Chronic kidney disease (CKD) is one of the most costly, complex, and rapidly growing public health challenges in the United States. More than 37 million Americans are affected—and many don’t even know it. For nephrology practices, this creates an urgent need to deliver proactive, coordinated care in a system that wasn’t designed to support it.
That urgency has reached a breaking point. Traditional care models built around episodic, in-office visits are failing to meet the needs of patients with progressive kidney disease. Meanwhile, value-based care models like KCC (Kidney Care Choices) are redefining what success looks like—focusing on prevention, coordination, and outcomes.
So why is delivering that kind of care still so difficult?
The nephrology care journey is long and non-linear. Most patients live with CKD for years before progressing to end-stage renal disease (ESRD), often with little visibility into their health status between appointments.
Nephrologists are expected to:
And yet, most of this work happens without real-time data or between disconnected systems.
Plainly speaking, why is the current care system failing CKD patients?
So, where do we go from here?
In response to these challenges, CMS introduced the KCC model to encourage longitudinal, team-based care for CKD and ESRD patients. Shared savings incentives are tied to reducing hospitalizations, delaying dialysis starts, and improving quality of life.
But the care infrastructure needed to support that model doesn’t exist in most practices.
That’s where remote care services like Chronic Care Management (CCM) and Remote Patient Monitoring (RPM) come in.
While CCM and RPM are commonly used in primary care, their application in nephrology is increasingly critical. Patients with CKD and ESRD are ideal candidates for proactive, in-between-visit care.
Remote care tools help nephrologists:
These aren’t just clinical wins—they’re financial ones. Most CCM and RPM services are Medicare-reimbursable and contribute directly to quality performance metrics.
Learn more about how remote care helps your patients.
At Tellihealth, we recognize that nephrologists don’t need more systems to log into—they need solutions that integrate with their workflows and support their patients behind the scenes.
Our platform enables practices to:
And most importantly, we do it without burdening your staff or disrupting the provider-patient relationship.
CKD and ESRD patients deserve more than episodic attention—they need coordinated, continuous support. And nephrology practices deserve tools that help them deliver that care without burning out.
The question isn’t if remote care belongs in nephrology. It’s how fast we can scale it to the patients who need it most.
Our next post will break down exactly how Tellihealth's nephrology care model works—with a look inside our data insights, clinical workflows, and patient impact stories.
Tellihealth offers proactive care for nephrology patients through real-time RPM devices, nurse-led CCM support, and personalized care plans—all designed to prevent complications and reduce hospitalizations.
Unlike most vendors, Tellihealth unifies clinical teams, devices, and data into one platform. This means fewer handoffs, faster interventions, and a smoother experience for patients and providers alike.
Yes. Our services are aligned with CMS billing codes for CCM (e.g., 99490) and RPM (e.g., 99457), making it easy for practices to receive reimbursements for remote care delivery.
Absolutely. Tellihealth’s nephrology-focused program helps practices manage patients with ESRD, diabetes, hypertension, and other comorbidities through customized remote care pathways.
Most practices can launch within 30–60 days. Our onboarding team handles implementation, training, and EHR integration—so your staff can stay focused on care.
Tellihealth’s integrated CCM and RPM solutions are built to simplify operations, empower clinicians, and improve outcomes—starting with your highest-risk patients.
Book a demo to see how we can support your nephrology practice