Wednesday, June 26, 2024

Strive Health Doubles Its Footprint in Innovative Medicare Payment Model, Surpasses $2.5 Billion of Medical Spend Under Management

Strive Health, the national leader in value-based kidney care, doubled its footprint year over year in Medicare’s innovative payment model for people with kidney disease. Growth in Medicare’s Comprehensive Kidney Care Contracting (CKCC) modelled to Strive’s management of over 73,000 chronic kidney disease patients to date through partnerships with nephrologists and direct care arrangements — and management of over $2.5 billion of medical spend.

“CKCC places nephrologists in the center of the care model and incentivizes providers to delay the progression of kidney disease to kidney failure,” said Chris Riopelle, CEO and co-founder of Strive Health. “Strive is partnered with over 500 nephrology providers across 10 states to participate in the model.”

CKCC, which launched in 2022, is a Center for Medicare and Medicaid Innovation (CMMI) payment model that is designed to reduce Medicare expenditures while preserving or enhancing the quality of care provided to beneficiaries with late-stage chronic kidney disease (CKD) and end-stage kidney disease (ESKD). CKCC rewards nephrologists for improving long-term outcomes and reducing the cost of care.

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The United States currently spends $420 billion annually on patients with kidney disease, and 24% of Medicare spending is on patients with kidney disease. CKCC equips nephrologists with incentives to holistically manage patient care, with a particularly meaningful impact felt for patients in vulnerable communities.

To participate in the CKCC model, Strive Health, and its nephrology partners formed Kidney Contracting Entities (KCEs), which take responsibility for the total cost and quality of care for their patients and, in exchange, receive a portion of the Medicare savings they achieve. Strive manages the entities and provides nephrologists with a unique set of resources designed to help ensure their success in the model.

Strive spent several years developing capabilities that were then customized for each partnering nephrology practice during an in-depth, six-month implementation process. Participating nephrologists continue to lead clinical decision-making while Strive provides access to data and technology resources, administrative support, management expertise, and an interdisciplinary clinical care team that includes care coordinators, nurse practitioners, dietitians, and licensed clinical social workers.

SOURCE: Businesswire

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