Renal Dialysis Programs

Outpatient Dialysis Cost Containment

Reducing risk has never been simpler­ - or more rewarding

Just one renal dialysis claim could potentially wreck havoc on a plan. Since 2002, Specialty Care Management (SCM) has been providing Renal Re-Pricing Programs to help normalize the cost of dialysis and bring a catastrophic claim back under control.

At SCM we pride ourselves on curating solutions that are adaptable to a multitude of plan structures leading to a streamlined implementation every time.

Whether you are a fully self-funded plan or utilize an ASO/BUCA we can work with you to manage your dialysis claims. Helping reduce your risk while protecting the plan, and patient, from further financial responsibility through predictable and quantifiable results.

Exclusive Program Features

Exclusive Program Features Such As Advanced Analytics, Real-Time Collaboration And More.

Greater than 80% average savings with no hidden fees
No set-up cost
Proprietary dialysis underwriting model
100% success rate on challeneges and appeals
Patient advocacy through dedicated renal case management specialists In-depth review and analysis of the plan document

Start A Conversation Today To Find The Right Fit For Your Plan

Dialysis PrimeTM

Traditional Self Funded Solution

* SCM reserves the right to perform or not perform any service offering on a case-by-case basis at its sole discretion

Dialysis+ PlusTM

Administrative Carve out solution for Self-Insured Plans

SCM has partnered with ACS Benefit Services (ACS) to bring you a comprehensive administrative carve-out program fo dialysis claims. Completely alleviating the burden of dialysis claims, Dialysis Plus handles ALL aspects of management—from tailored plan design and member onboarding logistics to appropriate repricing, accurate and timely adjudication, and streamlined handling of the appeals process.

Uncover a Complete Solution to High-Cost Claims