Chronic Kidney Disease (CKD)

Chronic Kidney Disease (CKD) is a complex condition where patients experience excessive cardiovascular and other adverse events and carry a heavy burden of morbidity, mortality, and healthcare costs. An estimated 37 million people – 15 percent of adults – have CKD and another 20-25 million are at risk for developing it. And yet, CKD remains under-recognized by providers and patients, especially in its early stages when patients are largely asymptomatic. 9 in 10 adults with CKD are not aware of their condition and 1 in 2 people with extremely low kidney function do not know they have CKD. Healthcare costs increase dramatically as CKD progresses and in later stages, are 5-10x higher than for someone without CKD. These costs are primarily due to hospitalizations due to severe complications that often accompany reduced kidney function.

Effective interventions can improve outcomes and reduce healthcare costs. For example, an intervention among beneficiaries of a Maryland health plan reduced hospital admissions by 30 to 45% (depending on CKD stage), readmissions by more than 70%, and costs by 20%. To expand the use of value-based programs for CKD, CMS recently announced the Advancing American Kidney Health initiative designed to increase value-based models starting in 2020. AI-based models are ideally suited to help clinicians and care teams in value-based programs by identifying patients to help promote early diagnosis, slow CKD progression, and anticipate and avoid complications and adverse events.

Did you know...

37 million

adults in the U.S. have CKD, a number that has doubled each of the last two decades

9 in 10

adults with mild-to-moderate CKD are not aware of their condition and 25% of them (who also have diabetes) will experience rapid progression within 2 years

28 percent

of Medicare's total annual expenditures is consumed by treating CKD

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Hospital Acquired Conditions & Infections

Annually, approximately 2 million patients suffer with HAIs in the U.S., and nearly 90,000 are estimated to die. The overall direct cost hospitals incur due to HAIs is estimated to be as high as $45 billion annually.

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Readmissions

There were approximately 3.3 million adult 30-day all-cause hospital readmissions in the U.S. in 2011, and they were associated with about $41.3 billion in hospital costs.

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Total Risk

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Appointment No-Shows

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