About Us
Focused Care.
Shared Risks
and Rewards.
A Revolutionary Care Model
for ESRD Patients
Our Mission
To support members, caregivers and
providers to deliver improved ESRD outcomes
at lower costs.
Champion Health Plan, USA (formally known as Renal Payer Solutions) is a Medicare Advantage Prescription Drug (MAPD) Chronic Special Needs Plan (C-SNP) and Renal delivery network for end stage renal disease (ESRD). We contract directly with the Center for Medicare & Medicaid Services (CMS) and as a value-based network with health plans, self-funded groups, and full-risk IPAs and medical groups.
Connecting C-SNPs to Improved Outcomes
In a 2020 study published in PubMed, researchers found a positive correlation between C-SNP enrollment and lower rates of hospitalization and mortality for patients with end-stage kidney disease. The findings suggest that the additional services and benefits provided by C-SNPs may improve outcomes, compared with standard care for this population.
We’re helping to connect the dots.
Breaking Down
Barriers In Renal Care
Our goal is to support the member, caregiver and providers to more effectively and efficiently manage chronic medical conditions. For ESRD patients, strict adherence to provider treatment plans is critical for improved outcomes and better quality of life. Our high touch and tech-enabled support services help providers and patients make adherence a stronger reality with:
Consistent treatments: Improved support programs enable more ESRD members to receive dialysis services successfully at home.
Hospital avoidance: Our Home Assist team provides home emergency care and 24/7 availability to Nephologist support care.
Local touchpoints: Feet-on-the-ground
case management helps ensure in-home member support.
Telehealth services: Members have access
to telehealth services for all medical subspecialities, behavioral health, nutrition, social work and primary care with home nursing support when necessary. When appropriate, the Plan will also initiate remote patient monitoring and peer-to-peer consultations.
Shared visibility: Tech-enabled EHR, advanced
AI analytics and data reporting drives more holistic data.
Improved support for patients with poly pharmacy: Specialty pharmacy helps members take their medications as prescribed by their doctors, eliminating duplicate therapies and drug interactions.
Streamlined administration: Our Medical Services Organization coordinates utilization, processes and claims.
Healthier patients.
Happier stakeholders.
Everyone wins.
In-Home Hemodialysis: Opportunities and Advantages
Opportunity
Advantages to Patient
Improve Awareness of
Care Options
- Access to nephrologist
- Access to care team
- Patient and caretaker education
Flexibility of Care
- Treatments can be done longer and more frequently, which is gentler on patient’s body
- Immediate interventions, as needed
- High touch care in patient’s preferred setting
Increase Payer Alignment
- With the transition to MA, payers are incentivized to actively manage the ESRD and CKD population for the first time
Reduce Costs
- Fewer hospitalizations
- Less non-emergency transport
Our Value To Patients and Providers
Patients enjoy wraparound services that address the complex challenges facing the ESRD patient population.
Whole-
Patient Care
Providers are motivated by the chance to deliver wholepatient care that addresses social and medical determinants of health.
Patients pay lower copayments, coinsurance deductibles and premiums.
Financial
Incentives
Providers share in cost savings generated from improved patient outcomes.
Patients receive a benefits package more aligned with their needs, as well as additional services such as inhome dialysis.
Convenience
Providers receive support
from the Plan/MSO and no longer deal with administrative burdens.
Patients see better quality, more attentive care from the physician.
Whole-
Patient Care
Providers experience increased income and cashflow stability from capitation payments.
