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Consumer Reports Survey Sheds Light on Unexpected Medical Bills

2024-03-29T01:50:33+00:00May 14th, 2015|Categories: Article, Promote Financial Security|

If you recently received an unexpected medical bill, you are not alone. The Consumer Reports National Research Center recently conducted a survey which found that nearly one-third of Americans with private health insurance received a surprise medical bill in the last two years. In most cases, patients went to a hospital within their insurance plan’s network, but were treated by a physician who had not contracted with the insurer. Many privately insured Americans regularly face the issue of reimbursement, or lack thereof, for treatment by doctors outside their insurance plan’s network. Only 28% of privately insured Americans surveyed by Consumer [...]

An Overview of Medigap Coverage

2024-03-29T01:50:33+00:00May 7th, 2015|Categories: Article, Medigap Coverage|

Current Situation Currently, two populations qualify for Medicare: those over the age of 65, and those under the age of 65 who meet certain federal conditions. A diagnosis of End Stage Renal Disease (“ESRD”) satisfies these conditions and makes ESRD patients under age 65 eligible for Medicare. Medicare requires the patient pay deductibles and co-pays. If patients cannot afford these costs, they may become state Medicaid eligible by virtue of income level or after spending down their assets. The Problem Many ESRD Medicare beneficiaries can’t afford to pay Medicare deductibles and co-pays. As a result, many of them spend down their [...]

Urge Your Members of Congress to Take Action During National Minority Health Month

2024-03-29T01:50:33+00:00April 7th, 2015|Categories: Care Coordination, Dialysis Funding, Medicare Advantage|

April is National Minority Health Month, an issue of vital importance for dialysis patients since even greater health disparities are reflected in the dialysis patient community. For example, African Americans are 3.5 times more likely to develop kidney failure than non-Hispanic white Americans, Hispanic Americans are 1.5 times more likely and Native Americans are 1.7 times more likely. Asian Americans are also more likely to develop kidney failure. Click here to urge your Members of Congress to co-sponsor the Chronic Kidney Disease Improvement in Research and Treatment Act (S. 598 and H.R. 1130), which includes a key provision supporting research on kidney health [...]

Permanent Medicare Physician Payment Increase Passes Congress

2024-03-29T01:50:33+00:00April 7th, 2015|Categories: Dialysis Funding, Medigap Coverage|

Congress recently passed the Medicare Access and CHIP Reauthorization Act, also known as the permanent “doc fix” bill. The bill passed the House of Representatives 392-37 and the Senate 92-8, with strong bipartisan support. The White House has announced President Obama’s intent to sign the bill into law. Those who voted in favor of the bill felt it was necessary to permanently replace the current Medicare physician payment formula. In 1997, Congress passed a formula known as the sustainable growth rate (SGR) formula, which unexpectedly dictated regular pay cuts for doctors. In 2003, many in Congress began to fear that the [...]

Urge Your Members of Congress to Co-Sponsor the Chronic Kidney Disease Improvement in Research and Treatment Act!

2024-03-29T01:50:33+00:00March 11th, 2015|Categories: Care Coordination, Dialysis Funding, Medicare Advantage|

Senators Ben Cardin (D-MD), Mike Crapo (R-ID) and Bill Nelson (D-FL) were joined by Representatives Tom Marino (R-PA), John Lewis (D-GA) and Peter Roskam (R-IL) in introducing the Chronic Kidney Disease Improvement in Research and Treatment Act (S. 598/H.R. 1130) to improve the health of kidney patients. If passed, this bill would provide access to Medicare Advantage (MA) plans for dialysis patients. This bill would also enhance current research efforts related to chronic kidney disease (CKD) by: Requiring the Government Accountability Office (GAO) to calculate the overall cost of CKD care, ensure that federal funding for CKD research is appropriate relative to [...]

DPC Fly-In Participants Lobby Members of Congress Despite Snow Storm, Government Closure

2024-03-29T01:50:33+00:00March 11th, 2015|Categories: Article, Medicare Advantage|Tags: |

DPC’s annual Kidney Month fly-in was held last Wednesday and Thursday (March 4 & 5).  Patient advocates from across the country flew to Washington, DC to speak with their Members of Congress on issues critical to their care.  And despite numerous obstacles, they made sure their voices were heard. On March 4, patient advocates participated in an in-depth advocacy training, as many were going to Capitol Hill for the first time. This training helped to ensure that participants had the information and confidence to discuss the importance of preserving dialysis funding as well as why dialysis patients should be allowed [...]

DPC Urges Arizona to Maintain Medicaid Reimbursement for Dialysis

2024-03-29T01:50:34+00:00February 27th, 2015|Categories: Comment Letter, Medicaid, State Advocacy|

Governor Doug Ducey 1700 West Washington St. Phoenix, AZ 85007 RE: Proposed Cuts to Medicaid Coverage Dear Governor Ducey, As America’s largest patient-led organization representing over 28,000 members, Dialysis Patient Citizens (DPC) works to improve the quality of life of all dialysis patients through education and advocacy. Dialysis is a life-sustaining care delivered to over 12,400 patients in Arizona who have End-Stage Renal Disease (ESRD), also known as kidney failure. For those with ESRD, receiving regular dialysis or a kidney transplant are the only treatments that allow patients to continue living. The number of individuals with kidney failure continues to [...]

Affordable Care Act Enrollment Reaches 9.5 Million as February 15 Deadline Approaches

2024-03-29T01:50:34+00:00February 4th, 2015|Categories: Promote Financial Security|Tags: |

Open enrollment for individual coverage in the Affordable Care Act (ACA)’s public health insurance exchanges began in November of last year. The deadline for enrollment is February 15, 2015. So far approximately 9.5 million people have either newly enrolled or re-enrolled in the exchanges, with 7.1 million enrolling in the 37 states that use the federal marketplace, HealthCare.gov. Of those 7.1 million, approximately 6.2 million received financial assistance to help pay for coverage. Also, 4.16 million re-enrolled in health plans, and 3 million selected a plan for the first time. Again, thank you to the patients who have shared stories with [...]

Response Memo: FAQs Regarding Medicare and the Health Insurance Marketplace

2024-03-29T01:50:35+00:00September 24th, 2014|Categories: Comment Letter, Promote Financial Security|Tags: |

To: James Canavan, Center for Medicare, Centers for Medicare & Medicaid Services Spencer Manasse, Center for Consumer Information and Insurance Oversight, CMS Vicki Gottlich, Administration for Community Living Gene Coffey, Center for Medicaid and CHIP Services, CMS Janet Miller, Office of Communications, CMS Sharon Donovan, Medicare-Medicaid Coordination Office, CMS Re: Comments on “Frequently Asked Questions Regarding Medicare and the Marketplace” We appreciate that the Centers for Medicare & Medicaid Services (CMS) and the Administration for Community Living (ACL) arranged a July meeting for beneficiary advocates to discuss our questions and concerns related to beneficiary transitions from coverage options created under [...]

Kidney Care Bill Introduced in U.S. House of Representatives

2024-03-29T02:08:05+00:00June 30th, 2014|Categories: Article, Care Coordination, Medicare Advantage, Treatment Options|

Congressmen John Lewis (D-GA) and Tom Marino (R-PA) have introduced the Chronic Kidney Disease Improvement in Research and Treatment Act in the U.S. House of Representatives. Lewis and Marino are leaders on the Congressional Kidney Caucus and have been staunch supporters of dialysis patients over the years. This bill seeks to advance several proactive kidney care policy initiatives and provides a vehicle for educating Members of Congress and the public about the issues facing kidney disease patients and the kidney community as a whole. The bill would: Improve understanding of kidney disease: The legislation seeks to identify the gaps in critical [...]

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