I Hate Dialysis Message Board
Welcome, Guest. Please login or register.
February 25, 2021, 05:39:54 AM

Login with username, password and session length
Search:     Advanced search
531082 Posts in 33449 Topics by 12477 Members
Latest Member: burford
* Home Help Search Login Register
+  I Hate Dialysis Message Board
|-+  Dialysis Discussion
| |-+  Dialysis: Transplant Discussion (Moderator: KarenInWA)
| | |-+  Congress Passes Expansion of Immunosuppressive Drug Coverage for Transplants
0 Members and 1 Guest are viewing this topic. « previous next »
Pages: [1] Go Down Print
Author Topic: Congress Passes Expansion of Immunosuppressive Drug Coverage for Transplants  (Read 268 times)
plugger
Sr. Member
****
Offline Offline

Gender: Male
Posts: 609


I only look like a sheep - but I ain't

WWW
« on: December 24, 2020, 01:35:33 PM »

This looks like HUGE news!!!!!!!!!!!!!!!

"Highlights

    An estimated 375 adult kidney transplant recipients lose their transplant every year due to a lack of coverage of immunosuppressive medications after the prior 36-month Medicare coverage period.
    Congress passes ASN priority legislation to extend immunosuppressive drug coverage for kidney transplant patients.
    The bipartisan bill is expected to save Medicare $400,000,000 over 10 years by averting the return of transplant patients to dialysis.

Washington, DC (December 22, 2020) — The US Senate passed the Comprehensive Immunosuppressive Drug Coverage for Kidney Transplant Patients Act as part of a broad year-end legislative package, extending Medicare coverage of life saving immunosuppressive medications for the life of the kidney transplant. An estimated 375 adult kidney transplant recipients lose their transplant every year due to a lack of coverage of immunosuppressive medications after the prior 36-month Medicare coverage period. The policy change follows decades of advocacy by ASN members.

“This bipartisan, common-sense policy will directly improve the lives of hundreds of transplant patients and help increase the number of transplants available to patients,” said Anupam Agarwal, MD, FASN, ASN President. “The bill’s passage represents an enormous win for patients and the fulfilment of a top ASN priority. The society stands ready to work with policy makers to implement this legislation.”

Kidney transplantation provides the best outcomes for most patients with kidney failure, however a national organ shortage and misaligned incentives in the transplant system inhibit access to the therapy for many patients. The Comprehensive Immunosuppressive Drug Coverage Act removes a key financial barrier to receiving a transplant and improves stewardship of the limited supply of transplanted organs.

“I and so many of my colleagues in the kidney and transplant community have been fighting for years to extend Medicare coverage of immunosuppressive drugs” said Barbara Murphy, MB BAO BCh, FRCPI, ASN Councilor. “Extending coverage of immunosuppressive medications will make transplant care more accessible and equitable. I commend Congress for taking action to address this important issue.”

The legislation ensures that Medicare covers the cost of immunosuppressive drugs if no other coverage is available. A non-partisan Congressional Budget Office analysis estimated the legislation will save Medicare more than $400,000,000 over the course of 10 years by averting a return of transplant patients to hemodialysis.

“I am thrilled to see this critical legislation pass Congress. Kidney transplantation is the optimal therapy for most people with kidney failure, and a transplant is also the most cost-effective therapy for kidney failure” said Michelle Josephson, MD, FASN, ASN Policy and Advocacy Committee Chair. “I have cared for too many patients who have lost their kidney transplants because they could not afford their immunosuppressive medications after Medicare ceased coverage at 36 months, only to return to more-expensive dialysis.”

Senate passage of the legislation follows a Tuesday, December 8 approval of the bill in the US House of Representatives. The legislation is expected to be signed into law and will take effect in 2023.

Since 1966, ASN has been leading the fight to prevent, treat, and cure kidney diseases throughout the world by educating health professionals and scientists, advancing research and innovation, communicating new knowledge, and advocating for the highest quality care for patients. ASN has more than 20,000 members representing 131 countries. For more information, please visit www.asn-online.org or contact the society at 202-640-4660."

https://www.newswise.com/articles/congress-passes-expansion-of-immunosuppressive-drug-coverage-for-kidney-transplant-patients
« Last Edit: December 25, 2020, 05:52:40 AM by plugger » 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
MooseMom
Member for Life
******
Offline Offline

Gender: Female
Posts: 11120


« Reply #1 on: December 24, 2020, 02:14:25 PM »

2023?  Well, it's certainly a step in the right direction!
« Last Edit: December 24, 2020, 02:16:47 PM by MooseMom » Logged

"Eggs are so inadequate, don't you think?  I mean, they ought to be able to become anything, but instead you always get a chicken.  Or a duck.  Or whatever they're programmed to be.  You never get anything interesting, like regret, or the middle of last week."
iolaire
Elite Member
*****
Online Online

Gender: Male
Posts: 1863


« Reply #2 on: December 24, 2020, 03:34:04 PM »

Yes good news.
Logged

Transplant July 2017 from out of state deceased donor, waited three weeks the creatine to fall into expected range, dialysis December 2013 - July 2017.

Well on dialysis I traveled a lot and posted about international trips in the Dialysis: Traveling Tips and Stories section.
plugger
Sr. Member
****
Offline Offline

Gender: Male
Posts: 609


I only look like a sheep - but I ain't

WWW
« Reply #3 on: December 25, 2020, 06:03:21 AM »

It is still a ways out, which makes it not quite as HUGE.  But I was wondering if I would ever see the day something like this would pass.  I am wondering why they have to wait though.
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
PrimeTimer
Elite Member
*****
Offline Offline

Gender: Female
Posts: 2311


« Reply #4 on: December 29, 2020, 12:00:24 AM »

I'd say this is a step in the right direction. I never understood why coverage for the anti-rejection meds didn't cover the life of the transplant.
Logged

Husband has ESRD with Type I Diabetes -Insulin Dependent.
I was his carepartner for home hemodialysis using Nxstage December 2013-July 2016.
He went back to doing in-center July 2016.
MooseMom
Member for Life
******
Offline Offline

Gender: Female
Posts: 11120


« Reply #5 on: December 29, 2020, 08:12:41 AM »

I'd say this is a step in the right direction. I never understood why coverage for the anti-rejection meds didn't cover the life of the transplant.

As I understand it, I think the original thinking was that transplantation would allow the return to work, so the employer's insurance package would pick up the cost.  I could be wrong, though.
Logged

"Eggs are so inadequate, don't you think?  I mean, they ought to be able to become anything, but instead you always get a chicken.  Or a duck.  Or whatever they're programmed to be.  You never get anything interesting, like regret, or the middle of last week."
Hereware
Newbie
*
Offline Offline

Posts: 45

« Reply #6 on: December 30, 2020, 04:45:48 PM »

It's about time that we have good news. The new year is up ahead.
Logged
plugger
Sr. Member
****
Offline Offline

Gender: Male
Posts: 609


I only look like a sheep - but I ain't

WWW
« Reply #7 on: January 02, 2021, 07:44:43 AM »

Quote

As I understand it, I think the original thinking was that transplantation would allow the return to work, so the employer's insurance package would pick up the cost.  I could be wrong, though.

We had a problem with that thought back in the day.  I got laid off while my daughter was under my insurance coverage for her transplant care.  We felt the need to drop the COBRA health insurance coverage on everybody in the family except my daughter - we didn't know how long it was going to be before I found another job.  I'll just say my wife was dealing with medical problems of her own, but being a Mom she was insisting I drop her coverage.  She insisted she could pay out-of-pocket and get by.  To this day it is a decision I hated making, but we rolled the dice and gratefully won.  I don't like thinking about what could have happened if we had lost that bet on my wife's health.
« Last Edit: January 03, 2021, 05:43:04 AM by plugger » 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
Pages: [1] Go Up Print 
« previous next »
 

Powered by MySQL Powered by PHP SMF 2.0.17 | SMF © 2019, Simple Machines | Terms and Policies Valid XHTML 1.0! Valid CSS!