Advancing Technologies to Facilitate Remote Management of Patient Self-Care in Renal Replacement Therapy (RRT)

Patient Care Issue

Digital and mobile-based technologies present new and possibly better disease management options for patients and healthcare professionals. These technologies hold the potential of improving outcomes through individualized patient-centered education, remote communication and data exchange, in-home clinical guidance, prescription/treatment adherence or changes, and a rapid alert system for health professionals. This responsiveness empowers patients and family care providers and has the potential to increase the number of patients receiving home-based therapies.


There is uncertainty regarding the approval of advanced medical devices, accessories, software, and mobile medical applications for consumer use. Reimbursement policies vary significantly across Medicaid, Medicare, and commercial insurance. This regulatory and payer misalignment and the knowledge gap is hindering patient access to technologies and services that have potential to improve outcomes for patients on home based therapies.


KHI assembled a workgroup tasked with addressing the state of remote monitoring wireless health/telemedicine technology that can be utilized to treat patients with kidney disease and assessing potential clinical and economic value. This information will be used to address key regulatory, legal, legislative, and reimbursement barriers affecting the adoption and usage of such technologies. The workgroup will develop a white paper and present their findings at workshop.