InterWell Health is a physician-centric partnership with Fresenius Medical Care North America that focuses on enhancing care coordination for patients with chronic kidney disease. By integrating clinical data and patient management systems, the company aims to improve patient outcomes and reduce healthcare costs associated with kidney care.
Funding
Funding not disclosed
Founders
Product
Problem
Patients with chronic kidney disease (CKD) and end-stage kidney disease (ESKD) often experience fragmented care, leading to poor outcomes and high healthcare costs. Lack of coordination between nephrologists, primary care physicians, and other specialists results in delayed interventions and suboptimal management of comorbidities.
Solution
Interwell Health offers a value-based kidney care model that aligns financial incentives with clinical outcomes, emphasizing early detection, prevention, and comprehensive care coordination. The company partners with nephrologists, primary care physicians, and payers to provide integrated care management services for patients with CKD and ESKD. Interwell Health's approach includes a dedicated interdisciplinary care team, advanced data analytics, and a proprietary nephrology-specific EHR (Acumen® Epic® Connect) to personalize care plans, improve patient engagement, and drive better health outcomes while reducing costs. The company's Total Patient Care Service encompasses care management, transition management, medical care extension, and clinical documentation support. Provider Enablement Services offer tools and incentives to align providers with the care team, promoting sustainable change in the healthcare system.
Target Audience
Interwell Health serves payers, nephrologists, primary care physicians, and patients with chronic kidney disease (CKD) and end-stage kidney disease (ESKD) seeking to improve care coordination, health outcomes, and cost efficiency.
Features
- Interdisciplinary care teams including nurses, social workers, and dietitians, working in conjunction with nephrologists and PCPs
- Predictive analytics and algorithms to identify high-risk patients and enable proactive interventions
- Acumen® Epic® Connect, a nephrology-specific EHR platform for improved care coordination and point-of-care interventions
- Interwell 360, a patient engagement program that provides personalized support and education
- Comprehensive Kidney Care Contracting (CKCC) programs to align financial incentives with clinical outcomes
- Kidney disease education (KDE) suite to empower patient decision-making
- Support for optimal starts to dialysis and increased access to home dialysis