Prepared for The Nephrology Group, Inc. · 2026 Strategy Review · Confidential — not for distribution
Kidney Care Service Line Performance & Optimization

You Proved Remote Care Works.
Now Scale It — Without Building the Machine.

The Nephrology Group built its own hypertension RPM, its own app, its own analytics — and turned CKCC losses into $1.86M of shared savings. The next chapter shouldn't run on a two-person dev team. Full-service, turnkey, and natively integrated with Greenway.

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24-Month Net Reimbursement
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24-Month Practice Margin
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Hospitalizations Avoided
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Unique Patients in Active Remote Care · Month 24

Month-24 census is ~2,809 active program enrollments (RPM ~2,069 + PCM ~740); the headline patient figure is 2,291 unique patients after de-duplicating those enrolled in both programs. All figures illustrative, modeled — verify against practice data.

Credit Where It's Due

TNG Already Proved the Thesis

Most practices need convincing that remote care works. TNG doesn't — it built the evidence itself. That conviction is the asset. The question is whether the next thousand patients should run on self-maintained infrastructure.

✓ Built in-house

AHA-Certified Hypertension Program

A dedicated hypertension center with self-run blood-pressure remote monitoring — clinical buy-in for RPM is already institutional.

✓ Built in-house

TNG Mobile App

A self-published patient app (App Store & Google Play, 2025) tracking BP, weight, and glucose — maintained by an in-house team of one manager, one engineer, and two interns.

✓ Built in-house

6-Person VBC Care Team

NPs and PAs running care management manually — clinically excellent, operationally expensive, and the first place scale breaks.

★ The result

The CKCC Turnaround

PY2023: −$2.2M, 50% quality. PY2024: +$1.86M shared savings, 75% quality — as anchor practice of DaVita's Integrated Kidney Care of Central California.

CKCC has been extended through December 2027 — with tightened savings methodology from PY2026. The savings get harder to earn at exactly the moment operational leverage matters most.

The Build-vs-Partner Reality

The Walls Every Self-Built Program Hits

None of these are criticisms — they're the structural costs of running a monitoring company inside a medical practice. Every practice that builds in-house meets the same six walls, usually between patient 200 and patient 1,000.

The math that matters: every hour your six-person VBC team spends on device troubleshooting, data chasing, and billing documentation is an hour not spent on GDMT titration, CKD education, and the KCE metrics that just earned $1.86M.
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Device logistics

Shipping, provisioning, replacements, returns — an app-based model also excludes every patient who can't or won't use a smartphone, in a Medicare/Medi-Cal-heavy market.

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24/7 monitoring coverage

Readings don't keep office hours. Alert triage at 2am either goes unstaffed or burns out the day team.

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Billing-rule compliance

16-day supply counts, time-based documentation, code-stacking rules that changed again in CY2026 — audit exposure grows with every enrolled patient.

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App maintenance

OS updates, store review cycles, HIPAA-grade security patches — carried by a two-developer team whose time the practice funds.

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EHR integration

Home-grown data lives outside Greenway unless someone builds and maintains the pipes — so vitals end up in a portal nobody charts in.

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Scale economics

In a self-built model every added patient adds staff load. In a full-service model every added patient adds margin.

Full Service · Turnkey · Greenway-Native

Keep What You Built. Replace What's Holding It Back.

TNG keeps its clinical protocols, its physician governance, its VBC team, and its patient relationships. CoachCare replaces the infrastructure underneath — as a service, not a project.

CapabilityTNG's Self-Built Program TodayCoachCare Full-Service
Clinical protocols & governanceYours — proven by the AHA certification & KCE resultsStays yours. Physicians govern every decision.
DevicesApp-dependent (smartphone required)Cellular-connected devices — no app, no Wi-Fi, no smartphone needed; logistics handled end-to-end
MonitoringBusiness hours, VBC team capacity24/7 clinical monitoring & alert triage, escalation to your protocols
EnrollmentManual, clinic-by-clinicDedicated enrollment engine — two on-site enrollment specialists (at CoachCare's expense) + telephonic outreach across all 9 offices
Billing & complianceSelf-managed rules & documentationBilling-grade documentation for every claim: day counts, time logs, audit trail
EHR integrationData outside the chartNative Greenway integration — vitals, alerts, and encounters flow into the record your clinicians already use. $2,500 one-time; $0 monthly; $0 per-patient*
App & platform maintenance2-person dev teamCoachCare's platform team — your developers return to analytics & KCE reporting
Unit economicsEach patient adds staff loadEach patient adds margin — modeled below

*Greenway integration pricing per the CoachCare integration catalog — confirm in contracting.

Why this matters doubly under CKCC: the same monitored population that generates RPM/PCM fee-for-service revenue is the population whose avoided hospitalizations flow into KCE shared savings. One infrastructure, paid twice — and TNG's 2024 reinvestment commitment shows the budget mechanism already exists.
CoachCare Value Analysis · Modeled for TNG

The Value Analysis

A 24-month forecast using TNG's footprint — ~40 referring providers across 9 Central Valley offices, two on-site enrollment specialists, MAC-locality rates for zip 93720 (Noridian JE), and Greenway integration — for RPM + PCM across CKD 3b–5, hypertension, and transition-of-care populations. Conservative enrollment mechanics; CKCC shared-savings amplification not included in these numbers.

Active Program Enrollments Under Remote Care

Monthly active census by program — active program enrollments, not unique patients · physician referrals (5/provider/mo, 70% acceptance) + 2 on-site enrollment specialists (40 enrollments/mo each), net of discharges. Neither program reaches its ceiling inside 24 months.

Monthly Economics — Revenue, Fees, Margin

Net reimbursement (after denials, coinsurance bad debt) vs. CoachCare fees; one-time setup lands in month 1 and margin turns positive in month 2 — there is no negative-margin quarter. On-site enrollment staffing is CoachCare's expense and is never deducted from practice margin.

24-Month Net Reimbursement Mix

$3.53M across the nephrology two-program stack (CCM/APCM excluded by specialty eligibility)

The Financial Summary

ProgramYear 1Year 224-Month
RPM net reimbursement$657,044$2,005,950$2,662,994
PCM net reimbursement$209,529$655,761$865,291
Total net reimbursement$866,573$2,661,711$3,528,285
CoachCare program fees$482,168$1,507,725$1,989,893
Ancillary & one-time fees$20,253$17,620$37,873
Practice margin (after all fees)$364,153$1,136,366$1,500,518
Includes two on-site enrollment specialists staffed at CoachCare's expense — ≈$240,000 of embedded staffing value over 24 months. That value is CoachCare's expense and is never subtracted from the practice margin above.

24-month practice margin: 42.5% of net reimbursement (Year 1 42.0%, Year 2 42.7%). Illustrative, modeled — verify against practice data.

Figures are illustrative, modeled — verify against practice data. Values are rounded to the nearest dollar, so row and column sums may differ by $1. Full model available as a companion workbook.

268,684

Physiologic Readings

Continuous BP, weight, and glucose surveillance across the CKD and hypertension panels — cellular devices, no app required.

~171

Hospitalizations Avoided

≈ $2.56M in avoided acute cost at $15K each — cost that also flows into CKCC shared-savings performance. Illustrative, modeled — verify against practice data.

13.4

FTE-Years Absorbed

27,833 care-team hours of monitoring and documentation lifted off the VBC team — redeployed to top-of-license KCE work.

62,244

Billed Claims / Units

Recurring monthly professional-fee volume with billing-grade documentation behind every claim.

Implementation

Migration, Not a Restart

Because TNG already runs protocols and a monitored panel, launch is a migration: your existing hypertension RPM patients move onto cellular devices and 24/7 coverage first, then the funnel opens to the full CKD 3b–5 population. CoachCare full service means no new headcount to launch — and your dev team gets its roadmap back.

Schedule the Working Session
Days 0–30

Greenway Integration & Protocol Port

Native Greenway integration configured; your hypertension-program protocols and escalation rules ported into CoachCare workflows; billing rules mapped for Noridian JE.

Days 30–90

Migrate the Proven Cohort + Embed On-Site Enrollment

Existing in-house RPM patients transitioned to cellular devices and 24/7 monitoring; two on-site enrollment specialists embedded across the highest-volume clinics — zero clinical disruption, immediate billing-grade documentation.

Months 3–6

Open the CKD Funnel

Referral enrollment across all 9 offices for CKD 3b–5 and PCM; VBC team redeploys to titration, education, and KCE metric management.

Months 6–12

Full KCE Population Leverage

~1,159 unique patients under management by month 12 (~1,420 program enrollments), on a trajectory to ~2,291 unique patients (~2,809 enrollments) by month 24 — still climbing, well inside the program ceilings; monitored-population data feeding CKCC quality measures and the PY2026 tightened-methodology savings case.

Transparency

Assumptions & Sources

Every number on this page traces to the CoachCare Value Analysis workbook or cited public data.

Population sizing
  • ~14,000 Medicare patients estimated (~28 nephrologists × ~700 unique Medicare beneficiaries × 0.7 deduplication for shared patients) — a modeling estimate, not a practice-reported figure; validate in discovery.
  • Full ~14,000-patient panel in scope from Year 1; nephrology program eligibility 75% (RPM, ~10,500 eligible) and 85% (PCM, ~11,900 eligible) — for a nephrology panel, chronic kidney disease genuinely is the single dominant condition Principal Care Management was written for, which is why PCM eligibility runs highest. Enrollment acceptance 35% (RPM) and 30% (PCM), giving enrollment ceilings of 3,675 (RPM) and 3,570 (PCM) active enrollments; CCM and APCM excluded per specialty eligibility; 1.5% monthly attrition. Census reaches ~2,809 program enrollments — 2,291 unique patients — by month 24, and neither program reaches its ceiling: the forecast is pace-limited by enrollment capacity, not by eligibility, so growth continues beyond the modeled window.
  • Enrollment pathways: physician referral (5 referrals/provider/month × 40 providers × 70% acceptance) plus two on-site enrollment specialists at 40 enrollments/month each. ES staffing (≈$5,000/month per specialist, ≈$240,000 over 24 months) is carried by CoachCare as part of full service — no cost to the practice beyond the program fees shown.
Rates & revenue mechanics
  • CY2026 PFS rates auto-resolved by MAC carrier/locality for zip 93720 (Noridian JE); 2.5% denial rate; 20% coinsurance with 25% coinsurance bad debt; code-level capture assumptions itemized in the companion Value Analysis workbook.
  • Greenway integration $2,500 one-time / $0 monthly / $0 per-patient per the CoachCare integration catalog — confirm in contracting.
Practice & program facts (researched July 2026)
  • TNG: physician-owned since 1975; ~26–30 nephrologists + ~14 APPs; 9 offices (Fresno HQ, Visalia, Bakersfield, Merced, Hanford, Selma, Los Banos +); 19 hospital affiliations across 6 Central Valley counties; Greenway EHR confirmed via the myhealthrecord.com patient portal.
  • In-house program: AHA-certified hypertension center with self-run BP monitoring; TNG Mobile app (App Store / Google Play, 2025) tracking BP, weight, glucose; in-house Data Analytics & AI Division; 6-person NP/PA VBC team. No public evidence of integration complaints — the build-vs-partner framing reflects the structural costs of self-built programs, not documented grievances.
  • CKCC: anchor practice of DaVita's Integrated Kidney Care of Central California (Cohort 2, Professional option, 27 aligned providers); PY2023 −$2.2M/50% quality → PY2024 +$1.86M/75% quality; CKCC extended through Dec 31, 2027 with tightened PY2026 methodology. Risk-share terms: confirm with DaVita/KCE actuaries.
  • Market: Fresno County's leading chronic conditions are obesity, hypertension, and diabetes; heavy Medicare/Medi-Cal payer mix across the Central Valley service area.