Acing Client Relations: How TPAs can help spot a trend in kidney disease before it becomes a major problem

In today’s world, employer benefit teams expect their partners to bring innovative solutions to the table. To stand out from the pack, third-party administrators must go beyond their competitors who just process claims.

Rejuvenate Kidney Transplant Solutions provides TPAs with a competitive edge by helping spot trends in kidney disease before they become a major problem. Chronic kidney disease (CKD) is one of the fastest-growing health conditions threatening millions of lives worldwide. It also incurs significant costs for the payer.

“Once a CKD patient reaches kidney failure, also known as end-stage renal disease or ESRD, the burden on the payer is around $20,000 per person, per month,” says Mark Snyder, chief financial officer at Rejuvenate. “If you multiply $20,000 times 12 months, you’re going to spend a quarter of a million dollars in one year on one person.”

Rejuvenate performs a free data analysis using de-identified data to examine a company’s existing ESRD costs and look for any tell-tale signs those costs could rise. This process helps TPAs alert a client to a trend in kidney disease and issues known to lead to it.

“If you see the percentage of the population with diabetes, high blood pressure or obesity going up – inevitably chronic kidney disease and kidney failure are going to be right behind them,” says Snyder.

“That means the prevalence is going to increase,” he continues. “You’re going to have more people with kidney failure, and you’re going to be spending more on dialysis and some of the other issues related to ESRD.”

Personalized solutions that lower costs and save lives

Using its Nobel Prize-winning data-driven process, Rejuvenate recommends personalized solutions that lower costs and save lives, such as helping a patient with kidney failure get transplanted faster. A transplant costs one-third of what dialysis costs over time.

“Some payers think a transplant is bad because it costs $100,000,” says Snyder. “But a transplant can save up to $500,000 in dialysis costs per employee with kidney failure.”

Rejuvenate also helps save money by using existing transplant center partners.

“If a transplant center is out-of-network, the cost is much greater, so we like to work with the employer to understand which transplant centers are in-network,” says Snyder.

Additionally, a transplant is the best care you can give a person with kidney failure, as transplanted patients are generally healthier and live longer than patients on dialysis.

“If we could walk in the shoes of someone who is or has been on dialysis for a week or a month, we would have a greater understanding of how debilitating and onerous it can be,” says Snyder.

“A transplant allows a person a longer life to work productively and be more present with their families,” he says.

Ready to learn more?

If you are a third-party administrator looking to add value for your clients, know Rejuvenate can help. Schedule a call today to learn how Rejuvenate’s solutions can help you innovate for your clients, saving money and lives.