Our Solutions

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Member Advocacy at the Right Time

Managing chronic disease conditions can be overwhelming and confusing for plan members. This comprehensive member advocacy program helps members traverse the challenging healthcare landscape.

Supporting members with late-stage chronic kidney disease (CKD)
and end-stage renal disease (ESRD), ImpactAdvocate prepares members for transition into ESRD by helping members understand clinical and coverage options. The member advocacy program is designed to educate plan members about their diseases and then
guide them to the most effective treatment options.

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86.5%

Effective at preventing enrolled members from progressing from CKD stage 4 to ESRD.

How It Works

  • ImpactAdvocate’s risk review service leverages a combination of algorithms, member-supplied qualitative data, provider-supplied medical records and data, and a detailed clinical review of claims to identify at-risk members.

  • The ImpactAdvocate team meets weekly to evaluate members, ensuring they are under specialized clinician oversight.

  • ImpactAdvocate also has an Emergent Task Force team that meets regularly to identify members who are at-risk for emergent care and in need of early intervention.

  • ImpactAdvocate provides vital Medicare education to members, as well as critical education on CKD and ESRD disease states.

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How It Works

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  • ImpactAdvocate’s risk review service leverages a combination of algorithms, member-supplied qualitative data, provider-supplied medical records and data, and a detailed clinical review of claims to identify at-risk members.

  • The ImpactAdvocate team meets weekly to evaluate members, ensuring they are under specialized clinician oversight.

  • ImpactAdvocate also has an Emergent Task Force team that meets regularly to identify members who are at-risk for emergent care and in need of early intervention.

  • ImpactAdvocate provides vital Medicare education to members, as well as critical education on CKD and ESRD disease states.

  • ImpactAdvocate’s risk review service leverages a combination of algorithms, member-supplied qualitative data, provider-supplied medical records and data, and a detailed clinical review of claims to identify at-risk members.

  • The ImpactAdvocate team meets weekly to evaluate members, ensuring they are under specialized clinician oversight.

  • ImpactAdvocate also has an Emergent Task Force team that meets regularly to identify members who are at-risk for emergent care and in need of early intervention.

  • ImpactAdvocate provides vital Medicare education to members, as well as critical education on CKD and ESRD disease states.

Healthcare Navigation

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Our goal is to make it easier for members to get the right care. Members part of the ImpactAdvocate program can use Healthcare Navigation to help figure out the best place for dialysis based on their needs.

Here are some important things Healthcare Navigation can do:

  • Personalized Assessment: We work to understand each members needs and preferences, making it easier for them to choose the best path forward.
  • Work with Nephrologists: We coordinate directly with the member's nephrologist to ensure each member gets the care they need. 
  • Facility Options: We review all the different care facility options that are available to ensure each member finds the option that will work best for them.

Protect and Prevent

ImpactAdvocate is a part of the Renalogic Suite of Solutions designed to proactively and preventatively get ahead of CKD. Renalogic’s solutions are combined into three different packages to work together and address specific and unique health plan risks and costs.

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Retailer Case Study

Tailored Solutions for Maximum Results

See how one client was 100% successful in preventing health plan members from progressing to dialysis, while reducing $7,829,703 in billed dialysis claims to $694,480 with the Renalogic Suite.

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