Table: Value-Based Kidney Care

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It's hard to keep track of key players in value-based kidney care. I've got you covered. Let's meet 11 companies with over 4,000 employees, $2B raised, $15B under management, and one overarching mission.

Welcome to the definitive (space themed) guide to the value-based kidney care market.

In case you missed it, my first Signal covered 3 VBC companies who then managed around 375,000 lives and over $8 billion in annual spend. We also talked about the larger trillion-dollar opportunity for value-based care across indications, and why kidney care has room to run.

In this post we roughly double those numbers. The aim of this reference guide is to help you get up to speed quickly on 11 quests to improve the cost and quality of kidney care delivery in the United States.

It’s time for Signals from [value-based kidney care]!??

IN THIS ISSUE

• Somatus
• Strive Health
• Monogram Health
• Interwell Health
• Healthmap Solutions
• Panoramic Health
• Evergreen Nephrology
• Renal Care 360
• Kidneylink
• Duo Health
• REACH Kidney Care

Somatus

Somatus partners with nephrology and primary care groups, leading health plans, and health systems to provide integrated care for patients with, or at risk of developing, kidney disease.

• HQ Location: McLean, Virginia
• Founded: 2016
• Team size: 1,450+
• 1-yr team growth: +2%
• Total funding: $465 million
• Capital partners: Wellington, Optum Ventures
• Reach: 160,000 lives
• Markets: 36 states

OUTCOMES

• -18% reduction in cost
• >50% readmission rates reduced
• 50% reduction in unplanned dialysis crashes
• 21% lower inpatient utilization

?? Learn more at somatus.com        

Strive Health

Strive delivers compassionate kidney care the way it should be done. The company emphasizes data-driven insights, high-touch care, prevention and next generation dialysis services.

• HQ Location: Denver, Colorado
• Founded: 2018
• Team size: 490
• 1-yr team growth: +25%
• Total funding: $386 million
• Capital partners: Town Hall, NEA, CVS Ventures
• Reach: 100,000 lives
• Markets: 30 states

OUTCOMES:

• +67% optimal starts
• 49% reduction in hospitalizations
• 52% higher home modality start rate vs. national average

?? Learn more at strivehealth.com        

Monogram Health

Monogram Health provides evidence-based, whole-person, in-home care for patients with polychronic conditions – including chronic kidney and end-stage kidney disease – so you can focus on what matters most in life.

• HQ Location: Nashville, Tennessee
• Founded: 2019
• Team size: 507
• 1-yr team growth: +8%
• Total funding: $555 million
• Capital partners: TPG, Frist Cressey, CVS Ventures
• Reach: 4,000 US cities
• Markets: 35 states

OUTCOMES:

• 28% home dialysis utilization rate
• 45% planned dialysis starts
• 18% reduction in readmission rates
• $1,000 PMPM average risk contribution

?? Learn more at monogramhealth.com        

Interwell Health

Interwell Health is a value-based kidney care management company that partners with physicians on its mission to reimagine healthcare—with the expertise, scale, compassion, and vision to set the standard for the industry and help patients live their best lives.

• HQ Location: Boston, Massachusetts
• Founded: 2019
• Team size: 444
• 1-yr team growth: +23%
• Total funding: $195 million
• Capital partners: 3-way M&A (FHP, Cricket)
• Reach: 125,000 lives
• Markets: 38 states

OUTCOMES:

• $7 billion under management in 2023
• 150%+ greater optimal start rate vs. national average
• 85%+ higher home dialysis start rate vs. national average
• ~20% fewer all-cause hospitalizations vs. national average
• 600,000+ patients served through VBC to date

?? Learn more at interwellhealth.com        

Healthmap Solutions

Healthmap Solutions is an NCQA-accredited kidney population health management company serving health plans, health systems, accountable care organizations, and provider groups seeking a value-based solution to improve the lives of Americans living with chronic kidney disease.

• HQ Location: Tampa, Florida
• Founded: 2013
• Team size: 422
• 1-yr team growth: +17%
• Total funding: $135 million
• Capital partners: WindRose (PE)
• Reach: 165,000 lives
• Markets: 36 states

OUTCOMES:

• $3 billion under management in 2023

?? healthmapsolutions.com        

Panoramic Health

Panoramic Health was launched to help physicians, practices, patients, and payers navigate and shape the changing healthcare environment while driving improvements in outcomes and reducing total cost of care.

• HQ Location: Tempe, Arizona
• Founded: 2017
• Team size: 406
• 1-yr team growth: +51%
• Total funding: Unknown
• Capital partners: Audax (PE)
• Reach: 842,000 lives served (source )
• Markets: 19 states

OUTCOMES:

• $1,385 PMPM average savings
• 58% improvement in planned dialysis starts
• 2.5x at-home dialysis starts vs. national average
• 34% hospital admission reduction

?? panoramichealth.com        

Evergreen Nephrology

We are putting nephrologists in the driver’s seat, where they belong. Through strategic partnerships, we empower nephrologists with financial backing to implement best-in-class interdisciplinary clinical resources, analytical insight and tools, and services to patients.

• HQ Location: Nashville, Tennessee
• Founded: 2021
• Team size: 211
• 1-yr team growth: +51%
• Total funding: $4.3 million
• Capital partners: Rubicon Founders
• Reach: 20,000 lives
• Markets: 17 states

OUTCOMES:

• 700+ provider partners

?? evergreennephrology.com        

Continue reading

...This post was originally published on Substack, then lightly edited for length here on LinkedIn. Continue reading it here !

WEEKLY POLL

This week I asked "Imagine you've been tasked to lead a new kidney innovation team within your organization. Your goal is to launch a new product to improve the ESRD patient experience. What is your FIRST move?"

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