CKD Impact

Growing prevalence of Chronic Kidney Disease is having a devastating impact on patients, communities, health plans, and providers.

CKD is a Substantial Economic Burden

Medicare, ESRD, additional diseases, and many other factors contribute to the high cost of care, adding to the burden of the disease.

Learn more about the causes of the economic burden of CKD.

Payor Challenges

CKD Cost Burden

Payor Challenges & Opportunities

Chronic Kidney Disease

The Need

Early Identification

and coordination of care requires information from both administrative and clinical sources.

Early Intervention

requires timely delivery of CKD stage-specific treatment and rapid evaluation of outcomes.

Effective Care Managment

is hampered by fragmented care delivery and challenges in data capture and sharing.

Chronic Kidney Disease

The Challenges

Accurate Administrative Data

is essential to understand referral patterns and network utilization and detect gaps in care.

Complete
Clinical Data

including diabetes and hypertension indicators, clinical findings, kidney function labs, and kidney failure risk scores, is critical for appropriate early intervention.

Our Solution

Upstream Intervention for CKD Risk

We start with claims and clinical data.

And then…

Our data analyst and your clinician will

  • Validate data
  • Aggregate data
  • Calculate financial and quality metrics
  • Map unstructured clinical data
  • Review trends and outcomes
  • Present insights

So that…

You can

  • Improve CKD Management
  • Monitor Cost of Care
  • Optimize Provider Networks
  • Address Health Disparities
  • Enhance Provider Partnerships

Value for Health Plans

FHG is uniquely positioned to partner with you and your provider groups to significantly affect the trajectory of your CKD population. With an install time of 4 to 6 weeks, we start to deliver insights almost instantly. Our flexible partnership models include risk-revenue share.

Control
Cost

  • Track performance metrics
  • Monitor referral patterns
  • Address key cost drivers
  • Align with CMS kidney care priorities
  • Accelerate value-based contracting

Improve Members Outcomes

  • Slow progression of disease for members with CKD
  • Address comorbidities in patients
  • Plan for transplant or home dialysis for members with ESRD
  • Reduce hospitalizations
  • Improve Care Coordination

Advance Health Equity

  • View clinical and claims data by race, ethnicity, gender, socioeconomic factors
  • Detect inequities in care, access,
    and outcomes
  • Identify patients at elevated risk or with gaps in care
  • Target interventions to address health disparities
  • Implement rapid evaluation and continuous improvement models
  • Support CMS focus on health equity

Our Model

We combine our software, advanced analytics, and expertise to help you improve clinical outcomes and financial performance.

Our Solution Works

Clients just like you have harnessed the power of their clinical and claims data to improve patient care and capture incentive revenue.

Take a quick tour.

Forward Health Group

About Us

Born in Wisconsin (2004)
Built in Wisconsin (2009-Present)

In 2004, the team behind Forward Health Group pioneered a powerful approach to data aggregation at scale (www.wchq.org). Today, we partner with delivery organizations to navigate new value-based reimbursement programs and to innovate additional reimbursement models to support patient-centered care delivery.

Expertise

  • Electronic health record and claims data
  • Data visualization and analysis
  • Disease-specific risk models
  • Clinical quality measures
  • Outcomes improvement
  • Population health management

Solutions

  • Implementation
  • Customization
  • Training
  • Workflow Consultation
  • Quality Measure Updates
  • Data Refreshes and Validation