Coverage for thousands of newly enrolled end stage renal disease (ESRD) patients began January 1, 2021. ESRD members bring higher costs and complex care needs.
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On average, MA plans can expect a 112% MLR for each ESRD member with total claims associated with ESRD to climb from 5% to 20%. CMS has doubled its ESRD patient enrollment projections for 2021-2022, requiring MA plans to develop a thorough strategy to reduce costs while enhancing quality.
View our webinar to learn how to “Bend the ESRD Trend” by improving care, member experience, and costs.