Kidney Health Connections

How SGLT2 Inhibitors and GLP1 Agonists are Transforming CKD Care

stories@amazemedialabs.com (Dr. Katherine Tuttle, Dr. George Hart) — Wed, 3 Dec 2025 05:00:00 +0000

In this episode of Kidney Health Connections, Dr. Katherine Tuttle, a leading nephrologist and researcher, explores the transformative advancements in chronic kidney disease (CKD) treatment. She discusses the revolutionary impact of SGLT2 inhibitors and GLP1 agonists, which have shifted the landscape from modestly effective therapies to groundbreaking treatments that significantly slow disease progression, reduce cardiovascular risks, and even prevent kidney failure. These innovations align seamlessly with value-based care models, offering both clinical and economic benefits.

Dr. Tuttle also highlights the potential of combination therapies and the critical role of implementation in maximizing patient outcomes. As Dr. Tuttle puts it, this is a monumental time in medicine, with the potential to conquer CKD and transform lives.

Tune in to gain practical insights, learn about the emerging wave of new therapies, and discover why early intervention and multidisciplinary collaboration are vital.

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A Patient’s Perspective on Kidney Care

stories@amazemedialabs.com (Alex Berrios, Dr. George Hart) — Wed, 19 Nov 2025 05:00:00 +0000

In this episode of Kidney Health Connections, Dr. George Hart speaks with Alex Berrios, a long-time kidney disease patient and advocate, about his journey navigating the challenges of chronic kidney disease, dialysis, and transplantation. Alex candidly discusses the physical, emotional, and logistical hurdles of managing his condition, as well as the critical role of family and community support. He also shares his ongoing efforts to secure a second kidney transplant, including participating in clinical trials and exploring innovative solutions like xenotransplantation.

As a patient support coordinator at Interwell Health, Alex discusses how he uses his lived experience to connect with and support other kidney patients. He emphasizes the importance of patient education and ensuring that patients feel heard and understood.

Watch the full episode to hear Alex’s inspiring story and learn what his experiences reveal about the future of kidney-centered value-based care.

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The Intersection of Race and Kidney Disease

stories@amazemedialabs.com (Dr. Amaka Eneanya, Dr. George Hart) — Wed, 5 Nov 2025 05:00:00 +0000

This episode of Kidney Health Connections sheds light on systemic disparities in kidney care and the critical shift toward a race-neutral estimated glomerular filtration rate (eGFR) equation. Dr. Amaka Eneanya, adjunct professor of medicine at Emory University School of Medicine, discusses the historical use of race in the original eGFR equation, which disproportionately affected Black patients by assigning them higher kidney function levels based solely on race. This flawed approach led to delays in diagnoses, restricted access to nephrology care, and postponed eligibility for kidney transplants.

Dr. Eneanya helped lead the charge for the adoption of a race-neutral eGFR equation. In this discussion, she highlights the positive impact of this change on early intervention and access to treatment for Black Americans. She also shares actionable steps for labs, health plans, and providers to continue to drive adoption of race-neutral kidney disease testing and treatment.

Learn why the shift to a race-neutral eGFR equation matters and how it’s reshaping kidney care. Watch the full episode now.

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Can Xenotransplantation Solve the Kidney Transplant Shortage?

stories@amazemedialabs.com (Dr. Jay Fishman, Dr. George Hart) — Wed, 22 Oct 2025 04:00:00 +0000

This episode of Kidney Health Connections highlights the potential of xenotransplantation to one day address the kidney shortage. Dr. Jay Fishman, a leader in transplant infectious disease at Massachusetts General Hospital and Harvard Medical School, discusses the scientific advances making pig-to-human kidney xenotransplants possible. He also explores the future of xenotransplantation and its potential to complement traditional organ donation, particularly for urgent or complex cases.

The conversation also covers other forms of innovation paving the way for safer and more effective transplant options, such as new technologies to preserve donated kidneys. These innovations could transform care delivery, offering scalable solutions to meet the growing demand for transplants.

Don’t miss this conversation on innovation, science, and hope for patients. Watch or listen to the full episode of Kidney Health Connections now.

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Building Healthcare Models that Work for Patients

stories@amazemedialabs.com (Dr. George Hart, Jennifer Huneycutt) — Wed, 11 Jun 2025 20:02:30 +0000

Do patients realize the difference between traditional care models and the support and services they receive as part of a value-based approach to care? Dr. George Hart and Jennifer Huneycutt, executive director at Metrolina Nephrology Associates, explore what it takes to create healthcare models that genuinely serve patient needs—not just check boxes. This candid conversation reveals the often-overlooked complexities of balancing value-based care and fee-for-service, and why educating and empowering patients is essential for better outcomes.

This episode of Kidney Health Connections also covers the value of comprehensive training programs to equip advanced practice providers (APPs) with the latest clinical knowledge and tools to deliver high-quality care. Jennifer shares lessons learned from Metrolina’s structured approach to APP onboarding and training and how the practice sets patient expectations on the role APPs will play in their care.

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Voices from RPA: Shaping the Future of Nephrology

Wed, 14 May 2025 04:00:00 +0000

This special episode of Kidney Health Connections includes exclusive highlights from the 2025 Renal Physicians Association (RPA) Annual Meeting, where nephrology professionals gathered to discuss innovation, collaboration, and the future of kidney care. From value-based kidney care models to the role of AI technology in combating clinician burnout to the importance of culture in building successful nephrology practices, this episode is packed with actionable insights and forward-thinking perspectives from the leaders on the front lines of kidney care.

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Closing the Gaps in Kidney Care Access

stories@amazemedialabs.com (Dr. George Hart, Dr. Julie Dominguez) — Wed, 30 Apr 2025 04:00:00 +0000

How do we build a safety net for millions of Americans living with chronic kidney disease (CKD) who don’t have the care and support they need to manage this complex, degenerative condition? Unfortunately, a large portion of CKD patients either lack access to a nephrologist or remain unaware of their condition, leading to more severe health complications over time. In this episode of Kidney Health Connections, Dr. Julie Dominguez, Interwell Health medical director, dives into the critical role of nephrologists in improving patient outcomes and explores innovative solutions to bridge the care gap in settings where patients don’t have a nephrologist.

To create a comprehensive kidney care safety net—especially in the face of an ongoing nephrologist shortage—Dr. Dominguez shares how Interwell Health works to connect patients with local providers and, when needed, leverages advanced practice providers (APPs) and telehealth to provide focused interim care. She also discusses the role of technology, including predictive analytics and electronic health records, in identifying patients in need of additional support and creating seamless care transitions.

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Supporting Physicians in the Transition to Value-Based Care

stories@amazemedialabs.com (Dr. George Hart, Dr. Terry Ketchersid) — Wed, 16 Apr 2025 04:00:00 +0000

This episode of Kidney Health Connections explores how to support physicians in the transition to value-based care. Sharing his perspective shaped by decades of experience in nephrology and healthcare technology, Interwell Health Senior Vice President Dr. Terry Ketchersid walks through the wins and hurdles nephrologists have experienced over the last decade, and the importance of creating incentives that work in both fee-for-service and value-based care models as practices navigate this evolving landscape.

During the conversation, Dr. Ketchersid discusses how value-based care programs become “the tide that's raising all boats” as practices translate strategies such as comprehensive patient education across their patient populations. As the co-leader of Interwell's Acumen Epic Connect electronic health record, he also touches on the value of data analytics, spotlighting the role of EHRs in streamlining workflows and enabling better patient outcomes, and the importance of distributing best practices to ensure more physicians can succeed on the road to value-based care.

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Creating a Sustainable Future for Value-Based Kidney Care

stories@amazemedialabs.com (Dr. George Hart, Alex Azar) — Wed, 2 Apr 2025 04:00:00 +0000

Alex Azar, former secretary of Health and Human Services (HHS) and a board member at Interwell Health, joined Kidney Health Connections to share his personal connection to chronic kidney disease (CKD) through his father’s experience and reflect on the aims and impact of the Advancing American Kidney Health (AAKH) initiative he spearheaded. Azar explains how value-based models aim to improve CKD management by fixing incentive structures and rewarding quality outcomes—including slowed CKD progression, increased optimal starts, and higher transplant rates. He also offers his predictions on whether the new administration will continue to support the ongoing shift to value-based kidney care.

This episode explores key topics including how the laws of economics have shaped our current healthcare system, Medicare’s influence on healthcare payment models, and the growing pains that come with large-scale healthcare transformation. With a focus on early intervention, patient-centered care, and innovative technologies, Azar shares his optimism for the future of kidney care in the United States.

Tune in to this insightful discussion for an in-depth look at the policy decisions in the making, the tangible benefits already taking shape, and how these shifts impact patients, providers, and payers.

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Navigating Complex Choices in Kidney Care

stories@amazemedialabs.com (Dr. George Hart, Dr. Bobby Muthalaly) — Wed, 19 Mar 2025 04:00:00 +0000

For some patients with advanced chronic kidney disease (CKD) or end-stage kidney disease (ESKD), active medical management can offer better quality of life than dialysis or kidney transplantation without necessarily compromising life expectancy. Yet conversations on whether to forego or withdraw from other treatment options can be challenging for patients and clinicians. In this episode of Kidney Health Connections, Dr. Bobby Muthalaly, president of Kidney Care of Oklahoma, sheds light on this often-overshadowed topic to help other healthcare professionals better support their own patients through these complex and deeply personal care decisions.

Dr. Muthalaly shares how his practice assesses patient needs and initiates thoughtful, compassionate discussions about modality options that honor the patient’s preferences and circumstances. He emphasizes the importance of trust, early engagement with patients, and involving families in shared decision-making.

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Managing the Complexities of a Renal Diet

stories@amazemedialabs.com (Dr. George Hart, Jessica Prohn) — Wed, 5 Mar 2025 05:00:00 +0000

Jessica Prohn, a registered dietitian and board-certified specialist in renal nutrition, says a renal-friendly diet plays a critical role in managing chronic kidney disease (CKD).

In the latest episode of Kidney Health Connections, Prohn highlights the value of early dietary intervention, emphasizing its impact on slowing disease progression and improving patient quality of life.

Maintaining a healthy diet can be confusing for CKD patients, especially when they are also managing other conditions such as diabetes, obesity, and cardiovascular disease. As Prohn explains, there is no one-size-fits-all kidney diet, as nutritional needs depend on the stage of CKD and treatment modality. An individualized approach—rooted in each patient’s unique medical history, lifestyle, and comorbidities—is essential when crafting dietary recommendations.

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Scaling Success in Value-Based Kidney Care

stories@amazemedialabs.com (Dr. George Hart, Dr. Carney Taylor) — Wed, 19 Feb 2025 05:00:00 +0000

In this episode of Kidney Health Connections, Dr. Carney Taylor, former co-president of Eastern Nephrology Associates in Greenville, NC, shares how the practice achieved a perfect quality score in the government’s value-based Kidney Care Choices Model and an impressive 84 percent optimal start rate during his tenure. Dr. Taylor highlights the importance of care coordination and data, as well as how the practice drove cultural and leadership changes to realize the full potential of value-based care in improving patient outcomes. In addition, he discusses how Eastern Nephrology navigated the challenges of caring for patients across a large, mostly rural, area in a fragmented healthcare system.

Dr. Taylor sat down with Interwell Chief Medical Officer Dr. George Hart to record this episode ahead of the 2024 Interwell Health Partner Summit, where the company first announced that Dr. Taylor would be transitioning from his seat on Interwell’s board to a full-time role on the medical office leadership team. During the conversation, Dr. Taylor also shares how he plans to champion value-based kidney care and a patient-first approach in his role as associate chief medical officer of Interwell.

Disclaimer:

The statements contained in this podcast are solely those of the participants and do not necessarily reflect the views or policies of CMS. The participants assume responsibility for the accuracy and completeness of the information contained in this podcast.

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Managing Depression to Improve CKD Care and Outcomes

stories@amazemedialabs.com (Dr. George Hart, Jessica Demaline) — Wed, 5 Feb 2025 05:00:00 +0000

In this episode of Kidney Health Connections, Dr. George Hart and Jessica Demaline, senior vice president of healthcare operations at Interwell Health, discuss the critical issue of managing depression among individuals with chronic kidney disease (CKD). People with CKD are at a significantly higher risk for depression, which can severely impact their ability to manage their kidney disease and related comorbidities. The conversation emphasizes the importance of screening for depression regularly, the role of primary care providers in supporting patients, and tools to assess depression and anxiety symptoms.

The episode also explores the advantages of value-based care over fee-for-service models in enabling healthcare providers to take a more comprehensive approach to patient care, addressing not only kidney disease but also mental health, social determinants of health (SDoH), and overall well-being. This holistic approach includes offering additional resources like counseling, social work, and community support, which can help improve patients’ mental health and treatment adherence.

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Addressing Social Determinants of Health in Kidney Care

stories@amazemedialabs.com (George Hart, Kareen Simpson) — Wed, 22 Jan 2025 05:00:00 +0000

Dr. Kareen Simpson’s nephrology practice, Associates in Nephrology, serves the minority community on the southeast side of Chicago. She joins Kidney Health Connections for a discussion on the critical social determinants of health (SDoH) that impact patient care, including limited access to healthcare, transportation difficulties, financial barriers, and systemic challenges. This episode also delves into the complexities of kidney transplantation for minority communities, including issues of healthcare literacy, distrust, and the need for early education and referral to improve patient outcomes.

Sharing stories from her own experience caring for patients, Dr. Simpson advocates for a more holistic approach to healthcare, moving away from "sick care" to true healthcare that focuses on prevention and comprehensive support. She sees value-based care as a promising model that allows for more personalized patient navigation, access to care team members who can spend time understanding patients' individual needs, and the ability to connect patients with additional services such as nutrition and social work support.

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Advancing AI in Kidney Care

stories@amazemedialabs.com (Dr. George Hart, Alex Ruterbories) — Wed, 8 Jan 2025 05:00:00 +0000

In this episode of Kidney Health Connections, Dr. George Hart interviews Alex Ruterbories, Director of Data Science at Interwell Health, on the role of artificial intelligence (AI) in enhancing kidney care. They discuss how machine learning and predictive analytics are helping personalize treatment by predicting patient risks, such as hospitalization or disease progression. Ruterbories elaborates on various types of AI, explaining how these tools can improve decision-making by synthesizing vast amounts of patient data into actionable insights to help clinicians provide better care while reducing burnout from excessive documentation.

The conversation also touches on key challenges in AI, such as bias and the importance of human oversight to prevent errors, particularly in generative AI, where systems may "hallucinate" or produce inaccurate information. Ruterbories emphasizes the need for transparency and continuous monitoring to ensure trust in AI models, as well as the importance of collaboration between clinicians and AI developers to ensure that AI tools are practical and serve to augment, not replace, human expertise.

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Avoiding the “Crash” into Dialysis

stories@amazemedialabs.com (Dr. George Hart, Emily Morey) — Wed, 18 Dec 2024 05:00:00 +0000

Up to one in four patients “crash” into dialysis unexpectedly, often with a catheter, which poses health risks and diminishes quality of life. This episode of Kidney Health Connections explores the challenges of patients starting dialysis treatment urgently and without proper preparation and education. Registered Nurse (RN) Emily Morey, a care manager at Interwell Health, describes the traumatic impact of these emergencies on patients, noting their fear, loss of independence, and increased vulnerability to infections and other complications. However, she emphasizes that patients can recover and regain independence with proper care and trust in their healthcare team.

The conversation highlights the critical role of early education and intervention in improving outcomes for patients with kidney disease. Optimal starts, which may involve preemptive transplants or planned dialysis with a functioning access, significantly enhance patients’ quality of life and ability to maintain their lifestyle. As a nurse, Morey also stresses the value of family support and a team-based approach in managing chronic kidney disease. Her stories of helping patients through these transitions illustrate the transformative power of compassionate, patient-centered care.

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Evolving the EHR to Enable Patient-Centered Care

stories@amazemedialabs.com (George Hart, Sam Gopal) — Wed, 4 Dec 2024 05:00:00 +0000

In this episode of Kidney Health Connections, Dr. George Hart and Sam Gopal, president of Acumen Physician Solutions, discuss the evolution and challenges of the electronic health record (EHR). Acknowledging the frustrations many physicians feel with record keeping taking time away from patient care, Gopal explains that EHRs are essential for capturing longitudinal patient data and analytics. He describes current efforts to make EHRs more user-centered, incorporating features like ambient listening and generative AI to streamline documentation and reduce administrative burdens, ultimately aiming to enhance physician-patient interaction at the bedside.

In a discussion on the future of healthcare, Gopal says we are at an inflection point. As EHR systems mature, they will evolve from mere digital repositories to essential tools for population health management. With decades of data now stored in EHRs enabling predictive analytics and proactive patient care, Gopal envisions EHRs evolving into supportive "copilots" that empower doctors by delivering relevant information while minimizing distractions. The goal is getting providers "back to the bedside" and restoring the focus on patient-centered care.

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Why Clinical Documentation Matters

stories@amazemedialabs.com (George Hart, Naz Urooj) — Wed, 20 Nov 2024 05:00:00 +0000

This episode of Kidney Health Connections highlights the shift from fee-for-service, where nephrologists could focus mainly on the renal aspects of patient care, to value-based care models, where providers must take a more holistic view of the patient. Naz Urooj, senior vice president of quality and clinical documentation at Interwell Health, explains that risk adjustment models rely on ICD-10 codes to assess patient complexity and predict costs, meaning nephrologists need to thoroughly document all relevant comorbidities to paint a complete picture of patient complexity, ultimately enabling providers and payers to direct resources to the patients who need them most.

As Interwell Chief Medical Officer Dr. George Hart attests from his own experience caring for patients, clinical documentation is a new skill for nephrologists. This episode dives into tools and strategies to support clinical documentation, including specialized electronic health record (EHR) systems designed to make the right data easily accessible and provider training to ensure accurate coding.

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Powerful Patient Education Strategies

stories@amazemedialabs.com (George Hart, Marc Brazie) — Wed, 6 Nov 2024 05:00:00 +0000

This episode of Kidney Health Connections features a conversation with Dr. Marc Brazie, a nephrologist at Metropolitan Nephrology Associates in Northern Virginia, about patient education in kidney care. Dr. Brazie discusses the evolution of his practice's approach to patient education and emphasizes the challenges of educating patients about chronic kidney disease (CKD), particularly when many patients are referred late in their disease progression or are unaware that they have kidney disease.

The discussion highlights the importance of early intervention and education and the promise of new medications such as SGLT2 inhibitors in slowing disease progression. Dr. Brazie stresses the significance of breaking down education into manageable segments rather than overwhelming patients with information, and the benefits of using advanced practice providers and renal care coordinators to deliver education effectively. He also emphasizes the importance of using tools such as the kidney failure risk equation and Interwell Learning to help patients understand their condition and the potential benefits of various treatments.

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Exploring The Kidney Care Choices Model

stories@amazemedialabs.com (George Hart, Ellen Lukens) — Wed, 23 Oct 2024 04:00:00 +0000

In this episode of Kidney Health Connections, Dr. George Hart, chief medical officer of Interwell Health, is joined by Ellen Lukens, deputy director of the Center for Medicare and Medicaid Innovation (CMMI). Lukens has played a pivotal role in developing specialty care models, such as the Kidney Care Choices (KCC) model, which aims to improve outcomes for patients with chronic kidney disease (CKD). Together, they delve into the mission and impact of CMMI, the progress and challenges of the KCC model, and the future of value-based kidney care. Lukens shares her insights on positive results from the first year of the KCC model — including increased home dialysis and optimal starts rates, CMMI’s efforts to address health equity and social determinants of health (SDoH), and the potential for innovative payment models to create a permanent pathway for coordinated, equitable kidney care in the U.S. healthcare system.

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Welcome to Kidney Health Connections

stories@amazemedialabs.com (Dr. George Hart) — Thu, 10 Oct 2024 14:06:37 +0000

Welcome to Kidney Health Connections, a groundbreaking new podcast hosted by Dr. George Hart, Chief Medical Officer at Interwell Health and a nephrologist with over 30 years of experience caring for patients. In this exciting series, we dive into the leading-edge advancements that are reshaping kidney care.

Join Dr. Hart as he explores value-based kidney care, a holistic approach revolutionizing how chronic kidney disease (CKD) is managed. Discover how healthcare providers and payers are shifting from fragmented care to comprehensive strategies that improve patient outcomes while reducing costs. From slowing disease progression and reducing hospitalizations to the transformative role of AI and electronic health records, this podcast keeps you informed and inspired by the latest innovations in kidney health.

Each episode features expert guests from across the healthcare spectrum, offering insights on topics ranging from managing depression in CKD to the future of kidney transplants. Whether you’re a healthcare professional, payer, caregiver, or simply passionate about medical innovation, Kidney Health Connections delivers the knowledge and strategies you need.

Subscribe now on your favorite podcast platform and join us as we uncover how value-based care is transforming kidney health—one episode at a time!

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