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Patients with Kidney Disease Need Medigap Expansion Bill

2024-03-29T01:10:09+00:00February 9th, 2022|Categories: Patient Stories in the News|

Kidney disease is a life-changing diagnosis. Since I went into renal failure, I’ve believed that patients should only have to worry about the care they need to get well, not the high costs that come with it. Unfortunately, that isn’t the reality I’ve encountered, given my insurance and Medicare don’t cover the full costs of the life-saving treatments and medications I need to fight my kidney disease. Thankfully, Congress is considering a bill that would help kidney disease patients like me. The Jack Reynolds Memorial Medigap Expansion Act would open Medigap coverage to patients under 65, so that we can [...]

New Bill Will Give Dialysis Patients the Security They Deserve

2024-03-29T01:10:10+00:00February 4th, 2022|Categories: Patient Stories in the News|

For six and a half years, I lived through the daily struggles of dialysis and the challenges of getting quality care before I finally received a kidney transplant in 2009. The coverage I received while on dialysis simply wasn’t enough to pay for all of the medications I needed because I was under the age of 65 and did not have access to Medigap insurance. A new bill, the Jack Reynolds Memorial Medigap Expansion Act, would help prevent this from happening to other patients by expanding Medigap coverage to dialysis patients under 65 so that no one has to choose [...]

Medicare Kicks Off New Kidney Care Demonstration Project

2024-03-29T01:10:10+00:00February 1st, 2022|Categories: Access to Transplant, Article, Increase Quality of Care, Medicare Advantage, News, Promote Financial Security, Treatment Options|

The Center for Medicare and Medicaid Innovation has announced 85 sites for its Kidney Care Choices (KCC) Demonstration Project, which started January 1, 2022. The program, initially announced by President Donald Trump in July 2019, is intended to “help health care providers reduce the cost and improve the quality of care for patients with late-stage chronic kidney disease and ESRD… and to delay the need for dialysis and encourage kidney transplantation.” KCC consists of two separate programs. In Kidney Care First (KCF), participating nephrology practices receive payments on a per-patient basis for managing the care of patients with late-stage chronic kidney [...]

DPC Responds to Medicare Officials’ Request for Information on Transplants and Home Modalities

2024-03-29T01:10:10+00:00January 31st, 2022|Categories: Access to Transplant, Advance Patient Choice, Article, Improve Access to Care, Medicare Advantage, Treatment Options|

The Centers for Medicare & Medicaid Services are preparing new initiatives to promote transplant and home dialysis, and asked the public for recommendations. The request came as part of the President’s Executive Orders “to advance health equity and improve health outcomes for people in need of a life-saving transplant and dialysis,” according to Health and Human Services Secretary Xavier Becerra. DPC responded to several elements of the request. Equity in Organ Transplantation – DPC reiterated its position, shared by many experts, that Medicare should supplement payments on behalf of disadvantaged patients so providers can give them extra assistance in seeking transplants. [...]

DPC Files Amicus Brief in Supreme Court Case

2024-03-29T01:10:10+00:00January 27th, 2022|Categories: Article, Dialysis Funding, Legal Defense, Medicare Advantage, Private Insurance Coverage, Protect Patient Care|

DPC filed a “friend of the court” brief in the U.S. Supreme Court case of Marietta Memorial Hospital v. DaVita. The case involves a dialysis patient whose employer-sponsored health insurance plan tied reimbursements for dialysis to Medicare prices. The Sixth Circuit Court of Appeals held that this constituted illegal discrimination. The employer appealed the decision, which is now scheduled for oral arguments before the U.S. Supreme Court on March 1. DPC’s brief argues that such discrimination circumvents dialysis patients’ right to keep their employer coverage for up to 30 months before Medicare becomes their private insurance. DPC emphasized the three [...]

New Bill Give Dialysis Patients Certainty and Security

2024-03-29T01:10:10+00:00January 10th, 2022|Categories: Patient Stories in the News|

The last thing that folks living with End-Stage Renal Disease (ESRD) should have to worry about is whether they can afford to pay for their treatments. As someone who has been on dialysis since 2009, I’ve met a number of patients who live with a financial burden and uncertainty because they do not have access to Medigap insurance. Thankfully, Congress is working to expand Medigap coverage through a new bill called the Jack Reynolds Memorial Medigap Expansion Act. This bill would allow patients under the age of 65 to gain access to Medigap coverage, and it would be a huge [...]

Louisiana Kidney Patients Counting on New Care Coordination Bill

2024-03-29T01:10:10+00:00December 15th, 2021|Categories: Patient Stories in the News|

My kidney disease diagnosis four years ago meant a lot of things, including the beginning of many doctor appointments, dialysis treatments, and medications. While these changes keep me alive and well, there are certain areas of care for dialysis patients that are lacking. For starters, I have found myself navigating between doctors to communicate my needs and make sure all of my prescriptions are working together, especially when I first started dialysis. Patients need a coordinated care system to make it easier for their doctors to communicate their prescribed health plans. Dialysis patients also require frequent visits to centers for their treatments. [...]

Support Sen. Young’s Kidney Care Act

2024-03-29T01:10:11+00:00November 28th, 2021|Categories: Patient Stories in the News|

A kidney disease diagnosis is life-changing. It means undergoing hours-long dialysis treatments several times every week, spending more time at doctors' appointments, and completely overhauling how patients live their lives. The stress of that change is only complicated by the fact that for a lot of dialysis patients, the responsibility for tracking treatments, medications and communicating with their nephrologist and primary care doctor and any number of other care providers so that treatments do not overlap or interfere with each other. Sen. Todd Young has introduced a bill called the BETTER Kidney Care Act, which would make it easier for [...]

Letter to the Editor: Medigap expansion bill can address coverage concerns

2024-03-29T01:10:11+00:00November 25th, 2021|Categories: Patient Stories in the News|

Being a nurse practitioner gives me a glimpse into patients’ daily struggles that aren’t always obvious from the outside looking in, like the problems patients face when their coverage suddenly changes, and they can’t afford the medications they need. This is something I’ve particularly noticed for dialysis patients. Since a lot of them rely on Medicare for coverage, they have large out-of-pocket expenses when it doesn’t cover something they need, like actual dialysis treatments (which patients usually need three to four times a week) and medications, since Medicare often only covers 80% of those costs. And since many don’t have [...]

Readers React: Bill would help dialysis patients under age 65

2024-03-29T01:10:11+00:00November 10th, 2021|Categories: Patient Stories in the News|

Dialysis has involved a lot of waiting since I started it years ago. Treatments take hours at a time, and I’m left waiting for the call to finally tell me that a donor kidney is ready. It simply cannot come soon enough. However, I at least have coverage for my treatments through my wife’s job, in addition to Medicare, which I know is not the case for others. For them, treatments that aren’t covered by Medicare have to be paid out of pocket, and the added costs and stress can be overwhelming. We need lawmakers to support the Jack Reynolds Memorial [...]

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