against CMS

Hannah Bracamonte2024-03-29T01:13:41+00:00January 9th, 2017|Categories: Access to Transplant, Care Coordination, Charitable Premium Assistance, Medigap Coverage, Press Release, State Advocacy|

Lawsuit charges that CMS rule to take effect Jan. 13 gives insurers illegal veto power over access to private coverage Washington, D.C. – Advocates for dialysis patients filed suit in federal court today to prevent the U.S. Department of Health and Human Services (HHS) from enforcing a rule that could force patients off their current health plans and jeopardize their access to care. The regulation, which the Centers for Medicare and Medicaid Services (CMS) issued Dec. 13 outside the formal rulemaking process, gives insurers the power to prevent dialysis patients from receiving charitable premium assistance that makes it possible for [...]

Protecting Dialysis Patients’ Health Coverage

Hannah Bracamonte2024-03-29T01:13:41+00:00January 9th, 2017|Categories: Access to Transplant, Blog, Care Coordination, Charitable Premium Assistance, Legal Defense, Medigap Coverage|Tags: Health Insurance Exchange|

By Hrant Jamgochian, CEO Dialysis Patient Citizens Across the country, thousands of patients with end-stage renal disease (ESRD) face the agonizing choice of paying for necessities such as rent and food, or paying the insurance premiums that enable them to get dialysis and other critical care. Fortunately, ESRD patients have options. Thanks to federal law, they can enroll in Medicare at any age. Or, if they would rather keep a private insurance plan, they can apply for financial help from charities such as the American Kidney Fund. These payments are a lifeline that enables patients to maintain their existing coverage and [...]

Dialysis Patients Outraged by CMS Move Giving Insurers Illegal Veto Power Over Access to Private Coverage

Hannah Bracamonte2024-03-29T01:13:41+00:00December 19th, 2016|Categories: Access to Transplant, Care Coordination, Charitable Premium Assistance, Legal Defense, Medigap Coverage, Press Release|

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. The rule, which CMS wrote with the stated purpose of ensuring that dialysis patients receive accurate information about their health coverage options, instead empowers insurers to prevent those patients from receiving charitable premium assistance that makes their health insurance affordable. “The administration is [...]

CMS Updates Policies and Payment Rates for End-Stage Renal Disease Prospective Payment System (CMS 1651-F)

Hannah Bracamonte2024-03-29T01:13:41+00:00November 14th, 2016|Categories: Article, Dialysis Funding, Quality Incentive Program, Treatment Options|

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. Under the ESRD PPS for 2017, Medicare expects to pay approximately $9 billion to approximately 6,000 ESRD facilities to cover dialysis services. The finalized 2017 ESRD base rate will be $231.55. CMS projects that the updates for 2017 will increase total payments to all ESRD facilities by 0.73 percent compared with 2016, amounting to about $80 million. CMS is finalizing an increase to [...]

Dialysis Patient Citizens

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