Take Back Control of High Cost Claims...
Specialty Care Management is the industry leader in dialysis cost containment and chronic kidney disease (CKD) management solutions.
Solutions for
Brokers
TPAs
Stop Loss
Captives
Employers
PPO Networks
1 in 7 Adults in the US is facing kidney disease. The facts are alarming.
- Kidney disease is the fastest-growing non-communicable disease in the US.
- Nearly 40 million Americans are affected by kidney disease.
- 9 out of 10 individuals with kidney disease are unaware they have it.
- The average dialysis claim exceeds $500,000 per year.
- Chronic kidney disease drives up healthcare costs by billions each year and is a leading cause of early death in the U.S.
- Medicare spends over $100 billion annually on kidney disease, making it 1% of the entire federal budget.
Recent Case Studies
Unlock a Healthier Future with a Free Renal Risk Assessment for Your Plan Population
Help your members stay ahead of chronic kidney disease with a free renal risk assessment. This valuable tool identifies at-risk individuals within your health plan population, enabling early intervention and better outcomes. Partner with Specialty Care Management to provide proactive care that lowers costs and improves the healthcare experience for your members.
Preventive Care Pays Off: Early Intervention for Better Health and Lower Costs
At SCM, we believe that early intervention is key to achieving better health outcomes and managing costs. By proactively identifying and addressing renal disease in its early stages, we slow disease progression, reduce the need for costly treatments, and improve overall patient health. Our dedicated, RN-credentialed Nurse Coaches work directly with members to manage their condition, while our free renal-related data analytics provide the insights needed to make informed decisions that prevent high-cost claims down the line. This holistic approach not only improves patient care but also results in significant financial savings for health plans.
Why Us?
Since 2002, SCM has been pioneering innovative cost containment strategies that go beyond traditional methods.
Here’s what sets us apart:
- FREE Renal-Related Data Analytics for enrolled plans.
- No Set-Up Fees or Costs until utilization begins.
- Fixed, All-fees Inclusive, Capitated Case Rates, including all outpatient center charges and NO % of Savings Fees.
- Dedicated, RN-Credentialed Nurse Coaches who help slow disease progression and support better health outcomes.
- No Disruption of Care: Members can continue seeing their existing providers.
- Network, TPA, and Provider Agnostic, giving you flexibility without restrictions.
- 100% Success Rate on challenges and appeals, ensuring maximum savings and resolution every time.
