An integrated approach to kidney care
For Fresenius Medical Care North America (FMCNA), improving health outcomes for patients with renal disease extends far beyond the four walls of our dialysis centers. FMCNA has built an integrated network of people, technology and resources to deliver patient-centered care in a manner that improves health outcomes and reduces medical costs.
Fresenius Health Partners (FHP) was organized by FMCNA to lead its transformational initiatives in designing and delivering value-based care programs for renal disease. FHP now has almost 50,000 renal patients enrolled in its value-based care programs with governmental and private insurance payors, giving FHP a scale and experience unmatched by any other provider of care to renal patients. Combining FMCNA’s expertise and 100-plus years of experience as the world’s leading innovator in kidney care and dialysis products and services with FHP’s centralized and in-market care coordination resources, we are at the forefront of renal care management.
Through our high-touch approach, we help renal patients live life to the fullest while managing the rising cost of care. Learn more about chronic kidney disease.
Patient-centered care for end-stage renal disease
Most traditional care management programs are not equipped to manage small, complex, geographically distributed end-stage renal disease (ESRD) populations. However, our value-based models of care are designed to address the chronic, high-cost needs of the ESRD patient. By placing the patient at the center of an integrated care team, we are able to address their complex clinical and psychosocial needs, delivering positive outcomes for patients and payors.
FHP currently offers value-based care programs for renal patients to commercial health plans through its Payor Programs and to the Centers for Medicare and Medicaid Services (CMS) through the ESRD Seamless Care Organization (ESCO) program administered by the Center for Medicare and Medicaid Innovation (CMMI).
Today, FHP’s Payor Programs deliver targeted, real-time care coordination services to a health plan’s Commercial and Medicare Advantage members with CKD and/or ESRD. These programs improve member health outcomes while reducing the health plan’s financial risk for this challenging population. Current FHP clients include Aetna/Coventry, Cigna and Humana. Learn more about FHP’s Payor Programs.
Our Payor Programs:
- Markedly improve the lives and health outcomes of members with CKD and ESRD
- Offer guaranteed savings against the historical total cost of care for ESRD members receiving dialysis at Fresenius Kidney Care (FKC) centers
- Provide the opportunity to move “upstream” to work more effectively with later stage CKD members to increase optimal dialysis starts and earlier evaluation of transplantation and home dialysis options
- Align FMCNA and the health plan around renal patients’ total care experience and cost
- Are easy for the health plan to implement
ESRD Seamless Care Organizations (ESCOs)
ESCOs provide highly coordinated care for Medicare “fee-for service” beneficiaries with ESRD. Consisting of a partnership between our participating dialysis centers and nephrology practices, each FHP-managed ESCO — called Fresenius Seamless Care — is responsible for the total care experience and medical cost of the Medicare fee-for-service ESRD beneficiaries attributed to the ESCO. Our 24 ESCOs across the country also leverage the care coordination services and real-time interventions provided by FHP’s Care Navigation Unit (CNU). Learn more about Fresenius Seamless Care.