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Supreme Court Erases Kidney Patients’ Insurance Protections

2024-03-29T01:10:07+00:00June 22nd, 2022|Categories: Article, Dialysis Funding, Medicare Advantage, Private Insurance Coverage, Protect Patient Care|

A U.S. Supreme Court ruling has nullified the law that protects dialysis patients from discrimination by insurers, threatening the system of financing kidney care that has stood for 40 years. The Court ruled that employer health plans may limit dialysis benefits. For four decades, employers understood the law as prohibiting limitations that only applied to dialysis. Some health benefit consultants encouraged a few small employers to disregard the law by paying no more than Medicare rates for dialysis. DaVita sued them, and one of the cases was appealed to the Supreme Court. The decision means that employers and insurers can [...]

Dialysis Patient Citizens Statement Following Supreme Court Decision in Marietta Memorial Hospital v. Davita

2024-03-29T01:10:07+00:00June 21st, 2022|Categories: Medicare Advantage, Press Release, Private Insurance Coverage, Protect Patient Care|

WASHINGTON, D.C., (June 21, 2022) -- Following the United States Supreme Court decision in the case of Marietta Memorial Hospital v. Davita, Dialysis Patient Citizens (DPC) Board of Directors President Andrew Conkling issued the following statement: “DPC is deeply disappointed by today’s Supreme Court decision,” said DPC Board President Andrew Conkling. “Congress long ago reaffirmed privately-insured patients’ right to continue on their employer-sponsored plan for 30 months. This played an important role in preserving patient choice and incentivizing insurers to detect and treat Chronic Kidney Disease. ESRD patients are among the most vulnerable Americans and face some of the largest [...]

Aid dialysis patients

2024-03-29T01:10:07+00:00June 20th, 2022|Categories: Medigap Coverage, Patient Stories in the News|

Families have a lot in common, and something mine shares is kidney disease. Both my late mother and I who have suffered from this have had to receive life-saving dialysis treatments that allowed our bodies to continue to function. At the beginning of my dialysis journey, I had insurance through my employer, which covered the costs of these pricey treatments. However, they took up most of my time and energy, and I inevitably had to leave my job. Being unable to work full-time is a persistent problem for patients on dialysis. Because of this, I now live on disability and [...]

Letter: Medigap bill offers lifeline to young dialysis patients

2024-03-29T01:10:07+00:00June 19th, 2022|Categories: Medigap Coverage, Patient Stories in the News|

Dear Editor: Starting dialysis at a young age was hard. I had only recently finished high school, and adjusting to life on dialysis when I was still a teenager was overwhelming. It was even more difficult because I didn’t have reliable access to affordable Medigap coverage for the costs Medicare didn’t pay. Not every state requires Medigap plans to be available to patients under 65, so unless you qualify for disability or another form of coverage, patients are on the hook for what Medicare doesn’t cover. Even when I was able to work before my transplant kidney failed, the premiums [...]

Your Views: Wisconsin kidney patients need financial help

2024-03-29T01:10:07+00:00June 19th, 2022|Categories: Medigap Coverage, Patient Stories in the News|

My life with kidney disease has been one filled with battles. In 2010, I had a double transplant surgery and received a new kidney and liver. Unfortunately, the transplant kidney failed three years ago, and I needed dialysis treatment. These life-saving treatments can be time-consuming, and patients often find themselves unable to work. Working and being on dialysis can be very hard on someone. I’m lucky that I have Medicare covering the majority of the costs and additional insurance paying for what Medicare didn’t before I turned 65. However, many don’t have the benefit of extra insurance picking up where [...]

Letter: Congress should follow NY’s lead on dialysis coverage

2024-03-29T01:10:07+00:00June 18th, 2022|Categories: Medigap Coverage, Patient Stories in the News|

Finding out my kidneys were failing was shocking. During a surgery to remove a portion of one kidney affected by cancer, things took an unexpected turn. Rather than losing a small portion of function in one kidney, I was left with one kidney only functioning at 20 percent. Thanks to an excellent nephrologist, though, I was able to put off starting dialysis for a decade. Since then, two things that have helped a great deal are the flexibility of my home treatments and the access I’ve had to coverage for dialysis. While I received coverage for the portion of treatment [...]

Kidney Patients Struggling to Receive Coverage

2024-03-29T01:10:07+00:00June 12th, 2022|Categories: Medigap Coverage, Patient Stories in the News|

My husband’s journey with kidney disease forever changed my life. Over the past five years, we have seen countless doctors, traveled many miles for medical appointments, and both of us had lifechanging surgeries. At age 39, my husband began dialysis treatments for his failing kidneys, a side effect of his lifelong battle with diabetes. We knew he would eventually need a kidney transplant but needed to get other health matters in order before that would be possible. Finally, my husband was ready for a kidney transplant, and we were fortunate enough that I was a match for him. On October [...]

Congress should OK Medigap expansion

2024-03-29T01:10:07+00:00June 10th, 2022|Categories: Medigap Coverage, Patient Stories in the News|

I have fought an uphill battle with kidney disease for almost half my life. At 24, I started receiving dialysis treatment and three years later received a kidney transplant that kept me off dialysis for about five years. But unfortunately, I needed potent anti-rejection drugs that ultimately gave me cancer and weakened my immune system. Thankfully, I recovered from cancer but ended up back on dialysis, which I still receive. Part of the problem stems from the fact that my treatments haven't always been tailored to what I need, putting a lot of burden on me to research what I [...]

Constituents on Dialysis Need Leader McCarthy’s Help

2024-03-29T01:10:07+00:00May 27th, 2022|Categories: Medigap Coverage, Patient Stories in the News|

Editor, Being diagnosed with kidney disease when I was just 16 turned my life on its head overnight. Kidney failure can cause multiple medical complications. Partial loss of my vision and hearing, more than 17 years of dialysis treatments, infections, an enlarged heart, and eventually a kidney transplant have been just part of the journey. For all of these challenges, though, one hurdle I thankfully didn’t have to face was access to coverage. Since I was so young when I started treatment, my parents’ insurance helped pay for any costs that Medicare didn’t. For other dialysis patients under 65 that [...]

What Patients Should Know About Value-Based Care

2024-03-29T01:10:08+00:00May 23rd, 2022|Categories: Article, Care Coordination, Improve Access to Care, Increase Quality of Care, Medicare Advantage|

DPC is a strong advocate of Value-Based Care. Value-Based Care means that your primary providers accept a single payment or budgeted amount to cover all your medical needs. For instance, if you are in a program like Comprehensive Kidney Care Contracting (or CKCC, formerly known as the ESCO program) your dialysis provider and nephrologist take responsibility for all your care—not just kidney care but other conditions, such as diabetes, and other sites of care, such as hospitals. There are currently three types of value-based care programs that kidney patients may be in: Comprehensive Kidney Care Contracting (CKCC) – you are [...]

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