Our Solutions

We set nephrology practices up for success.

Our innovative solutions focus on elevating the practice of nephrology for every provider, large and small, for the good of patients, physicians, health systems, and payors. Our flexible model is easily adopted and adapted, and we continually develop new products to meet changing needs as practices evolve, grow, and build their own capabilities.

Value-Based Care

Wherever physicians are in the journey from volume to value, we help them advance patient care while strengthening their practices.


Care Coordination

We leverage clinical and operational data to design patient-centric population health initiatives tailored to each practice’s care-delivery process.


Practice Management

We provide operational expertise, financial management, and data analytics to help optimize practices, and we provide strategic expertise, including provider recruiting and M&A, to help grow nephrology practices.

Proven, Distinctive Outcomes

Our expertise-based and patient-centered care model drives distinctive outcomes.

77% planned dialysis starts vs. 54 – 59% national average1

29% peritoneal dialysis vs. a 10% national average2

30% reduced hospitalizations and 56% reduction in hospital readmissions


35% pre-emptive kidney transplant rates vs. a 17% national average3

1 Planned start rate for patients who transitioned to dialysis in Circle of Care VBC pilot; planned start defined as starting dialysis in outpatient setting

2 PD start rate among those that transitioned to dialysis during Circle of Care VBC pilot

3 Pre-emptive transplant rate average among those practices who participated in ESCO

Global Nephrology Solutions (GNS) Expands Leadership and Broadens Network with Addition of Four Practices