A smarter approach to kidney care

Chronic kidney disease (CKD) is one of the most complex, costly, and underserved conditions in healthcare. At Panoramic Health, we deliver a scalable, nephrologist-led care model designed to close critical care gaps, improve quality of life for patients, and reduce total medical spend.

We combine high-quality, coordinated care with predictive analytics and strong physician alignment. This integrated approach helps improve outcomes for a high-risk population and creates value across the healthcare system.

The chronic kidney disease challenge

The high cost of a fragmented system

Approximately 37 million Americans suffer from CKD, and most don’t know it. Once symptoms appear, the window for early, effective treatment is already closing. Kidney patients have:

 

Medicare beneficiaries with CKD have significantly higher rates of comorbid conditions like diabetes (54%) and heart failure (40%) compared to those without CKD (14% and 9%, respectively).[1]

Hospitalization rates for CKD patients in the Medicare Fee-for-Service (FFS) program were nearly 2.5x higher than for beneficiaries without CKD—at 405 vs. 170 discharges per 1,000 patient-years.[2]

Patients with CKD have markedly higher mortality and worse long-term health outcomes compared to the general Medicare population.[3]

CKD prevalence is notably more prevalent among certain populations. Older adults, particularly those aged 65 and older, show increased rates of CKD. Racial and ethnic minorities, including non-Hispanic Black and Hispanic individuals, also experience higher CKD prevalence compared to non-Hispanic Whites.

Additionally, CKD disproportionately affects people from certain socioeconomic backgrounds, especially those with lower income and educational levels. This underscores significant health disparities across these groups.[4] What’s more, there’s more than $156 billion in Medicare spend tied to CKD/ESKD patients.[5]

Despite the high occurrence and cost, CKD often remains underdiagnosed and undertreated due to:

Fragmented care

The interplay between decreased kidney function, CKD management, and comorbid conditions complicates care, making non-renal providers overly cautious in managing CKD and related conditions – leading to fragmented care.

Inadequate screening

Routine screening for at-risk populations is uneven and inconsistently applied across care settings.

Lack of awareness

Many individuals don’t know their CKD status until it progresses to advanced stages.

Without real-time insight into care gaps, providers often rely on one-off, episodic interventions, missing crucial treatment opportunities that could significantly improve a patient’s quality of life.

Why Panoramic Health?

Panoramic Health reimagines kidney care through integration. Nephrologists serve as the principal caregivers for patients with CKD in stages 3, 4 and 5, overseeing care across the cardio-metabolic-renal spectrum. They work closely with cardiology, endocrinology, and primary care specialists to manage comorbidities and help prevent disease progression.

Our scope extends beyond nephrology, because the patient population has clinical care gaps that extend far beyond kidney disease. This holistic approach enables Panoramic partner physicians to deliver high quality, cost-effective care.

Driving reduction in acute care utilization

  • Chronic disease management: Personalized follow-up programs help patients stick with their prescribed treatment plans.
  • Optimal dialysis starts: A proven and comprehensive care pathway ensures patients begin dialysis under optimal conditions to reduce hospital admissions.
  • Transitional care management: Coordinated support after hospital discharge minimizes the risk of hospital readmissions.

Managing dialysis costs and complications

  • Slowing CKD progression: Stage-based interventions are tailored to preserve kidney function and reduce long-term costs. 
  • Increasing home dialysis: Greater access to home dialysis supports better patient outcomes with fewer admissions and lower healthcare utilization.
  • Facilitating transplants: Early transplant evaluations and discussions about live donation increases access to life-saving kidney transplants.
  • Providing appropriate palliative care: Advanced care planning and care transitions support patients and families, including through conservative management, when appropriate.

More about Panoramic Health

We’re the leading integrated nephrology provider group with 600+ affiliated providers in 15 states who serve more than 330,000 CKD/ESKD patients​.

Our Clinical Quality Program is focused on delivering high quality care and includes provider education, proactive flagging of care gaps, and transparent sharing of quality data. Through this approach, we can target the underlying causes of high medical costs across multiple settings, including offices, hospitals, dialysis units, and ambulatory surgery centers (ASCs).

Our model includes:

  • Clinical research access to bring the latest innovative therapies directly into the communities we serve.
  • ASCs that shift procedures out of hospitals to improve cost efficiency and the patient experience.
  • Tailor-made Chronic Care Management & Palliative Services for complex, high-risk patients, supporting longevity and quality of life.

Proof points

%
optimal dialysis start rate
[vs. 29% national average]
%
home dialysis starts
[vs. 14.5% national average]
%
of eligible patients receiving timely transitional care management services
[vs. 11.9% national average]

All figures are estimates based on Panoramic Health data as of July 2025. Patient records are accessible via practice partnerships.

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