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 nephrologistsidentifiedpracticesthatmay be easiest to transfer to less-favorablyrankedpractices.Findings from this exploratory study may serve as a starting point for UnitedStates nephrologists who face increasingly value-sensitive payers and patients.
 
  1. Preservation of kidney function for patients with CKD is achieved throughNephrologist-guided frequent monitoring of kidney function, and early planning forvascular access for late-stage patients who prefer hemodialysis.

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

  3. For unstable CKD patients, rapidly flexible office visit frequency allows bettermatching 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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