How 5 payers are improving kidney care

More payers are adding value-based kidney care partnerships and initiatives to address the needs of the nearly 40 million people in the U.S living with kidney disease. 

Here are five partnerships Becker's has reported in the last year. 

  1. Humana is adding value-based kidney care from in-home provider Monogram Health. In-home care visits, medication management and dialysis and transplant coordination from Monogram Health will be available to Medicare Advantage members in Tennessee, Alabama, Mississippi and Louisiana. 

  2. UPMC Health Plan and value-based kidney care provider InterWell Health are partnering on care coordination for members with kidney disease. The initiative with InterWell covers members across multiple UPMC Health plans, including Medicare Advantage and commercial plans. 

  3. GuideWell and Highmark Ventures led a $35 million funding round in May for kidney population health management company Healthmap Solutions. Healthmap projected it will have more than 150,000 members under contract across commercial, Medicare and Medicaid lines by the end of 2022. 

  4. Regence is partnering with kidney care provider Strive Health on a care program for Medicare Advantage members with advanced chronic or end-stage kidney disease. 

  5. Clover Health entered a value-based agreement with San Francisco, Calif.-based specialty kidney care provider Cricket Health in December 2021. The agreement allows clinicians using the payer's patient data platform, Clover Assistant, to connect patients with chronic kidney disease to Cricket Health's clinicians, mentors and social workers at no additional cost.

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