The Kidney Health Initiative (KHI) was created in September 2012 through the signing of a memorandum of understanding between the American Society of Nephrology and the U.S. Food and Drug Administration. It is important to give recognition here to Dr. Ronald J.

Dialysis Clinic, Inc., has been providing care coordination to patients with chronic kidney disease (CKD) since 2010. This program was started in Spartanburg, South Carolina, and has since grown to care for more than 4000 patients in more than 15 locations in 12 states. In one location we have enrolled more than 400 patients under a program in a partnership with a local health plan.

Accessible healthcare that puts patients first is the most important goal that any new model for payment and care delivery should have at its center. The shift from a fee-for-service system toward reimbursement for delivering value has great potential to improve patient outcomes through better engagement.