ETOC

Access to Care for Hemodialysis Patients During Natural Disasters

Boston—Among patients dependent on renal replacement therapy, the effects of missed treatments are severe, making access to care for in-center hemodialysis patients critical during and after a natural disaster. Stephanie Baterseh (United Kingdom) and Vijay Lapsia, MD, (United States) conducted a review of existing literature to examine the state of the art in managing care of dialysis patients in the ... Read More »

From the Field: Controversy over Commercial Insurance

By Sarah Tolson Earlier this year the California Assembly passed AB 290, a bill with the stated purpose of “preventing dialysis companies from increasing their already excessive corporate profits through a scheme to bankroll patients’ health care premiums,” according to the official website of California Assembly member Jim Wood. The bill, which is now under consideration by the California Senate, ... Read More »

Metabolic Acidosis and Risk for Cardiovascular Events Following Transplantation

Of the 135,436 kidneys transplanted between 2008 and 2015, an estimated 20% will be lost within 5 years. An additional 35,000 kidney transplants will be lost by 2025, which will result in significant morbidity, mortality, and public health costs. Patient death, primarily due to cardiovascular disease, accounts for nearly half of the failed transplanted kidneys. The other 50% are lost ... Read More »

Cinacalcet Prescription Varies across US Hemodialysis Facilities

Since the implementation of the Medicare ESRD [end-stage renal disease] Prospective Payment System (PPS), i.e., bundle payments, dialysis facilities are reimbursed at a flat rate for a bundle of ESRD-related drugs, supplies, and services per dialysis treatment. Adjustment to the base rate is made to account for patient-level case-mix and facility-level factors that are associated with higher costs related to ... Read More »

From the Field: Three Tips to Improve Accounts Receivable

In our company, we deal with insurance companies across the nation. Working with a variety of payers gives us a wide range of experience but we also encounter our fair share of challenges in obtaining reimbursement. Here are three simple tips that make collecting from payers a little easier. 1. Know the Rules The best way to cut down on ... Read More »

Incidence of Nonmelanoma Skin Cancer Varies by Treatment Modality in Transplant Recipients

The most common form of cancer in recipients of solid organ transplants is nonmelanoma skin cancer (NMSC), which is reportedly more common in recipients of renal transplants than in patients receiving maintenance dialysis. Patients on maintenance dialysis are also at increased risk of NMSC, including patients with high comorbidity and those on the active transplant waiting list. There are few ... Read More »

Young Adults with ESRD at Increased Risk for Cardiovascular Disease and Mortality

In patients with end-stage renal disease (ESRD), including children and adults, cardiovascular disease (CVD) is a leading cause of morbidity and mortality. In individuals ≥45 years of age, 87% have developed CVD at the time of ESRD onset and approximately 50% of deaths are attributed to CVD. In children with ESRD in the United States, CVD-related mortality occurs in 23%; ... Read More »

From the Field: New Frequency of Hemodialysis Local Coverage Determinations

Sarah Tolson Effective March 1, 2019, several Medicare Administrative Contractors (MACs) began processing claims for hemodialysis treatments under new Local Coverage Determinations (LCDs). These LCDs underwent massive revisions after the proposed LCDs released in 2017 would have essentially eliminated reimbursement for more than three treatments per week because they were so strict. Medicare, the largest payer in the United States ... Read More »