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Case Studies

Managing Full Risk for ESRD Patients: What We Learned in Managing a Medicare Advantage C-SNP

VillageHealth®, in collaboration with a health plan partner, developed the first of our Medicare Advantage ESRD Chronic Special Needs Plans (C-SNPs) in Southern California. Under this arrangement, we have full financial risk for a population of ESRD patients receiving dialysis in San Bernardino and Riverside, California. This program started as a Medicare demonstration project in 2006 before transitioning to an ESRD C-SNP in 2011. Following eight years of investment and program evolution, we have achieved success with a nearly $8,000 per-member per-year savings, an average hospitalization rate 26 percent lower than the national average, and a top-three patient satisfaction rating across all 30 California C-SNP plans since 2013.

          SNP Case Study

How Highmark Is Achieving the Triple Aim for ESRD Patients

Highmark, a large Blue Cross Blue Shield-affiliated company headquartered in Pittsburgh, recognized that achieving the Triple Aim for their renal patients, one of their most medically complex outlier populations, would be nearly impossible with a traditional care management approach. In partnership with VillageHealth, Highmark has improved ESRD patient quality of care, enhanced patient quality of life, and achieved 21 percent addressable cost savings.

         Highmark Case Study

To learn how VillageHealth can assist your organization in understanding and managing your renal population, email Inquiries@VillageHealth.com.

Patient Stories

"The VillageHealth program is like having an angel...."
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Caregiver for Vickie
"I got my life back thanks to VillageHealth...."
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"When I was in the hospital, my VillageHealth Nurse was my lifeline...."
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"Support from knowledgeable, intelligent nurses that care about me...."
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"Thanks to the personal interest in my health from the VillageHealth team...."
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"I appreciate not having to go to the emergency room for treatment. ..."
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"I am doing better medically because of the education and support of this program...."
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"The nurses are always on top of my condition...."
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