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Evergreen Nephrology, which works with practices on value-based payment models for kidney care, operates across 24 states with a network of over 1,000 providers. Scott Lloyd, the company’s chief development & strategy officer, recently spoke with Healthcare Innovation about the importance of provider buy-in for value-based care. We were joined by Britt Newsome, M.D., M.P.H., chief medical officer of Colorado Kidney Care, an Evergreen partner.
Healthcare Innovation: Scott, could you talk a little bit about the history and business model of Evergreen Nephrology?
Lloyd: We formed Evergreen Nephrology in late 2021 because we knew that there were unmet needs for people living with late-stage kidney disease. There are services that they need that are often not provided by their nephrologist, who’s frequently their principal care provider. We know that they have complexity around medications and high utilization of inpatient facilities. In a fee-for-service environment, those things are not easily accessed by lots of folks.
There were some early mover kidney value-based care organizations, but collectively their models were principally around remote care management and doing it without any meaningful coordination with the physician who provides the majority of their care, which is their nephrologist. We built the business on a foundation of taking the things that have worked well in delivering value-based care through primary care. We do it in deep partnership with the patient’s physician, who in this case happens to be a nephrologist.