• Health Plans

DaVita believes in the triple aim of health care. Our first priority is achieving the best clinical outcomes for our patients, while providing the best care experience. DaVita has demonstrated this commitment to quality care by achieving the highest percentage of three-, four- and five-star rated centers for four years in a row and since the inception of the Centers for Medicare and Medicaid Services (CMS) Five Star Quality Rating System, compared to the rest of the industry. In addition, DaVita has the highest percentage of centers who meet or exceed quality standards compared to the rest of the industry, as part of the CMS Quality Incentive Program.

Secondly, when it comes to cost, we believe that providers should have accountability for the total cost of care they provide, regardless of who is paying - whether it be the federal government, private insurance companies, or healthcare providers themselves. That's why we work with our health plan partners to deliver integrated kidney care programs that take clinical and financial risk for renal patients.

Integrated Kidney Care (IKC)

 DaVita Integrated Kidney Care is the country's largest National Committee for Quality Assurance accredited renal provider. Our more than 600 integrated care teammates serve more than 25,000 end-stage renal disease (ESRD) and late-stage chronic kidney disease (CKD) patients each month. DaVita Integrated Kidney Care measurably improves clinical outcomes, enhances patient experience and reduces total cost of care for the renal population.

The integrated care team works with patients to increase care plan adherence and address barriers to care, whether health related or not. They collaborate with patients, caregivers, dialysis center teams and physicians to coordinate the total care of patients.

Taking risk for complex renal populations isn't new to us; in fact, it's in our DNA. We've been fully capitated in the industry's longest-running Medicare Advantage ESRD Chronic Condition Special Needs Plan (C-SNP) since 2011, when it transitioned from a Medicare demonstration project (for which we had owned full financial risk since 2006).

We now operate three ESRD Seamless Care Organizations (ESCOs) and eight C-SNPs in major metropolitan areas, and more than a dozen programs with commercial payors and health systems. Each month, we impact the lives of more than 25,000 patients across 46 states.

DaVita Integrated Kidney Care partners with health plans, the government, health systems and nephrologists to deliver IKC programs. Partnership models include traditional fee-for-service, shared savings and fully-delegated risk arrangements.

For more information, please visit our website.

Comprehensive Care for High-Risk Patients

DaVita Health Solutions, DaVita's chronic care business venture, goes beyond renal, offering payors and risk-bearing organizations a suite of home- and outpatient-based care programs to address the needs of their high-risk, medically-complex patient populations.

Poly-chronic patients have multiple chronic conditions, such as diabetes, heart disease, many types of cancers, and chronic obstructive pulmonary disease, which routinely require care from multiple providers and numerous medications. They also need higher levels of care coordination to achieve their health goals while avoiding unnecessary ER visits and hospital admissions, which contribute to their rising medical costs. In fact, 41 percent of US health care spend is driven by 12 percent of the population with more than five chronic conditions. Over the next decade, this population is projected to grow by more than 20 percent.1,2

DaVita Health Solutions delivers comprehensive care programsincluding house calls, post-acute care, and 24/7 care coordination and support—through at-risk arrangements with health plans to manage their high-risk, poly-chronic members. Over nearly two years, DaVita Health Solution’s comprehensive care program served approximately 7,000 patients in partnership with more than 600 local primary care physicians, specialists and extended care teams. The program results were extremely positive:

  • 10-15 percent fewer emergency room visits
  • 35-40 percent fewer hospitalizations
  • 15-20 percent lower cost of care
  • 46 percent lower skilled nursing facility (SNF) length of stay
  • 64 percent lower SNF-to-acute 30-day readmission rate
  • 91 percent patient satisfaction rating

For more information, please visit our website.

  1. Rand.org
  2. US Census

ForbesBooks Radio Podcast

DaVita Health Solutions’ president, Hank Schlissberg, is interviewed during The Forbes Healthcare Summit 2018: Starting a Health Renaissance.

A Leader in Quality Care

DaVita has outperformed the rest of the industry, with more centers meeting or exceeding quality measures in the Five-Star Quality Rating System.

Managing Health Plans’ Most Vulnerable Members

What is the role of payors in catalyzing new care models for high-risk patients? Get our white paper to learn how to address this challenge.