Drive significant improvement in member quality of life and plan total cost of care.
On average, members with kidney disease make up only a small percentage of a health plan’s total population but account for significant avoidable costs that stem from undermanaged CKD and spending on both dialysis and non-dialysis costs. We know how to change that.
The financial impact of ESRD
average Commercial ESRD PMPY
average Medicare ESRD PMPY
of total annual costs spent on dialysis services
of total annual costs spent on inpatient services
How we help
Our solutions connect all major stakeholders and focus resources where they are needed most.
We deploy a team of clinical experts who specialize in renal care directly to the front lines to work side-by-side with patients, their PCP, and their nephrologist. As a complement to your existing infrastructure, we are able to gain deeper insights into situations and behaviors that could accelerate disease progression, leading to unnecessary utilization. Our team handles:
- Personalized renal care planning
- CKD education and health coaching
- Wrap around renal care coordination
- Reduction of barriers in the social determinants of health
- In-home assessments and in-home medication reconciliation
After a comprehensive market and population assessment, we act as strategic advisors to determine which dialysis modality options would provide the most impact on patient quality of life and plan cost and quality goals. We serve as strategic and operational partners across all care settings including:
- Home dialysis, both peritoneal dialysis and home hemodialysis
- Inpatient dialysis
- In-center hemodialysis
We build strong relationships across all key players to ensure patients are getting the best possible care and no one falls through the cracks. Using network data and predictive modeling, we deliver insights that can help improve quality performance and achieve population health goals. Services include:
- Network development
- Quality performance optimization
- Value-based contracting
- Community resource mobilization
RenalIQ™ Technology Deployment
Serving as our model’s connective tissue, our proprietary technology platform utilizes multiple data sets, advanced predictive analytics, and risk stratification to identify different cohorts of at-risk patients. Coupled with intelligent workflow applications, the platform directs care team efforts for appropriate interventions and delivers actionable insights that improve outcomes and plan performance.