07 Oct DCI Seeks to Improve Delivery of Kidney Care

DCI Seeks to Improve Delivery of Kidney Care

Establishes Three ESCOs within New CMS Care Model

(Nashville, Tenn.) Dialysis Clinic, Inc. (DCI), the nation’s largest non-profit dialysis provider, has established three ESRD Seamless Care Organizations (ESCOs), groups of health care providers and suppliers, to test and evaluate a new model of payment and care delivery specific to Medicare beneficiaries with kidney failure under the new Comprehensive End-Stage Renal Disease Care (CEC) Model.

“When DCI heard about the opportunity to explore a different approach to the traditional kidney care model, we were very interested in learning how this could improve patient care,” said Doug Johnson, MD, vice chairman of Dialysis Clinic, Inc. “Within our ESCOs we have implemented care coordinator positions to streamline care for new and high risk dialysis patients as well as developed partnerships with community providers that will seamlessly meet patient needs that were once difficult to coordinate.”

Dialysis patients have intricate health needs that are typically addressed by a variety of health care providers. More often than not, the care a patient receives is not coordinated among providers. One major expectation of the CEC Model is a demonstration of how to enhance care coordination to provide a more patient-centered care experience that should, ultimately, improve a patient’s health.

While preparations for the ESCO began with the original CMS announcement in 2013, the program officially launched on October 1, 2015. DCI will operate three of the ESCO models approved by CMS.

The Music City Kidney Care Alliance will operate in the Middle Tennessee area. Music City Kidney Care Alliance partners include Adel Saleh, MD; Alive Hospice, Inc.; Aspire Health Medical Partners of Middle Tennessee, PC; Nephrology Associates, PC; The Surgical Clinic, PLLC; and Dialysis Clinic, Inc. The Music City Kidney Care Alliance serves a population of approximately 500 Medicare ESRD beneficiaries in the Middle Tennessee area.

The Palmetto Kidney Care Alliance serves a population of approximately 360 Medicare ESRD beneficiaries in Upstate South Carolina. Partners include Gentiva Health Services, Spartanburg Nephrology Associates, and Dialysis Clinic, Inc.

Approximately 400 Medicare ESRD beneficiaries in Central New Jersey and Staten Island will be served by the Metropolitan Kidney Care Alliance. The community providers that have formed a partnership under Metropolitan Kidney Care Alliance include the Associated Renal and Hypertension Group, PC;  Highland Park Surgical Associates,  PA; Hypertension and Nephrology Specialists, LLC; Mehdi Naqui, MD; Montgomery Nephrology & Hypertension Associates, PC; Toros Kapoian, MD; and Dialysis Clinic, Inc.

ESCO owners are clinically and financially responsible for all care offered to patients in the ESCO programs, not just dialysis care or care specifically related to a patient’s kidney disease.

Medicare patients receiving dialysis treatment in a DCI facility participating in an ESCO will receive a notification letter alerting them to the new model of care. Patients will not experience a change in their health insurance coverage or benefit options.

More information about the DCI ESCOs can be found at:




More information about the CEC Initiative can be found at:





Founded in 1971, Dialysis Clinic, Inc. (DCI) is the nation’s largest non-profit dialysis provider with over 230 outpatient dialysis clinics in 28 states. Headquartered in Nashville, Tennessee, DCI employs over 5,000 people serving approximately 15,000 dialysis patients. DCI’s services include in-center hemodialysis, in-center self-care hemodialysis, home hemodialysis, Continuous Ambulatory Peritoneal Dialysis (CAPD), and Continuous Cycling Peritoneal Dialysis (CCPD). Acute dialysis facilities are located within hospitals around the US. The United States Renal Data System has found DCI to have the lowest patient mortality and hospitalization rates among the national dialysis providers for the last 13 years. DCI operates under the mission “We are a non-profit service organization. The care of the patient is our reason for existence.”