Renal Case Management

At Specialty Care Management, we handle renal case management by educating and providing members with Medicare enrolment assistance.At Specialty Care Management, our passion is to do what’s right for the patient, and what’s right for the plan. And with 1 in 3 adults at risk for kidney disease and 1 in 9 living with it, you need to have a strategy in place to deal with the catastrophic costs associated with renal disease. Our comprehensive Renal Case Management program, Triptyc, delivers the highest quality case management for the patient while providing significant savings for the plan. According to the National Kidney Foundation, “about 30% of patients with Type 1 (juvenile onset) diabetes and 10% to 40% of those with Type 2 (adult onset) diabetes eventually will suffer from kidney failure.” Therefore, we have developed a multilayered program to guide patients through each of three potential stages: diabetes mellitus diagnosis, renal dialysis, and the transplant process, providing education and tools for compliance, in an effort to avoid complications and comorbidities. Our Triptyc team ensures that the medications and procedures recommended are medically necessary and appropriately priced.    

Our dedicated specialists include:

  • CCM Certified Registered Nurse Case Manager
  • Medical Director (Nephrologist, Endocrinologist)
  • Licensed Medical Social Worker
  • Pharmacologist
  • Registered Dietitian
  • Renal Billing, Coding, and Negotiation Specialist

Unlike other case management plans, Triptyc is an all-encompassing solution for renal case management that offers truly effective dialysis cost containment solutions across the progression of the disease. Coaching, support, and education are effective ways to prevent kidney disease, but if and when renal dialysis is needed, the costs can be astronomical. SCM has a remarkably successful renal dialysis repricing rate, as well as a transplant network that would provide considerable kidney transplant savings. All along, the Triptyc team provides the support and services necessary to make the care provided as successful as possible.

With Specialty Care Management’s Triptyc program, outstanding outcomes and dialysis cost containment go hand in hand.