Reducing the cost of dialysis is not as simple as choosing a service or a vendor. You need the right partner with proven solutions.
Renalogic offers a proprietary pricing methodology delivering nearly 80% savings off total billed dialysis charges.
Costs are Astonishing and Only Increasing
- Dialysis monthly billed charges range from $60,000 to $180,000 per member, or $720,000 to $2,160,000 per year respectively.
- Average annual cost inflation between 8-12%.
Traditional Reference Based or Medicare Based Pricing Is NOT working
- Watered down savings.
- Leaves employer plans open for lawsuits.
- Additional costly appeals and appeal overturns.
- Aggressive balance billing
An innovator from the start, Renalogic has been providing dialysis cost containment services since 2002, significantly saving clients on dialysis costs. In 2013 we implemented our first Dialysis Benefit Carve Out within the self-insured marketplace.
Today, we’re putting an end to surprise dialysis. With new predictive modeling and AI, CareINSIGHTS.ai can accurately predict each plan member’s propensity to advance to the next stage of CKD including dialysis within the next 12 months. That’s every member, even those without a CKD diagnosis. This changes everything. Now our clients know when future dialysis claims are coming. We provide the right intervention at the right time, giving members whose progression is imminent a soft landing while helping others slow, reduce, or reverse their progression towards dialysis.
Our repricing methodology allows clients to choose when to use our language, and when to use other options when that is more beneficial for them. This gives clients maximum flexibility to select the appropriate option for each situation.
- Proprietary plan language allows re-pricing for in-network and/or out-of-network dialysis claims
- Appropriate for use in ERISA, Taft-Hartley, and other plan environments.
- Expert and effective appeals support.
Excessive Dialysis Costs?
Our proven dialysis cost containment solutions have been trailblazing the self-funded marketplace for nearly two decades. We provide industry-leading change that demonstrates improved bottom-line results for our clients.
- No appeals lost. Ever.
- Court rulings indicate Renalogic plan design a safe harbor for Multiple of Medicare (MoM) plans.
- Exclusive PPO Network solution for dialysis costs.
- Proprietary pricing methodology delivering nearly 80% savings.
- Re-insurers may reduce or waive lasers when our program is applied.
“We strive to be a force – a force that can positively influence the businesses we work with…positively influencing their employee’s health, and positively influencing provider awareness and education…”
Lisa L. Moody – Chief Executive Officer