Increase Quality of Care Archives - Page 9 of 16

Archive of CMS Contractors’ Reports

Hannah Bracamonte2024-03-29T01:50:28+00:00September 23rd, 2016|Categories: 5-Star Ratings, Article, Uncategorized|

Health Care Quality Measures and Transparency Pursuant to a Freedom of Information Act request filed by DPC in 2015, we present here a number of research reports from CMS contractors on health care quality measures and transparency. The link below takes you to a 208-page PDF document produced by CMS in response to the FOIA. Below is a list of the seven reports in the PDF, along with the authoring organization and PDF page numbers at which each individual report begins. FOIA Request File Quality Measures Survey 2014 Aeffect p.2 Quality Compare Environmental Scan KRC Research August 1, 2012 p.16 [...]

Comments to CMS re: Request for Information on Insurance Steering

Hannah Bracamonte2024-03-29T01:50:28+00:00September 20th, 2016|Categories: Charitable Premium Assistance, Comment Letter, Innovation|

Andrew Slavitt, Acting Administrator Centers for Medicare and Medicaid Services Department of Health and Human Services Hubert H. Humphrey Building 200 Independence Avenue, SW Washington, D.C. 20201 Re: CMS-6074-NC: “Request for Information: Inappropriate Steering of Individuals Eligible for or Receiving Medicare and Medicaid Benefits” Dear Mr. Slavitt: Dialysis Patient Citizens (DPC) responds herein to the Centers for Medicare and Medicaid Services (CMS) with comments on the above referenced Request for Information. As America’s largest patient-led organization representing dialysis patients, DPC’s membership consists of more than 28,000 dialysis and pre-dialysis patients and their families. We seek to ensure the patient point [...]

CMS-1651-P, Prospective Payment System and QIP

Hannah Bracamonte2024-03-29T01:50:28+00:00August 23rd, 2016|Categories: Comment Letter, Quality Incentive Program|

Andrew Slavitt, Acting Administrator Centers for Medicare and Medicaid Services Department of Health and Human Services Hubert H. Humphrey Building 200 Independence Avenue, SW Washington, D.C. 20201 Re: CMS-1651-P: End-Stage Renal Disease Prospective Payment System, Quality Incentive Program Dear Mr. Slavitt: Dialysis Patient Citizens (DPC) appreciates the opportunity to provide the Centers for Medicare and Medicaid Services (CMS) with comments on the proposed payment rule for the Medicare End Stage Renal Disease (ESRD) program. As America’s largest patient-led organization representing dialysis patients, DPC’s membership consists of more than 28,000 dialysis and pre-dialysis patients and their families. We seek to ensure [...]

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 [...]

DPC Complaint to OFM re: Washington State Insurance Plans
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DPC Complaint to OFM re: Washington State Insurance Plans

Hannah Bracamonte2024-03-29T01:50:28+00:00July 19th, 2016|Categories: Charitable Premium Assistance, Comment Letter, Innovation, Private Insurance Coverage, State Advocacy|

Re: Violations of the Medicare Secondary Payer Statute, 42 U.S.C. § 1395y(b), by Washington State Health Insurance Plans Dear Ms. Parker and Ms. Dotzel: We write to bring to your attention the fact that at least three group insurers in the state of Washington are offering large plans with provisions that violate the explicit terms of the Medicare Secondary Payer Statute. These violations not only potentially subject the insurers to statutory civil monetary penalties, but render these insurers’ plans nonconforming under applicable regulations. As America's largest patient-led organization representing 29,000 dialysis patients and family members, Dialysis Patient Citizens (DPC) strives to [...]

CMS Proposes Payment Updates for ESRD and New Policies for Quality Incentive Program (QIP)

Hannah Bracamonte2024-03-29T01:50:29+00:00July 4th, 2016|Categories: Article, Quality Incentive Program|

Each year, the Centers for Medicare & Medicaid Services (CMS) issue proposed rules to update payment rates under the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) for renal dialysis services for the following year. On June 24, 2016, CMS proposed updates to the PPS as well as new quality measures for 2017. Notably, CMS proposed an increase to the base rate paid to dialysis facilities of $0.65 in addition to proposing increasing the home and self-dialysis training payment. In regards to quality measures, CMS proposes the inclusion of a new “Safety Measure Domain” category for 2019, which would provide data on dialysis-events including [...]

DPC Complaint to Department of Labor re: Insurance Plan Discrimination
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DPC Complaint to Department of Labor re: Insurance Plan Discrimination

Hannah Bracamonte2024-03-29T01:50:29+00:00June 28th, 2016|Categories: Charitable Premium Assistance, Comment Letter, Innovation, Private Insurance Coverage|

The Honorable Phyllis C. Borzi Assistant Secretary Employee Benefits Security Administration United States Department of Labor 200 Constitution Ave NW Washington, DC 20210 Re: Violations of Part 7 of the Employee Retirement Income Security Act Relating to Health Plans’ Treatment of End-Stage Renal Disease Dear Assistant Secretary Borzi: On behalf of the 29,000 dialysis patients and family members that we serve, Dialysis Patient Citizens (DPC) asks that the Employee Benefits Security Administration (EBSA) investigate activities some group health plans have undertaken that we believe discriminate against individuals with kidney failure in violation of Part 7 of the Employee Retirement Income Security [...]

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 [...]

Proposed Changes to Dialysis Facility Compare Tool May Make It More Useful
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Proposed Changes to Dialysis Facility Compare Tool May Make It More Useful

Hannah Bracamonte2024-03-29T01:50:29+00:00March 16th, 2016|Categories: 5-Star Ratings, Article, Comment Letter|

Dialysis Facility Compare (DFC) is an online tool that allows users to search and compare dialysis facilities based on star ratings and certain measures. DPC has previously submitted suggestions on how to improve the proposed measures. Recently, the Centers for Medicare and Medicaid Services (CMS) announced in a Planned Changes document that the star ratings included in the DFC would be reassigned based on a 2014 threshold, meaning that the distribution of ratings would look more like it does on CMS’ other websites, and apply standards that are more familiar and intuitive to consumers. DPC submitted another comment letter (published [...]

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 [...]

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