Success Factors for Nephrologists’ Participation in Value-Based Integrated Care Models

The evolution toward use of care delivery models embracing the concept of delivering increased value has accelerated, fueled in part by the passage of the Affordable Care Act (ACA). Medicare Shared Savings Programs (MSSPs), including Accountable Care Organizations (ACOs) and ESRD Seamless Care Organizations (ESCOs) are only a few of the new care delivery and reimbursement structures. As these new payment methodologies are developed, nephrologists must provide value and have supporting data to demonstrate that value to payers – insurers, health systems, hospitals – in order to succeed.

This document provides the practicing nephrologist with the rationale and guidance for success in this evolving environment, as well as outlines the business and clinical practice considerations necessary for that success.

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