Advance Patient Choice Archives - Page 9 of 13

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 [...]

DPC Submits Comments to CMS’ Request for Information

Hannah Bracamonte2024-03-29T01:13:42+00:00October 13th, 2016|Categories: Advance Patient Choice, Charitable Premium Assistance|Tags: Health Insurance Exchange|

In late August, the Centers for Medicare and Medicaid Services (CMS) placed a Request for Information about insurance steering and the use of third-party payments for insurance premiums. DPC has consistently advocated for patient choice in regards to insurance plans, we believe patients have the right to choose an insurance plan that works best with their health needs and desired outcomes. DPC submitted comments in response to this request emphasizing the increased benefits some exchange plans offer to dialysis patients as opposed to traditional Medicare. In addition to submitting formal comments, DPC has created a dedicated “Patient Assistance” information page where you can find press [...]

DPC Responds to CMS’ Request for Information

Hannah Bracamonte2024-03-29T01:50:28+00:00August 19th, 2016|Categories: Advance Patient Choice, Article, Charitable Premium Assistance|Tags: Health Insurance Exchange|

If anyone doesn’t know why the public is fed-up with our government, all they need to do is look at yesterday’s RFI on third party payment, which can best be summarized as “politics as usual” and big insurance dictating its own agenda. The former CMS Administrator – who is now the nation’s leading lobbyist for the insurance industry – appears to be getting the Agency to prioritize her new employer’s desires over the needs of the nation’s most vulnerable patients. To put even more pressure on the Obama Administration, Aetna just threatened to pull out of even more health insurance exchanges if it doesn’t get [...]

Did Payment Reform Affect Patient Modality Choice?

Hannah Bracamonte2024-03-29T01:50:28+00:00August 11th, 2016|Categories: Dialysis Funding, Improve Access to Care, Medicare Advantage, Treatment Options|

One of the main policy goals of Dialysis Patient Citizens is to Improve Access to Care. This tenet includes improving patient access to all dialysis modalities: home hemodialysis, peritoneal dialysis, in-center hemodialysis and transplantation. Through our annual membership survey, we’ve uncovered various barriers for patients who would like to receive home hemodialysis. Many patients are unable to receive treatments in their home because of a lack of a caregiver, which is a requirement to receive treatment. However, DPC has also uncovered that the type of insurance a patient has may affect the likelihood of whether they are informed of home dialysis [...]

ESRD Choice Act Moves out of Committee with Unanimous Support

Hannah Bracamonte2024-03-29T01:50:28+00:00August 11th, 2016|Categories: Advance Patient Choice, Care Coordination, Medicare Advantage|

Dialysis Patient Citizens (DPC) hailed the introduction of H.R. 5659 as the latest in a series of milestones toward opening Medicare Advantage (MA) enrollment to end-stage renal disease (ESRD) patients. With bi-partisan introduction by Reps. Jason Smith (R-MO), John Lewis (D-GA), Gus Bilirakis (R-FL), Kurt Schrader (D-OR) and Tom Marino (R-PA), this legislation is a momentous step forward to providing dialysis patients increased access to insurance. “As a dialysis patient of 5 years, I am fortunate to have secondary insurance to cover what Medicare does not, however I know many patients in my facility don’t have that luxury. Providing dialysis patients access [...]

New Legislation Introduced to Improve Dialysis Patient Care

Hannah Bracamonte2024-03-29T01:50:29+00:00July 3rd, 2016|Categories: Advance Patient Choice, Care Coordination|

The Dialysis PATIENT Act (Patient Access To Integrated care, Empowerment, Nephrologists, and Treatment), S. 3090, recently introduced by Senators Heller (R-NV) and Nelson (D-FL). It follows introduction of the House version (H.R. 5506) the previous week by Reps. Young (R-IN), Blumenauer (D-OR), McMorris Rodgers (R-WA) and Cardenas (D-CA). The Dialysis PATIENT Act would permit dialysis organizations to accept capitated payments to cover all of an ESRD patient's Medicare expenditures in return for coordinating care for their renal disease and other comorbidities. The program would be voluntary for patients and provide access to an expanded clinical team that would “quarterback” their care. [...]

Dialysis Patient Citizens Applauds Introduction of Dialysis PATIENT Demonstration Bills

Hannah Bracamonte2024-03-29T01:50:29+00:00June 27th, 2016|Categories: Advance Patient Choice, Article, Care Coordination, Dialysis Funding|

Bipartisan, bicameral legislation mandating a new Medicare demonstration of integrated care for ESRD patients will help spread best practices for treating this population, says beneficiary advocacy group Dialysis Patient Citizens (DPC). “As an in-center hemodialysis patient of 41 years, I am well aware of the multiple health issues that a large percentage of my fellow patients have to cope with on a daily basis. Coordinating their care among health providers would lead to better outcomes for patients and reward providers for optimal care with fewer dollars spent overall,” said Jack Reynolds, DPC’s president and a dialysis patient from Carlisle, Iowa. A [...]

DPC Participates in Home Dialysis Briefing Emphasizing Current Barriers to Treatment

Hannah Bracamonte2024-03-29T01:50:29+00:00June 6th, 2016|Categories: Improve Access to Care, Medicaid, Treatment Options|

Hrant Jamgochian, CEO of Dialysis Patient Citizens, participated in a congressional briefing sponsored by the Alliance for Home Dialysis on May 16th. DPC joined hip-hop artist David Rush, former U.S. Representative Karen Thurman, Larry Weisberg and Dr. Sue Quaggin to provide policymakers with policy options to improve access to home dialysis. DPC’s most recent membership survey indicated significant insurance barriers to access for home dialysis. However, the largest barrier for most patients was the lack of a care partner. The DPC survey found that while 74% of ESRD patients overall were informed about the option of home hemodialysis, there was an information gap [...]

Study: End Stage Renal Disease Patients Face Policy Barriers to Home Dialysis

Hannah Bracamonte2024-03-29T01:50:30+00:00March 10th, 2016|Categories: Improve Access to Care, Increase Quality of Care, Innovation, Promote Financial Security, Treatment Options|

Current federal policies limit patient access to home dialysis, a treatment option that offers significant clinical and quality-of-life advantages, according to a report released today by Washington, DC-based economist Alex Brill of Matrix Global Advisors (MGA). As a result of policy barriers, Brill finds a key segment of the growing population of patients who have end-stage renal disease (ESRD) miss out on the important health and lifestyle benefits of home dialysis. Brill, formerly chief economist to the House Ways & Means Committee, also finds that innovation in the home dialysis market may not reach patients if barriers cannot be addressed. Fewer [...]

Bipartisan Living Donor Protection Act Introduced to Protect Organ Donors

Hannah Bracamonte2024-03-29T01:50:30+00:00March 10th, 2016|Categories: Article, Transplant Donor Protection|

On February 25, Congressman Jerrold Nadler (D-NY) and Congressman Michael Burgess M.D. (R-TX), joined by Senator Kirsten Gillibrand (D-NY) and Senator Mark Kirk (R-IL), introduced the Living Donor Protection Act of 2016 to protect the rights of living organ donors. The Family and Medical Leave Act (FMLA) does not specify that living organ donors can take unpaid leave to recover from their donation and does not guarantee that donors will have a job waiting for them after surgery. Further, according to a 2007 study in the American Journal of Transplantation, as many as 11 percent of living organ donors experience [...]

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