What You Should Know:
– Blue Shield of CA and kidney care provider Cricket
Health announced a partnership to offer a personalized, virtual,
multidisciplinary care available for members with kidney disease or kidney
failure at no extra cost
– By offering remote care, via phone or virtually online,
Cricket Health’s approach to kidney care is designed to keep Blue Shield
members living with kidney disease healthy at home, and out of clinics or
hospitals whenever possible.
Health insurer Blue Shield of
California and kidney care provider Cricket
Health today announced a new innovative, personalized and comprehensive
care coordination program for members who have late-stage chronic kidney
disease or end-stage renal disease at no additional cost to them.
As part of the long-term collaboration, Cricket Health will offer a multidisciplinary care team that includes nurses, pharmacists, social workers, dieticians, and trained patient mentors to provide an evidence-based approach to help patients better manage chronic kidney disease and end-stage renal disease.
How It Works
The team, available online and by phone, work closely with the participating member’s medical providers including primary care physicians, nephrologists, and other specialists to ensure that, as much as possible, the patient remains healthy, at home, and out of the hospital. The program is especially relevant in today’s COVID-19 environment and is available to members enrolled in Blue Shield’s fully insured Preferred Provider Organization (PPO) benefit plans.
Blue Shield’s claims data and Cricket’s advanced data analytics capabilities are used to identify members with or at risk for chronic kidney disease, and Cricket invites them to participate in the program. Once enrolled, Cricket Health will deploy a multidisciplinary care team and virtual programs with the goal of slowing the progression of the disease, reducing health complications, and avoiding emergency room visits or hospitalizations.
By intervening well before kidney failure, Cricket Health can deliver an evidence-based, personalized kidney care plan for each patient that improves health outcomes. For members whose kidney disease does progress, Cricket Health will help them understand their treatment options — such as in-center dialysis or transplant — and empower them to make their preferred choice.
Why It Matters
This offering comes at a critical time, as those living
with chronic kidney disease or end-stage renal disease have
an elevated risk of complications from COVID-19. By offering remote care, via
phone or virtually online, Cricket Health’s approach to kidney care is designed
to keep Blue Shield members living with kidney disease healthy
at home, and out of clinics or hospitals whenever possible.
This innovative kidney care is the latest example of Blue Shield of
California’s Health Reimagined initiative to transform the
healthcare system for individuals, families and communities, and also address
health inequities often found among minority communities. Kidney disease
impacts communities of color disproportionately and Blue Shield’s
collaboration with Cricket Health seeks to expand access to quality kidney
care.
“We recognize that for too long, the healthcare system in the U.S. has fallen short of providing patients who suffer from kidney disease – an estimated 37 million Americans – with the highest quality health care at an affordable cost,” said Seth Glickman, M.D., chief health officer, Blue Shield of California. ”By working with Cricket Health, we can reimagine kidney care and expand health care options for members with late-stage chronic kidney disease and end-stage renal disease so they can live the healthiest lives possible.”
