Care Coordination Between the Nephrology Nurse and the Payor: Working Together to Bridge the Gaps in Care for Patients with Kidney Disease

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Abstract

Integrated care management is a key buzz phrase in health care. Most providers, nurse practitioners, nurses, and payors believe their area of expertise, such as direct patient care or insurance companies, has integrated nursing plans and forgotten about opportunities to collaborate outside of their immediate area. However, collaboration between nurses in dialysis clinics, physicians, nurse practitioners, and case managers from payors, such as insurance companies, is often missing. This collaboration can result in better patient outcomes and in meeting goals for the patient, the provider, and the payor, including maximizing value-based purchasing opportunities.

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