Scott & White Health Plan | Rethinking Kidney Care
Rethinking kidney care so patients can live their best lives
Scott and White Health Plan, part of Baylor Scott & White Health, is collaborating with Cricket Health for a comprehensive, evidence-based approach to kidney care support services. It’s one more way Scott and White Health Plan continues to implement new, innovative, value-based programs.
Relieving some of the burden on providers
Cricket Health works collaboratively with nephrologists, primary care physicians (PCPs), and other specialists to help manage patients’ everyday health outside of the doctor’s office. As a physician, you may receive care management services for your patients without any overhead commitment, enabling you to be more efficient during appointments and to effectively meet quality-care standards. By giving patients access to specialized services, you have more time to dedicate to more comprehensive care - all at no extra cost to your patients or practice.
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A shared goal of managing chronic kidney disease (CKD) progression and smoothing the transition to end stage renal disease (ESRD)
Cricket works in lockstep with you to provide earlier and effective care in a coordinated effort to delay kidney failure. Cricket’s proprietary algorithm identifies at-risk members earlier, making it possible for you to engage patients earlier in their care journey and choose alternative treatments that are right for them.
Right intervention at the right time
An integrated care model, based on predictive analytics, helps deliver the right care for each patient’s unique risk profile.
Early diagnosis and treatment
A focus on improved health outcomes for patients can bring substantial reductions in total cost of care for plans.
Your eyes and ears between appointments
Your patients will benefit from Cricket's alignment with patient goals, progress and treatment preferences, and you'll receive care notifications along the way.
Why this service is so beneficial, and how to get patients enrolled
Scott and White Health Plan believes engaging patients through virtual, in-person, and at-home support supplements the care and treatment plan from PCPs and specialists, and can help patients better manage their condition and live their best quality of life. Cricket’s approach enables patients to remain engaged with a team that is accessible online or by phone, in addition to the care they receive from their own doctors.
Your Scott and White Health Plan Medicare Advantage members who live with CKD or ESRD may be eligible for this program. Providers can refer patients through either the Baylor Scott & White Quality Alliance case management team, or directly by completing this form and emailing firstname.lastname@example.org. While referrals are appreciated, they are not necessary for program enrollment.
Eligible patients will receive a letter or email from Scott and White Health Plan and Cricket Health with the invitation to participate in this program, along with enrollment instructions.
Download Referral Form
Our patients say it best
Eligible patients have access to a personalized, multidisciplinary care team, at no additional cost to them or your practice
We assign a nurse, dietitian, social worker, pharmacist, and peer mentor to each patient to help manage their kidney health by:
Answering questions on their condition and helping them with their medications.
Identifying community resources, if needed.
Coordinating care between all involved providers.
Providing education on renal replacement therapy options.
Offering wellness coaching and remote patient monitoring for select patients.
Assisting with wellness and weight management coaching.
A care model with proven results in patient populations
Patients who participate in the Cricket program are four times more likely to start dialysis at home and two times more likely to start dialysis in an outpatient setting than the status quo.See Peer Reviewed Studies
Answers to your Cricket Health questions
Scott and White Health Plan and Baylor Scott & White Quality Alliance are dedicated to improving the patient experience for seniors living with CKD or ESRD. This program aims to bring comprehensive, high-quality care to members who are living with kidney disease, and to reduce the cost of healthcare.
Scott and White Health Plan is collaborating with Cricket Health, a comprehensive kidney care provider with a personalized, evidence-based approach to managing chronic kidney disease (CKD) and end-stage renal disease (ESRD). The Cricket Health multidisciplinary kidney care team includes a nephrologist, nurse, pharmacist, social worker, dietician, and trained peer mentor. This team works in unison with Scott and White Health plan and the patient’s current medical providers throughout the full spectrum of care to manage the patient’s condition and help keep them healthy, at home and out of the hospital.
Scott and White Health Plan believes that patients can benefit from additional, personalized, evidence-based support outside the four walls of their doctor’s office. Engaging patients through virtual, in-person, and at-home support supplements the care and treatment plan from PCPs and specialists, and can help patients better manage their condition with the goal of helping them live their best quality of life. Cricket’s approach enables patients to make informed decisions and remain engaged throughout their care journey with a team that is accessible online or by phone, in addition to the care they receive from their own doctors.
No. Scott and White Health Plan provides this program at no additional cost to our members or providers.
No. Eligible patients will receive a letter or email from Scott and White Health Plan and Cricket Health with the invitation to participate in this program along with enrollment instructions. Members can choose to accept or decline the program with no impact on their coverage or benefits. Cricket does accept referrals for eligible patients; however, referrals are not required.
Specialists and PCPs will receive a report on patients’ status of enrollment and outreach activities with Cricket Health. The report indicates which patients are participating in Cricket Health’s program and which patients are qualified but have not yet enrolled.
A provider can refer a patient through either the Baylor Scott & White Quality Alliance case management team or directly using email@example.com. While referrals are appreciated, they are not necessary for program enrollment.
No. Members continue their relationship with their PCP and specialists. The Cricket Health clinical and support teams work collaboratively with a patient’s providers to provide supplemental care management services.
Each patient has a dedicated multidisciplinary kidney care team that includes a nephrologist, nurse, pharmacist, social worker, dietitian, and trained peer mentor. This team works in unison to provide supplemental services to a provider’s care, such as:
- Helping implement the patient’s care plan
- Coordinating care between medical providers
- Answering condition or medication-related questions from patients
- Connecting patients with community resources and peer groups
- Educating patients on renal replacement therapy
- Assisting with wellness and weight management coaching
Cricket Health provides patients with educational content from renowned clinicians on a Cricket Health digital platform. Through this platform, patients are connected to an online community of peer groups and trained peer mentors who can share useful insights about managing kidney disease.
Cricket keeps physicians informed about their patients by providing updates and actions in four circumstances.
- Provider Panel Report: Physicians receive a periodic report on patients’ status of enrollment and outreach activities with Cricket Health. The purpose is to inform the physician of which patients are participating in Cricket Health’s program and which patients are eligible but have not yet enrolled in the program.
- Provider Enrolled Member Progress Note: Physicians receive regular reporting on patient activities, including blood pressure & weight measurements, medication lists, and other general health updates, including ESRD treatment preference, dialysis modality preference, and transplant readiness.
- Escalation Notice: When clinically necessary, physicians are immediately alerted if there are any urgent changes in clinical status or sensitive clinical concerns. Physicians will be provided information regarding the sensitive medical situation
Cricket helps reduce the practice burden of physicians whose patients are in the program. Cricket’s multidisciplinary care team and digital platform serve as an extension of nephrology practices between appointments, allowing physicians to be more efficient with their patient/physician in-office visits.
This program will not affect the relationship between nephrologists and any dialysis provider they work with. Cricket’s goal is to ensure their efforts support the dialysis provider and patient. Evidence suggests platforms like Cricket’s can help reduce complications that commonly occur during dialysis initiation.
Yes. A study conducted by Cricket Health and Samaritan Health Services in Oregon found that Cricket’s virtual care program can improve patient knowledge and effectively educate patients on their condition, help them understand their treatment options and help them avoid starting dialysis at inpatient settings such as a hospital.
Providers will be kept informed about their patients who are engaged with Cricket via periodic reports and are free to choose how much or how little they want to engage with the Cricket program; there is no requirement for provider involvement. Member participation is voluntary, and members can choose to disenroll at any time; however, providers cannot disenroll their patients.
For patient-specific questions, physicians can contact Cricket directly by calling 888.780.0253 or sending an email to: firstname.lastname@example.org. For general information about Scott and White Health Plan’s care coordination program with Cricket, providers can contact email@example.com.