Cross posted from DSEN
By Bill Peckham
I don’t usually pay attention to renal industry stock prices and I am suspect of arguments that rely too much on a stock price or the market generally, but I was curious about DaVita’s stock price on news that the House passed the Senate health insurance reform bill and thus, no matter the fate of the reconciliation sidecar, health insurance reform. DaVita’s stock was up 1.29% today, not a big move but still a 52 week high.
I think this in part reflects a sophisticated understanding of how HR 3590, the Patient Protection and Affordable Care Act, will benefit DaVita and all dialysis providers. On the operations side, millions more people will have private health insurance (health insurance companies are also trading at new highs), that means thousands more people will have private insurance paying for their dialysis for the first 33 months that they require treatment. On the care side, people will now be more likely to start dialysis with a fistula because those identified with advanced CKD will be able to buy into high risk pools at the state level starting in 2011; once the insurance exchanges are established in 2014 people will transition off the state high risk pools(PDF).
When I was first diagnosed with CKD I was looking for my first job after college. Those four months between graduation and hearing the CKD diagnosis were the only four months of my life that I did not have insurance. After President Obama signs this bill today’s Bill Peckhams will be able to stay on their parent’s insurance as they transition from school to a career(PDF).
There are many great things for those that are fighting the dull advance of CKD in our society but for those using dialysis, with Medicare Part D, this bill, post reconciliation, acts to close the donut hole and makes other improvements in Part D coverage(PDF). This is in addition to language specific to the reimbursement of dialysis, calling for the GAO to study the inclusion of oral drugs under the PPS.
This legislation does all of this for the kidney community - increases future profits, improves patient health, provides helpful action that will make adding oral drugs to the PPS in the future less risky for CMS and beneficiaries - I thought there must be a big banner of gratitude and thanks on the Kidney Care Partner’s website. Best. Legislation. Ever! Maybe? Nope.
KCP has not a word to say about the biggest victory for the provision of dialysis since passage of the original Medicare entitlement in 1973. The nation’s premier coalition of patient advocates, dialysis professionals, care providers and manufacturers dedicated to working together to improve quality of care for individuals with Chronic Kidney Disease is silent on the most important CKD advocacy win in a generation.
Instead of elaborately thanking Congress for this huge win for better CKD care they’d like you to send Congress a form letter echoing the letter I commented on last week. People have to follow their own heart but in my book thanking people should come before asking for more.