Posted Mar 25, 2026
Somatus provides specialized kidney care management and telephonic disease management services on behalf of Healthfirst for eligible members diagnosed with CKD/ESRD.
A printable PDF is available here.
As part of our continued effort to provide members with the best possible quality care, Healthfirst has partnered with Somatus Inc. (Somatus) to support members diagnosed with Chronic Kidney Disease (CKD) or End Stage Renal Disease (ESRD).
This partnership is designed to improve health outcomes and enhance members’ quality of life through care coordination and ongoing engagement with specialized renal nurse care managers.
Somatus provides specialized kidney care management and telephonic disease management services on behalf of Healthfirst for eligible members diagnosed with CKD/ESRD.
These clinical programs focus on evidence-based interventions and patient engagement to slow disease progression, reduce the need for dialysis, and support treatment options that improve outcomes and reduce complications.
Somatus’ CKD/ESRD Care Management program offers kidney disease consultation through a targeted case management approach consistent with the National Kidney Foundation’s Kidney Disease Outcomes Quality Initiative (KDOQI) guidelines.
Somatus’ specialty-trained renal nurse care managers can complement the provider’s existing treatment plan by:
Healthfirst members may qualify for the Somatus program based on an analysis of their lab results, procedure codes, revenue codes, and diagnosis codes.
Once members are identified, Somatus will contact them to gauge their interest in receiving assistance.
To support coordinated care, Somatus may contact providers to request relevant clinical information, such as:
This information helps ensure alignment with members’ treatment goals and preferences.
If you have any questions, please contact your Network Account Manager, or call Provider Services at 1-888-801-1660, Monday to Friday, 8:30am-5:30pm.