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Author Topic: Just a sanity check  (Read 3676 times)
plugger
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« on: December 06, 2007, 07:30:25 PM »

I wrote a "letter to the editor" for my local newspaper and the editor came back with a part of my letter she wanted to make sure of.  I stated in the letter private insurance pays more for dialysis per patient than Medicare does; I guess the editor lady is finding this hard to believe, but I distinctly remember this.  I also seem to remember others observing the same thing - at least I don't think I'm hallucinating.  It was back in 2000 when my daughter was on dialysis, but this is one thing that seems to have stuck with me.  I figured this is a group in the know and could tell me whether it is just voices in my head or not.

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Proud member of DialysisEthics since 2000

DE responsible for:

*2000 US Senate hearings

*Verified statistics on "Dialysis Facility Compare"

*Doctors have to review charts before they can be reimbursed

*2000 and 2003 Office of Inspector General (OIG) reports on the conditions in dialysis

*2007 - Members of DialysisEthics worked for certification of hemodialysis
technicians in Colorado - bill passed, renewed in 2012 and 2019

*1999 to present - nonviolent dismissed patients returned to their
clinics or placed in other clinics or hospitals over the years

On my tombstone: He was a good kind of crazy

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George Jung
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« Reply #1 on: December 06, 2007, 07:40:43 PM »

I thought medicare becomes primary insurance after 3 months (on dialysis) or something like that.  I have BCBS but I believe they are secondary.
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Black
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« Reply #2 on: December 06, 2007, 07:44:09 PM »

I wrote a "letter to the editor" for my local newspaper and the editor came back with a part of my letter she wanted to make sure of.  I stated in the letter private insurance pays more for dialysis per patient than Medicare does; I guess the editor lady is finding this hard to believe, but I distinctly remember this.  I also seem to remember others observing the same thing - at least I don't think I'm hallucinating.  It was back in 2000 when my daughter was on dialysis, but this is one thing that seems to have stuck with me.  I figured this is a group in the know and could tell me whether it is just voices in my head or not.



You are correct.
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Lorelle

Husband Mike Diagnosed with PKD Fall of 2004
Fistula Surgery  1/06
Fistula Revision  11/06
Creatinine 6.9  1/07
Started diaysis 2/5/07 on NxStage
Zach
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« Reply #3 on: December 06, 2007, 09:36:11 PM »

I wrote a "letter to the editor" for my local newspaper and the editor came back with a part of my letter she wanted to make sure of.  I stated in the letter private insurance pays more for dialysis per patient than Medicare does; I guess the editor lady is finding this hard to believe, but I distinctly remember this.  I also seem to remember others observing the same thing - at least I don't think I'm hallucinating.  It was back in 2000 when my daughter was on dialysis, but this is one thing that seems to have stuck with me.  I figured this is a group in the know and could tell me whether it is just voices in my head or not.



You are correct.

Not only are you correct, the "Caring Kidney" lobby is trying to extend the Medicare Secondary Payer (MSP) from 30 to 42 months.  Another gold rush for those "Caring Kidney" folks.
 8)
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Uninterrupted in-center (self-care) hemodialysis since 1982 -- 34 YEARS on March 3, 2016 !!
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
No transplant.  Not yet, anyway.  Only decided to be listed on 11/9/06. Inactive at the moment.  ;)
I make films.

Just the facts: 70.0 kgs. (about 154 lbs.)
Treatment: Tue-Thur-Sat   5.5 hours, 2x/wk, 6 hours, 1x/wk
Dialysate flow (Qd)=600;  Blood pump speed(Qb)=315
Fresenius Optiflux-180 filter--without reuse
Fresenius 2008T dialysis machine
My KDOQI Nutrition (+/ -):  2,450 Calories, 84 grams Protein/day.

"Living a life, not an apology."
okarol
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« Reply #4 on: December 06, 2007, 09:47:09 PM »

Good for you! So great that you got the journalists attention!  :thumbup;
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Admin for IHateDialysis 2008 - 2014, retired.
Jenna is our daughter, bad bladder damaged her kidneys.
Was on in-center hemodialysis 2003-2007.
7 yr transplant lost due to rejection.
She did PD Sept. 2013 - July 2017
Found a swap living donor using social media, friends, family.
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Her story ---> https://www.facebook.com/WantedKidneyDonor
Please watch her video: http://youtu.be/D9ZuVJ_s80Y
Living Donors Rock! http://www.livingdonorsonline.org -
News video: http://www.youtube.com/watch?v=J-7KvgQDWpU
plugger
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« Reply #5 on: December 08, 2007, 08:16:10 AM »

Thanks for the info and encouragement!  I knew it wasn't just the voices in my head.  Anyway, if you are curious as to what I've been up to with the info, I've got a link:

http://forums.coloradoan.com/viewtopic.php?t=16809

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Proud member of DialysisEthics since 2000

DE responsible for:

*2000 US Senate hearings

*Verified statistics on "Dialysis Facility Compare"

*Doctors have to review charts before they can be reimbursed

*2000 and 2003 Office of Inspector General (OIG) reports on the conditions in dialysis

*2007 - Members of DialysisEthics worked for certification of hemodialysis
technicians in Colorado - bill passed, renewed in 2012 and 2019

*1999 to present - nonviolent dismissed patients returned to their
clinics or placed in other clinics or hospitals over the years

On my tombstone: He was a good kind of crazy

www.dialysisethics2.org
Zach
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« Reply #6 on: December 08, 2007, 09:55:43 PM »

Thanks for the info and encouragement!  I knew it wasn't just the voices in my head.  Anyway, if you are curious as to what I've been up to with the info, I've got a link:

http://forums.coloradoan.com/viewtopic.php?t=16809



Not too friendly a bunch.
 8)

PS:  But you keep up the great work.  Your Colorado bill is a model for the rest of he country.
Logged

Uninterrupted in-center (self-care) hemodialysis since 1982 -- 34 YEARS on March 3, 2016 !!
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
No transplant.  Not yet, anyway.  Only decided to be listed on 11/9/06. Inactive at the moment.  ;)
I make films.

Just the facts: 70.0 kgs. (about 154 lbs.)
Treatment: Tue-Thur-Sat   5.5 hours, 2x/wk, 6 hours, 1x/wk
Dialysate flow (Qd)=600;  Blood pump speed(Qb)=315
Fresenius Optiflux-180 filter--without reuse
Fresenius 2008T dialysis machine
My KDOQI Nutrition (+/ -):  2,450 Calories, 84 grams Protein/day.

"Living a life, not an apology."
KT0930
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« Reply #7 on: December 09, 2007, 01:48:15 PM »

I thought medicare becomes primary insurance after 3 months (on dialysis) or something like that.  I have BCBS but I believe they are secondary.

You have to have been on dialysis for 3 months in order to qualify for Medicare, unless you attend and complete training for home dialysis, then it takes over as soon as your first dialysis treatment. Medicare, as far as I understand, does not become primary until after you have a transplant. I also have BCBS.
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"Dialysis ain't for sissies" ~My wonderful husband
~~~~~~~
I received a 6 out of 6 antigen match transplant on January 9, 2008. Third transplant, first time on The List.
plugger
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« Reply #8 on: December 11, 2007, 06:44:46 AM »

Yes, it does get confusing with insurance.  I remember my private insurance paid for the six months my daughter was on dialysis and what Zach said about Medicare kicking in at 30 months sounds right for what would have happened with my daughter's situation - but it sounds like every case could be different.

I do hope that Colorado bill we got through can be a model - not as stringent as I would have liked - but we got through what we thought would pass and wouldn't deplete the field of techs.  Hopefully, it can also be something to be built upon.  We owe a lot of thanks to the people who have gone before us and gotten tech legislation through their states.
Logged

Proud member of DialysisEthics since 2000

DE responsible for:

*2000 US Senate hearings

*Verified statistics on "Dialysis Facility Compare"

*Doctors have to review charts before they can be reimbursed

*2000 and 2003 Office of Inspector General (OIG) reports on the conditions in dialysis

*2007 - Members of DialysisEthics worked for certification of hemodialysis
technicians in Colorado - bill passed, renewed in 2012 and 2019

*1999 to present - nonviolent dismissed patients returned to their
clinics or placed in other clinics or hospitals over the years

On my tombstone: He was a good kind of crazy

www.dialysisethics2.org
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