Nation’s Kidney Community Deeply Disappointed with Supreme Court Ruling

in Marietta Memorial Hospital Employee Benefit Health Plan v. DaVita

Washington, DC June 21, 2022 --(PR.com)-- Kidney Care Partners (KCP) – the nation’s largest
non-profit, non-partisan coalition of more than 30 organizations, comprising patients, dialysis
professionals, physicians, nurses, researchers, therapeutic innovators, transplant coordinators, and
manufacturers – today, expressed deep disappointment in the Supreme Court ruling on Marietta Memorial
Hospital Employee Benefit Health Plan v. DaVita, citing concern about discrimination in accessing
affordable quality care for individuals living with end-stage renal disease (ESRD) and its impact on
growing health inequities.

“The insurer practice at issue – shifting patients prematurely to Medicare – will exacerbate inequalities in
access and quality care for an already vulnerable population. This ruling is a blow to promoting
affordable patient choice and instead unfairly shifts costs to the American taxpayer. We feel this decision
leaves patients with ESRD vulnerable to discriminatory and inequitable insurer practices, and in fact, is
not consistent with the Administration’s own goals on health equity,” said John P. Butler, Chair of KCP.

Premature loss of private group health coverage can be devastating for some patients living with ESRD.
Often, private insurance plans offer more coverage options than Medicare does. Some of these services,
such as dental coverage, can be essential in controlling infections that, if not caught early, can exclude a
patient from transplant waitlists. More comprehensive disease management services can provide better
outcomes by helping to manage other chronic diseases common in patients requiring dialysis. Private
insurance may, in some cases, also provide lower copays and deductibles and limits on out-of-pocket
costs than Medicare. When a patient living with ESRD loses private insurance coverage, the
consequences can also extend to other family members under that policy who do not qualify for Medicare
and may face substantially higher costs, deductibles, and other cost requirements resulting from that loss
of coverage.

“Despite this ruling, KCP remains steadfast in our commitment to ensuring equitable, affordable access to
quality care for the millions of individuals living with or at risk for kidney disease,” said Butler. “We
stand ready and willing to work with Congress and other policymakers to address the gap created by
today’s ruling and clarify the intent of the Medicare Secondary Payor Act to better protect patients from
exclusionary measures like this. More must be done to ensure that no one is denied or discriminated
against because of the treatment they need because of their disease.”

The issue in the case was whether a group health insurance plan that limited access to outpatient dialysis
treatments violated the Medicare Secondary Payer statute by discriminating against patients based on
their need for dialysis. In January, KCP filed an amicus brief that argued that the health plan
discriminated against those with ESRD by limiting coverage for life-sustaining treatment, thereby forcing
patients to drop private group coverage, and financial protections, in favor of Medicare. The recent
Supreme Court opinion disagreed with that argument.

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Contact Information:
Kidney Care Partners
Sarah Feagan
703-543-9180
Contact via Email
http://www.kidneycarepartners.org

Online Version of Press Release:

https://www.pr.com/press-release/864006

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