FacebookXYouTubeInstagramLinkedIn

Dialysis patients are missing out on new therapies due to Medicare’s ESRD payment structure

2026-06-10T14:44:40-04:00June 10th, 2026|Categories: Costs for Treatment, Medication, Quality of Life, Staying Healthy, The Kidney Citizen, Treatment|

Quiana Bishop, DPC Board President While dialysis treatments sustain life for people with kidney failure, they cannot replace all of the many functions of a healthy kidney. Patients rely on medications to address certain symptoms. As of January 1, 2025, all of these medications are included in the ESRD prospective payment system bundle and dialysis facilities are given the responsibility of dispensing them. This arrangement saves money for Medicare, but it does so by creating a profile for an “average patient” and discouraging expenditures on anyone else. As we know, there’s no such thing as an “average” patient, with [...]

2025 State Medigap Wins & 2026 Priorities

2026-01-09T14:31:53-05:00January 5th, 2026|Categories: Costs for Treatment, Dialysis, Kidney Transplant, Resources, The Kidney Citizen|

Elizabeth Lively, DPC Eastern Region Advocacy Director Pamela Zielske, DPC Western Region Advocacy Director DPC will continue to build on this momentum in the state Medigap arena in the 2026 legislative session. Our state advocacy directors are currently planning on advancing Medigap legislation in Georgia, Massachusetts, Michigan, Nebraska, Ohio, and Utah. How can you help? We are always looking for DPC Patient Ambassadors to share their stories by writing letters to legislators, testifying at committee hearings, and participating in Action Alerts that are emailed to our members. Building strong relationships with legislators through the legislative process [...]

DPC’s 2025 State Advocacy Wins

2025-10-10T14:51:48-04:00October 1st, 2025|Categories: Costs for Treatment, Dialysis, Kidney Transplant, Resources, The Kidney Citizen|

Elizabeth Lively, DPC Eastern Region Advocacy Director Pamela Zielske, DPC Western Region Advocacy Director DPC achieved key state wins for ESRD patients as several states passed Medigap premium protections during the 2025 session, with legislation in additional states still in play. In addition, several states passed “birthday rule” bills, which aim to allow more flexibility and patient choice for individuals with Medicare Supplement plans by providing a window for Medigap enrollees to change their plans without medical underwriting. As insurers price their plans differently, enrollees may find a more affordable premium for the same plan from a [...]

Why Medicare’s Payment System Keeps New Dialysis Drugs from Reaching Patients

2025-05-07T13:39:04-04:00May 7th, 2025|Categories: Costs for Treatment, Dialysis, Kidney Transplant, Medication, Quality of Life, Staying Healthy, The Kidney Citizen|

Jackson Williams, DPC Vice President of Public Policy Payment bundling is a technique Medicare uses to increase efficiency and reduce low-value care during a treatment episode. Congress adopted a payment bundle for dialysis a decade ago and for several years it worked well. But trade-offs are inherent in bundles and there is always potential for a negative impact on consumers. This negative experience has arrived for dialysis patients in the form of non—prescribing of new drugs. Patients are missing out on improvements to their health and quality of life. A bundled payment sets a maximum price for all [...]

DPC’s 2024 Advocacy Day and 20th Anniversary Celebration

2024-09-23T13:54:12-04:00September 23rd, 2024|Categories: Costs for Treatment, Dialysis, Hemodialysis, Home Hemodialysis, In-Center Hemodialysis, Kidney Transplant, Peritoneal Dialysis, Quality of Life, The Kidney Citizen, Treatment|

Megan Hashbarger, DPC Vice President of Government Relations This past May, DPC hosted our annual Advocacy Day in Washington, D.C., where we brought together patients, family members, and care givers to meet with their Members of Congress to elevate the patient story for dialysis patients. This year, we had 65 advocates attend, representing 25 states, who had almost 80 Congressional meetings. Our patients spoke to Congressional offices asking them to support H.R. 6860 – The Restore Protections for Dialysis Patients Act and H.R. 5027/S. 4469 – The Chronic Kidney Disease Improvement in Research and Treatment Act. These two [...]

How Transplant Changed My Life Forever

2024-04-26T15:38:46-04:00April 26th, 2024|Categories: Costs for Treatment, Dialysis, Hemodialysis, Kidney Transplant, Mental Health, The Kidney Citizen|

Adrian Ropp, DPC Patient Ambassador It was Christmas and I was home to visit my parents for the holidays. It was the first time I had traveled there in a year without my dialysis equipment or a schedule to visit a clinic. A brave police officer named Albert had recently lost his life, but he had registered as an organ donor. Because of this, I was celebrating a Christmas I had not expected. It happened (and believe me, it is a story that would take this whole article) that my savior’s family - his wife Lori and their [...]

Ask the Doctor April 2024

2024-04-26T15:35:18-04:00April 26th, 2024|Categories: Costs for Treatment, Dialysis, Hemodialysis, Kidney Transplant, Medication, The Kidney Citizen, What Causes Kidney Disease|

Velma Scantlebury, MD, DPC Education Center Health Care Consultant 1. Will a transplanted patient who receives a kidney from a diabetic individual become diabetic? Diabetes results from a lack of the ability of your body to produce/and or use insulin effectively. If a kidney is used from a deceased donor who is diabetic, it is often biopsied to make sure that the kidney is not damaged from diabetes. Some transplant patients are at risk of becoming diabetic due to the anti-rejection medications used, including the use of steroids to treat rejection episodes. Therefore, your risk of becoming diabetic [...]

Spring 2023 State Advocacy Update

2024-03-28T20:57:26-04:00June 14th, 2023|Categories: Costs for Treatment, Resources, The Kidney Citizen|

Elizabeth Lively, DPC Eastern Region Advocacy Director Pamela Zielske, DPC Western Region Advocacy Director The 2023 legislative session has been a busy and productive one for DPC’s state advocacy efforts. Bills impacting dialysis patients have been introduced in multiple state legislatures and in most cases have moved quickly through the legislative process. Improving access to Medigap coverage is a top priority for DPC, and we are thrilled that legislation was introduced in multiple states this session to expand Medigap access to patients under the age of 65. Last month, DPC celebrated Governor Glenn Youngkin's (R) signing [...]

Ask the Doctor

2024-03-28T20:57:29-04:00June 14th, 2023|Categories: Costs for Treatment, Dialysis, Hemodialysis, Home Hemodialysis, In-Center Hemodialysis, Kidney Transplant, Medication, The Kidney Citizen|

Velma Scantlebury, MD, DPC Education Center Health Care Consultant 1. Four hours is too long for me to sit in dialysis. Do I have to attend every treatment? Answer: Think of dialysis as being the only way to get the toxins out of your body from the food that you consume everyday - three times a day. When you lose kidney function and are on dialysis, you are usually then only cleansing your body every other day. Those toxins will build up and can cause your body to deteriorate over time. Missing dialysis is harmful to your body. [...]

Supreme Court Erases Kidney Patients’ Insurance Protections

2024-03-28T20:57:47-04:00October 27th, 2022|Categories: Costs for Treatment, The Kidney Citizen, Treatment|

By Megan Hashbarger, DPC Vice President of Government Relations and Jackson Williams, DPC Vice President of Public Policy 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 [...]

Toggle Sliding Bar Area
Go to Top