About Us
Focused Care.
Shared Risks
and Rewards.
A Revolutionary Care Model
for ESRD Patients
Our Mission
Champion Health Plans USA, LLC is dedicated to delivering quality health programs and services that help individuals with end stage renal disease (ESRD) and other complex medical conditions to achieve improved outcomes and quality of life.
Our Vision
Champion Health Plans USA, LLC is to be recognized as the leading value-based Kidney Care Medicare Advantage Prescription Drug (MAPD) Chronic Special Needs Plan (C-SNP) and Renal delivery network for end stage renal disease (ESRD). The company provides quality outcomes for our members, providers, and a rewarding environment for our employees.
Our Values
Champion Health Plans USA, LLC and its employees strive to make a positive and important difference in the lives of those we serve every day.
Connecting C-SNPs to Improved Outcomes
In a 2020 study published in PubMed, researchers found a positive correlation between C-SNP enrollment and lower rates of hospitalization and mortality for patients with end-stage kidney disease. The findings suggest that the additional services and benefits provided by C-SNPs may improve outcomes, compared with standard care for this population.
We’re helping to connect the dots.
Breaking Down
Barriers In Renal Care
Our goal is to support the member, caregiver and providers to more effectively and efficiently manage chronic medical conditions. For ESRD patients, strict adherence to provider treatment plans is critical for improved outcomes and better quality of life. Our high touch and tech-enabled support services help providers and patients make adherence a stronger reality with:
Consistent treatments: Improved support programs enable more ESRD members to receive dialysis services successfully at home.
Hospital avoidance: Our Home Assist team provides home emergency care and 24/7 availability to Nephologist support care.
Local touchpoints: Feet-on-the-ground
case management helps ensure in-home member support.
Telehealth services: Members have access
to telehealth services for all medical subspecialities, behavioral health, nutrition, social work and primary care with home nursing support when necessary. When appropriate, the Plan will also initiate remote patient monitoring and peer-to-peer consultations.
Shared visibility: Tech-enabled EHR, advanced
AI analytics and data reporting drives more holistic data.
Improved support for patients with poly pharmacy: Specialty pharmacy helps members take their medications as prescribed by their doctors, eliminating duplicate therapies and drug interactions.
Streamlined administration: Our Medical Services Organization coordinates utilization, processes and claims.
Healthier patients.
Happier stakeholders.
Everyone wins.
In-Home Hemodialysis: Opportunities and Advantages
Opportunity
Advantages to Patient
Improve Awareness of
Care Options
- Access to nephrologist
- Access to care team
- Patient and caretaker education
Flexibility of Care
- Treatments can be administered longer or more frequently, which is gentler on patient’s body
- Immediate interventions, as needed
- High touch care in patient’s preferred setting
Increase Payer Alignment
- With the transition to Medicare Advantage Plans, payers are incentivized to actively manage the ESRD and CKD population for the first time
Reduce Costs
- Fewer hospitalizations
- Less non-emergency transport
Our Value to Patients and Providers
Patients
Providers
Patients enjoy wraparound services that address the complex challenges facing the ESRD patient population.
Whole-
Patient Care
Providers are motivated by the chance to deliver wholepatient care that addresses social and medical determinants of health.
Patients pay lower copayments, coinsurance deductibles and premiums.
Financial
Incentives
Providers share in cost savings generated from improved patient outcomes.
Patients receive a benefits package more aligned with their needs, as well as additional services such as in-home dialysis.
Convenience
Providers receive support
from the Plan and no longer deal with administrative burdens.
Patients enjoy more attentive and better quality care from the physician.
Whole-
Patient Care
Providers experience increased income and cash flow stability from capitation payments.