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Dialysis Patient Advocates Applaud Ruling in Case Against CMS

2024-03-29T01:13:40+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

2024-03-29T01:13:41+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

2024-03-29T01:13:41+00:00January 9th, 2017|Categories: Access to Transplant, Blog, Care Coordination, Charitable Premium Assistance, Legal Defense, Medigap Coverage|Tags: |

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

2024-03-29T01:13:41+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 [...]

DPC Urges Members to Share Stories of Insurance Assistance from the American Kidney Fund

2024-03-29T01:50:30+00:00March 10th, 2016|Categories: Article, Charitable Premium Assistance, Medigap Coverage|

For decades, dialysis patients have received financial assistance from the American Kidney Fund to help them maintain their private insurance or Medigap coverage. Recently, insurers started to reject those payments from AKF in an effort to purge kidney patients from their health plans. We ask you to please share your stories about the help that AKF has provided and about any problems you have experienced due to an insurance company refusing to take AKF payments. You need not give your name. Click here to take our survey.

DPC Urges CMS to Prioritize Patient Access

2024-03-29T01:50:30+00:00January 19th, 2016|Categories: Access to Transplant, Care Coordination, Charitable Premium Assistance, Medicare Advantage, Medigap Coverage, Transportation Services|Tags: |

Last month, DPC sent a letter commenting on the “Notice of Benefit and Payment Parameters for 2017” proposed rule. This annual rule by the Centers for Medicare and Medicaid Services (CMS) contains proposed changes to the exchange plan coverage of the Affordable Care Act. DPC’s letter focuses on the importance of insurance coverage and network quality for end-stage renal disease (ESRD) patients. One issue the letter comments on pertains to network adequacy. Network adequacy describes an insurance plan’s ability to provide a sufficient amount of in-network providers to subscribers in the plan. Suggestions to improve network adequacy include requiring all [...]

Joint Letter to Committees on Part B Premiums and Deductibles

2024-06-07T15:28:47+00:00September 30th, 2015|Categories: Medicaid, Medigap Coverage|

Dear Chairman Hatch, Senator Wyden, Chairman Ryan, Congressman Levin, Chairman Upton & Congressman Pallone: The undersigned organizations share a commitment to advancing the health and economic security of older adults, people with disabilities, and their families. We are writing to urge you to advance a solution to mitigate projected increases to Medicare Part B premiums and the Part B deductible in 2016. According to the 2015 Medicare Trustees Report, Part B premiums will increase by 52%—up to $159.30 per month from $104.90—for 30% of beneficiaries. The trustees also predict that this increase will be accompanied by a hike in the [...]

Congress Adopts Key Element of Kidney Community Agenda: Clinics May Soon Dialyze Acute Kidney Injury Patients

2024-03-29T01:50:32+00:00July 16th, 2015|Categories: Article, Medigap Coverage|

In passing the President's trade legislation last month, Congress enacted a longtime priority of kidney care advocates: permitting patients with acute kidney injury (AKI) to be treated in dialysis clinics. Under current law, AKI patients may only receive dialysis at hospitals, which is more costly to the Medicare program and less convenient for patients. Congress took this measure from the Chronic Kidney Disease Improvement in Research and Treatment Act, the comprehensive kidney bill that DPC has supported, so that the Medicare savings could pay for assistance to displaced workers. While DPC does not endorse the use of Medicare savings to offset [...]

DPC Writes to Montana state official, in support of a proposed rule allowing Medigap open enrollment for Medicare patients under the age of 65 with disabilities or ESRD

2024-03-29T01:50:32+00:00July 9th, 2015|Categories: Comment Letter, Medigap Coverage, State Advocacy|

Brett O’Neill, Attorney Office of the Commissioner of Securities and Insurance Montana State Auditor 840 Helena Ave. Helena, MT 59601 RE: Medicare Supplements – ARM 6.6.507B, .507C, .507E, .511, .511A Dear Mr. O’Neill: As the nation’s largest patient-led organization representing dialysis patients, Dialysis Patient Citizens (DPC) works to improve the quality of life for all dialysis patients through education and advocacy. On behalf of our membership, and particularly on behalf of the over 750 dialysis patients in Montana, we are writing in support of the proposed rule allowing for open enrollment in Medigap plans for Medicare patients under the age [...]

DPC Shares Patient Perspective at Congressional Briefing

2024-03-29T01:50:32+00:00June 11th, 2015|Categories: Article, Medicare Advantage, Medigap Coverage|

Kidney Care Partners, in coordination with the Congressional Kidney Caucus, recently hosted a briefing on Capitol Hill to stress the importance of ensuring quality kidney care now and in the future. The briefing featured opening remarks by Kidney Caucus co-chairs, Rep. Tom Marino (R-PA) and Rep. Jim McDermott (D-WA), who both emphasized the need for increased awareness and research for kidney care issues. Nancy Scott, DPC Education Center Board President, was on hand to provide the patient's perspective to the attendees. Nancy lives by the mantra "end-stage renal disease does not mean the end of your life—just the [...]

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