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Congress must help new dialysis patients

2024-07-01T14:19:11+00:00June 27th, 2024|Categories: Patient Stories in the News, Private Insurance Coverage|

Kidney failure changes patients’ lives. I see patients battle kidney failure every day as a social worker at a dialysis clinic where they receive life-saving treatment. Unfortunately, physical hardships are only the beginning. As a social worker, I help dialysis patients deal with insurance companies. It is a challenging task: dialysis is costly, and insurance companies do their best to avoid paying. Nevertheless, private insurance gives patients the best opportunity to receive kidney transplants. Allowing kidney patients to keep their private insurance gives them the best shot. However, a recent Supreme Court decision allows private insurance companies to push patients [...]

I am a veteran with kidney disease. Dialysis patients need support from Congress

2024-07-01T14:19:58+00:00June 26th, 2024|Categories: Patient Stories in the News, Private Insurance Coverage|

At 22, while serving in the Army National Guard, I discovered I had a hereditary immune disease called IgA nephropathy affecting my kidneys. When I turned 50, my kidneys finally began to fail. I then entered end-stage renal disease (ESRD) and began dialysis, which removes waste from the blood when the kidneys can't. Dialysis has been a part of my life ever since. My father and grandfather both suffered from ESRD. Losing my father to the disease last November was tragic, especially as I battled the disease myself, but it inspired me to become an advocate for policies protecting kidney [...]

Action Alert: H.R. 5027/S. 4469 – The Chronic Kidney Disease Improvement in Research and Treatment Act

2024-06-27T14:07:34+00:00June 25th, 2024|Categories: Article, Improve Access to Care, Increase Quality of Care, Medigap Coverage, Promote Financial Security, Quality Incentive Program, Take Action|

The Chronic Kidney Disease Improvement in Research and Treatment Act (H.R. 5027/S. 4469) sets the stage for the future of kidney care. Representatives Carol Miller (R-WV) and Terri Sewell (D-AL)  re-introduced the bill in the House of Representatives on July 28, 2023 and Senators Ben Cardin (D-MD) and Marsha Blackburn (R-TN) re-introduced the bill in the Senate on June 5, 2024. If passed, this legislation would improve efforts to prevent and better understand chronic kidney disease (CKD) by ensuring appropriate reimbursement for quality care and improve patient access to the best drugs, technology and innovations along the kidney care continuum. One [...]

Letter to the editor: Restore protections for dialysis patients

2024-06-20T14:11:17+00:00June 18th, 2024|Categories: Patient Stories in the News, Private Insurance Coverage|

My father’s battle with end-stage renal disease changed our family’s life. I cared for him as he endured dialysis for two years, showing immense courage. He received two transplants, including one of my kidneys, but sadly, he passed away. In his memory, I now advocate for kidney patients and am pursuing a master’s degree in physiology at Georgetown University. Dialysis patients like my father often face financial hardships. As a business owner, he paid up to $1,400 monthly for private insurance to receive better treatment options than state insurance could provide. Previously, end-stage renal disease patients could keep their private [...]

Help dialysis patients

2024-06-26T15:59:01+00:00June 13th, 2024|Categories: Patient Stories in the News, Private Insurance Coverage|

Dear Editor: Kidney failure runs in my family, so I knew that my chances of experiencing kidney failure were high. I received the heartbreaking and scary diagnosis in 2004 and soon after I began dialysis, the sole treatment outside of a kidney transplant. I received a kidney transplant after an exhausting 13 years on dialysis. When I was first diagnosed, I relied on employer-provided private insurance to cover my healthcare expenses. After two years I transitioned to Medicare, and I currently rely on Medicare and private insurance. Although I consistently pay high premiums out-of-pocket, private insurance has allowed me to [...]

DPC Asks Medicare Officials to Reverse Pruritis Drug Fiasco

2024-06-27T14:45:47+00:00June 12th, 2024|Categories: Advance Patient Choice, Article, Increase Quality of Care, Innovation, Protect Patient Care, Treatment Options|

In a letter to the Center for Medicare and Medicaid Services (CMS), Dialysis Patient Citizens (DPC) asked for a “do-over” in the rollout of Korsuva, a drug that treats ESRD-related pruritis. Medicare makes an add-on payment for new drugs that expires after two years, leaving uncertainty about how providers can offer such drugs to patients when that period ends. This uncertainty discouraged nephrologists from prescribing the medication. Empirical research has found a prevalence of moderate to severe pruritis among dialysis patients of 33 percent, but Korsuva has been dispensed to fewer than one percent of patients. In the letter, several DPC [...]

DPC’s Letter to Hon. Jonathan Blum, Principal Deputy Administrator for CMS, on New Drugs in the ESRD PPS

2024-06-27T14:42:14+00:00June 11th, 2024|Categories: Advance Patient Choice, Comment Letter, Increase Quality of Care, Innovation, Protect Patient Care, Treatment Options|

June 11, 2024 The Honorable Jonathan Blum Principal Deputy Administrator Centers for Medicare & Medicaid Services 200 Independence Avenue, SW Washington, DC  20515 Re:  New drugs in the ESRD PPS Dear Principal Deputy Administrator Blum: In our comments on the 2024 ESRD payment rule, we expressed our concerns about how patients experienced the rollout of Korsuva, the drug that treats ESRD-related pruritis. We noted that the prescribing behavior of nephrologists has amounted to, in effect, a de facto embargo of the medication. Empirical research has found a prevalence of moderate to severe pruritis among dialysis patients of 33 percent, but [...]

Rep. Pallone: Help NJ’s dialysis patients

2024-06-17T14:06:39+00:00June 9th, 2024|Categories: Patient Stories in the News, Private Insurance Coverage|

Being diagnosed with End Stage Renal Disease, ESRD, or kidney failure, changed my life. Suddenly, I needed intravenous treatment three times per week to survive. Like so many ESRD patients, I had to uproot my life to receive treatment. I kept my job during my dialysis journey, working six hours a day and receiving treatment afterwards. I was perpetually exhausted — but I got through it. Adding to the challenges ESRD patients like me face, a recent Supreme Court decision allows private insurers to push high-cost consumers like ESRD patients off of their plans prematurely, even if they are employed. [...]

Letter: Medicare, Medicaid not keeping up with inflation, hurting patient care

2024-06-06T16:32:28+00:00June 5th, 2024|Categories: Dialysis Funding, Medicare Advantage, Patient Stories in the News, Staffing Shortages|

Dear Editor, I was born with a rare genetic disorder that caused my kidneys and eyes to be underdeveloped. I have battled chronic kidney disease at all levels throughout my entire life. At age 25, I went into complete kidney failure (AKA End Stage Renal Disease) and began dialysis, which is a continuous and grueling treatment which does the work my kidneys can’t. The financial and emotional difficulties I’ve dealt with have been very challenging. Unfortunately, I must also worry about medical workforce shortages caused by a lack of federal funding. Over the past few years, the Centers for Medicare [...]

Dialysis needs

2024-06-05T17:59:41+00:00June 2nd, 2024|Categories: Patient Stories in the News, Private Insurance Coverage|

After I received a kidney transplant, I wrote a letter to the family of my donor expressing my immense gratitude. My journey with end stage renal disease took a toll, and the transplant marked a new beginning. I moved to Kansas City, began working full time and started a family. I received dialysis — a treatment three times per week to replace my kidney function — for almost seven years before receiving a transplant. I am extremely thankful for dialysis, but it was exhausting. I qualified for Medicare and Medicaid for the entirety of my dialysis journey, but others rely [...]

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