How Strive Health’s Whole-Person Approach to Care Drives Better Outcomes
Author : Strive Health
A patient* came to Strive Health with advanced chronic kidney disease, heart failure, diabetes, obesity, and depression, along with significant financial stress. The combination of medical and social challenges made day-to-day life difficult and made it harder for her to stay on track with treatment and live a wholesome life.
After enrolling in Strive’s programs, she was supported by an integrated care team that included a registered nurse care manager, nurse practitioner, renal dietitian, and licensed clinical social worker. Together, the team provided coordinated, longitudinal care designed to address both her clinical needs and the non-clinical factors affecting her health.
That whole-person approach mattered. The team supported her with medication adherence, kidney-friendly nutrition, sodium and fluid management, weight loss, and diabetes control. They also helped address the broader realities shaping her health, including depression, financial strain, food access, and follow-through with primary care and nephrology appointments.
Over time, that consistent support led to meaningful progress. Her kidney disease remained stable without progression, her diabetes improved significantly, her weight came down, and her edema improved substantially. All these interventions reduce the risk of further kidney disease progression as well as further end-organ damage. Furthermore, the interventions substantially reduce her risk of being hospitalized for a CHF exacerbation.
Her story reflects the broader impact of Strive’s care model. In a published analysis of 623 patients with CKD stage 3b or 4 enrolled in a value-based kidney care program, the median rate of eGFR decline was reduced by 77.2% for patients with CKD 3b and by 65.2% for patients with CKD 4 after enrollment. The study also found slower kidney function decline 20 months after enrollment.
Her experience brings those results to life. It shows what can happen when clinical care management, nutrition support, behavioral health, and care coordination work together around the full needs of the patient.
Today, she is focused on maintaining her progress and protecting her long-term kidney health, supported by a care model built to meet the full reality of her needs.
*Based on a real patient experience.
