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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 [...]

Value-Based Health Care & Medicare – Weighing the Pros and Cons

2024-03-28T20:58:03-04:00June 14th, 2022|Categories: Costs for Treatment, eNews, Medication, Treatment|

Value-based care has become a hot topic in the health care industry. The model of paying providers bonuses for better patient health outcomes and penalizing them for poor outcomes may seem like a great idea and one that would encourage a more holistic approach to patient care. Some health care experts have concerns about what this means for people on Medicare Advantage (MA), though; specifically, there may be more focus on costs and less focus on quality. Janice Horowitz, author of Health Your Self, has three primary concerns when it comes to value-based care in MA plans: Restrictions on where you [...]

Medicare Surprise: Drug Plan Prices Touted During Open Enrollment Can Rise Within a Month

2024-03-28T20:58:04-04:00June 6th, 2022|Categories: Costs for Treatment, eNews, Medication|

By Susan Jaffe May 3, 2022 Something strange happened between the time Linda Griffith signed up for a new Medicare prescription drug plan during last fall’s enrollment period and when she tried to fill her first prescription in January. She picked a Humana drug plan for its low prices, with help from her longtime insurance agent and Medicare’s Plan Finder, an online pricing tool for comparing a dizzying array of options. But instead of the $70.09 she expected to pay for her dextroamphetamine, used to treat attention-deficit/hyperactivity disorder, her pharmacist told her she owed $275.90. “I didn’t pick it up because [...]

DPC’s State Advocacy Efforts Flourish with Elevated Voice of DPC Patient Ambassadors

2024-03-28T20:58:09-04:00April 25th, 2022|Categories: Costs for Treatment, Kidney Transplant, The Kidney Citizen, Uncategorized|

Image: Medigap champion Kentucky State Rep. Tom Burch and Elizabeth Lively, DPC Eastern Region Advocacy Director By Kelly Goss, J.D., LL.M., Western Region Advocacy Director and Elizabeth Lively, Eastern Region Advocacy Director, Dialysis Patient Citizens (DPC) It’s been a busy start in 2022 for DPC’s state advocacy efforts. Many states are holding shorter legislative sessions due to the upcoming primary elections, and several bills impacting dialysis patients have been introduced and are moving quickly through the legislative process. Legislation to expand Medigap access has been introduced in Arizona, Kentucky, Louisiana, Maryland, Nebraska, New Jersey, Rhode Island, Vermont, and Wisconsin. Improving access [...]

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