What We Do
Nephrologists
Existing fee-for-service Medicare reimbursement models don’t solve the problem of inefficient ESRD care. In fact, they contribute to it. They thwart nephrologists’ ability to tailor patient care programs to address complex underlying social determinants of health.
Nephrologists:
You Become the
Quarterback
In our model, the nephrologist is the primary treating physician—the one taking the lead to manage patient care. With full visibility into end-to-end patient care, you can eliminate duplicate services and meds, reduce fragmentation, eliminate unnecessary hospitalizations
and reduce costs—for which you share in
the rewards.
A Better Strategy:
More Control &
Shared Savings
We encourage nephrologists to form independent provider groups, which accept the risk for assigned plan members. You’ll have more flexibility to manage care for your patients, and can benefit from shared savings by delivering:
- Better, more holistic care
- Improved management of co-morbidities
- Greater focus on outcomes by addressing social determinants of health
Healthier patients.
Happier stakeholders.
Everyone wins.
Supporting Health
Plans, Self-Funded
Programs and Full
Risk Medical Groups
We have the capability to support For Health Plans, Full Risk Medical Groups and self-funded programs to reduce the cost for the ESRD and CKD population. Our program has ways to take full risk, shared risk or other value-based contract methods.
While we currently cover California and Nevada, we can quickly develop delivery programs in other states. Connect with us to learn more.
A Market-Leading
Management Support
Organization
Supporting providers and IPAs, we operate comprehensive MSO services—offered at a fair market value and vertically integrating into a world-class health services organization. The MSO also contracts with IPAs and medical groups outside our network.
- Providers enjoy lower costs and access a full suite of services
- IPAs and medical groups enjoy an interlocking of community of expert clinicians and services
A Full Suite of
Support Services
Support Services
Vertically integrated support fuels growth, lowers operating costs.
Admin and Network Management
- Claims processing
- Credentialing
- Delegated oversight management
Financial
Management
- Financial and analytical reporting
- Quality data collection services
Provider Member Services
- Contract management
- Provider data entry
- Provider relations
Care Management / Population Health
- Utilization review support and management
- Member eligibility processing
- Member call center services
