A New Era in Kidney Care
Monogram Health’s ability to provide the highest level of multispecialty care to patients with chronic and end-stage kidney disease is rooted in an approach that addresses complex clinical challenges (i.e. managing multiple underlying chronic conditions, confusion around numerous prescriptions, access barriers), while also tackling systemic healthcare issues like under-resourced primary care, narrow and fragmented specialist care, and lack of care continuity.
Unlike other providers, we bring evidence-based, comprehensive diagnosis, treatment, and social supports directly to patients’ homes – across any and all conditions a patient may have. The result: dramatically streamlined care that directly improves our patients’ health outcomes and quality of life while improving affordability and reducing the overall cost of care.
How We Do It
Monogram Health brings comprehensive, personalized care directly to patients’ homes through our Physicians and Nurse Practitioners. As multispecialty providers, they render 24/7 care, ensuring our patients receive essential and timely support without leaving their homes. Local integrated teams of nephrologists, primary care doctors, and specialists collaboratively develop and oversee tailored care plans and address every aspect of our patients’ health—from treating chronic conditions to ensuring access to transportation, nutrition, and housing. Guided by evidence-based clinical research criteria and advanced AI algorithms developed by world-renowned nephrologists, we provide timely, effective clinical interventions and care, leading the industry in quality outcomes for our patients.
Clinical Challenges Facing Kidney Patients:
- Complexity of managing multiple chronic conditions
- Cost, confusion, and risk associated with taking numerous medications
- Poor access to care created by social and economic barriers
Monogram’s Solutions to Improve Outcomes
- Multispecialty practice – Employed teams of specialists ensure a comprehensive, holistic approach.
- Medication therapy management – Pharmacists deliver proprietary, disease-specific programs to optimize use and outcomes.
- Unique pod model – Locally employed clinicians, behavioral health providers, and social workers deliver in-home care and address social determinants of health.
Healthcare Complexity Impacting Kidney Care
- Primary Care physicians are under-resourced and struggle with managing the most complex patients.
- Nephrologists are focused on dialysis and care within their centers.
- Primary Care and specialists don’t have insight into what goes on beyond their clinics and offices.
Monogram’s Industry Disrupting Model:
- Multispecialty teams of employed physicians and Nurse Practitioners to holistically treat the most clinically complex patients.
- Care options beyond dialysis focus on early engagement, evidence-based alternative therapies, and treating underlying conditions.
- Partnership model with PCPs and specialists drives collaboration, clinical alignment, and evidence-based care across broad networks.
Want to Learn More?
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