Dialysis Dollars: How Specialty Care Management is Revolutionizing Renal Risk

Episode notes

In this episode of "Healthcare on the Rocks: Employee Benefits with a Twist," hosts David Pittman and Brittany Hardaway sit down with Will Rumsey, Senior Vice President of Sales at Specialty Care Management (SCM) . Will shares his journey in the healthcare industry and explains how SCM focuses on risk mitigation in the renal space. He discusses their two main solutions: chronic kidney disease (CKD) management and outpatient dialysis risk mitigation. Will emphasizes the prevalence of kidney disease, noting that "90 percent of individuals with kidney disease don't realize they have it," and highlights the demographic disparities, stating, "For every one Caucasian, there can be three African American, Latino, or Hispanic individuals with kidney disease." The conversation dives into the unique aspects of SCM's approach, including their budget certainty model and focus on member experience. Will explains their cost-saving potential, saying, "We went from having $2.7 million to just over $700,000, saving about 73% off of the paid charges." He also discusses their renal risk assessment process, which provides precise data on kidney disease prevalence within a population.

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