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Value-based kidney care gets a real-world check-in. A new study from ASN Kidney Week interviewed patients, caregivers, and employees of Monogram Health to assess how value-based CKD care is actually experienced. Home visits and virtual support were seen as key strengths, but communication gaps — including patients learning diagnoses from the company before their own doctors — raised concerns.
Value-based kidney care gets a real-world check-in
A study presented at ASN Kidney Week took a closer look at how value-based kidney care models are experienced on the ground — not just in theory. Researchers from the Perelman School of Medicine at the University of Pennsylvania conducted in-depth interviews with 14 Monogram Health employees and 14 patients with chronic kidney disease (CKD) or their care partners, uncovering both promising strengths and notable friction points.
On the plus side, home visits and virtual specialist support helped fill gaps in traditional kidney care, giving clinicians a window into patients' living conditions and enabling earlier intervention before complications like emergency dialysis arise. Employees also reported meaningful work-life balance benefits and leadership opportunities — though nurses flagged a steep learning curve in adapting to value-based care workflows.
Key Takeaways
Why it matters: As value-based care models expand in nephrology, understanding the lived experiences of patients and staff is critical to refining these systems — and ensuring they actually improve care rather than add confusion.
