A consultant's perspective. Renal care of Louisiana

Much has been said regarding the evolution of managed care and what the ultimate impact of managed care will have on the renal industry. The members of NIPA, under the guidance of its Board of Directors, formed RenalCare of Louisiana in order that the nephrologists could take the lead in defining and monitoring the quality of care delivered to ESRD and pre-ESRD patients under an at-risk payment methodology. NIPA places its members in the "drivers seat" in the development and implementation of a renal disease management organization, and therefore, the re-engineering of the renal delivery system in Louisiana will be headed by Louisiana nephrologists rather than for-profit dialysis chains.