Nephrology Care: Bright Spots

Researchers from CERC conducted site visits at United States nephrology practices ranking near a commonly used by payers. They identified 12 care attributes common in highly ranked nephrology practices that fell into five themes: preventing near - term costly health crises, supporting patient self-care, maximizing effectiveness of office visits, selecting cost-effective diagnostic and treatment options, and developing infrastructure to support high-value care.

A panel of nephrologists identified practices that may be easiest to transfer to less-favorably ranked practices.Findings from this exploratory study may serve as a starting point for United States nephrologists who face increasingly value-sensitive payers and patients.
  1. Preservation of kidney function for patients with CKD is achieved through Nephrologist-guided frequent monitoring of kidney function, and early planning for vascular access for late-stage patients who prefer hemodialysis.

  2. Patient activation is supported through education and access to self-management approaches at each clinical visit.

  3. For unstable CKD patients, rapidly flexible office visit frequency allows better matching of care with clinical need.

Projects and Outcomes

Net Percent reduction in total annual American health care spending: 0.64%

Net annual savings $23 billion / Total annual American health care spending in 2018 $3.6 trillion

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