Supreme Court Rules Health Plans Unquestionably Have Authority to Carve Out Dialysis Benefits and Reprice Dialysis Claims

Introduction On June 21, 2022, the U.S. Supreme Court published its decision in Marietta Memorial Hospital, et al. v. DaVita, et al. In this decision, the Supreme Court ruled that self-funded health plans have the authority under the Medicare Secondary Payer Act to carve out dialysis benefits and set rates for such benefits at appropriate levels […]

Renalogic Launches New and Expanded Suite of Services; Celebrates 20 Years in Business

Leading CKD Management Company Innovates for Client Impact CHICAGO, IL (June 15, 2022) – Renalogic, the leading company helping employers and self-funded health plans fight the human and financial costs of chronic kidney disease (CKD), celebrated its twentieth year in business with the launch of an expanded suite of service offerings. The new and expanded Renalogic […]

Renalogic Announces First Quarter Results

Saves Clients $26M in the First Quarter While Improving Member Health CHICAGO, IL (May 5, 2022) – Renalogic, the leading company helping employers and self-funded health plans fight the human and financial costs of chronic kidney disease, today announced substantial cost savings and clinical results on behalf of its clients. By providing its proprietary cost […]

Renalogic Achieves National Committee for Quality Assurance Accreditation for Population Health

CHICAGO, IL (January 25, 2022) – Renalogic, the leading company helping employers and health plans fight the human and financial costs of chronic kidney disease, announced today they have been accredited by the National Committee for Quality Assurance (NCQA) for Population Health Management. NCQA Accreditation standards are developed with input from various stakeholders and resources: […]

Cost Saving Trends for Health Plans

In September and October of 2021, Renalogic sponsored market research with the country’s top benefits consultants to gauge frontline perspective on the evolution of reference-based pricing (RBP) programs. The results are in, and Renalogic is hosting an exclusive webinar to share and discuss the most recent findings on the growing strategy of RBP in the […]

National Survey of Health Plan Brokers Reveals Growth for Reference-Based Pricing

Renalogic releases industry report featuring trends to combat massive claims PHOENIX, AZ and CHICAGO, IL —November 8, 2021 – Renalogic, the industry leader in dialysis risk management and cost containment sponsored market research with the country’s top benefits consultants to gauge frontline perspective on the evolution of reference-based pricing (RBP) programs. With survey respondents expecting […]

Fix the Risks You Missed at Renewal

Still relying on Multiple of Medicare for Dialysis Repricing? Then, don’t miss our webinar to learn the dramatic changes in plan risks based on recent court rulings delivered late, last November — while most plans were already enrolling members. Then, we’ll look at what it takes to protect plans – even if your plan start […]

Best Practices for Dialysis Cost Containment in 2021

Saving money versus avoiding massive risk, dialysis cost containment plans are not all created equal. More than plan language, savvy health plan fiduciaries know that the real value comes from plans that do more than contain costs. In this webinar, Jim Wachtel, Rachael Benton and Ed Gonzalez will discuss best practices for putting an end […]

Specialized Case Management Drives ROI

Join our panel for a deep dive about specialized care and the positive results our case management brings to health plans and their population. The ImpactCare program is our clinically proven, high-touch specialty care management program which improves the health and vitality of members while providing cost savings and catastrophic cost avoidance. Fewer than 1% […]

Protecting People and Plans

Today, cost containment comes in many forms. In the ongoing debate about “reference based pricing” (RPB), it turns out RBP has evolved and diversified into specialized cost containment tools that have overcome some of the industry’s early barriers to success. For example, many health plans are using cost containment only in highest claims cost cohorts […]