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In a large, integrated health system participating in value-based care, higher costs and utilization were observed before and after unplanned dialysis initiation.

United statesKaiser permanenteAlina liLesliep wongCaro martinezAmerican kidney healthAppl health econCleveland clinic community careKidney instituteCleveland clinic foundation institutional review board onSavings programNational quality forumAssociation of the comprehensive endDepartment of internal medicineIntermountain kidney servicesDiabetic kidney disease collaborative task