Our mission
Extend the lifespans of people with chronic kidney disease by delaying kidney failure and increasing transplants, through compassionate, superior care.
The problems we set out to solve
01
Delayed access to care
Seven in 10 people with chronic kidney disease were not seeing a nephrologist. Those who were referred often waited months for a first visit, and many learned how sick they were only when their kidneys were already failing.
02
Patients on their own between visits
Most patients saw a nephrologist briefly a few times a year and had little help in between. Dietitians, mental health support and care management were rarely part of kidney care, even though research showed team-based care slowed the disease.
03
Too little focus on transplant
Transplant offers most people with kidney failure the longest and fullest life, yet few patients were prepared for it early. Too many started dialysis in an emergency, before anyone had discussed transplant or home dialysis with them.
Peer-reviewed results
Most Reset patients held steady or improved their kidney function
84%
of Reset patients had improved or stable kidney function, measured by eGFR.
Virtual Care in Nephrology: An In-Depth Retrospective Analysis
Journal of Clinical Medicine · Volume 13, Issue 1, Article 66
Where we worked
Nine states, focused on rural communities
Reset partnered with national and regional health plans, ACO REACH health systems, and critical access hospitals, with a focus on treating patients in rural communities.
- National and regional health plans
- ACO REACH programs
- Critical access and rural hospitals
Alabama · Arizona · California · Florida · Montana · New Mexico · Ohio · West Virginia · Wisconsin
The care model
First fully integrated, multidisciplinary virtual kidney care model
Nephrologist-led
Nephrologists set each care plan and guided a team of nephrology nurse practitioners.
A multidisciplinary care approach
Dietitians, therapists, care managers and CKD educators supported patients between visits.
Care by video and at home
Visits by video and blood draws at home, so rural patients avoided long drives.
An early focus on transplant
Patients were prepared for transplant and home dialysis well before kidney failure.
Built on clinical evidence
Grounded in scientific research and proven evidence
The American Journal of Medicine
Multidisciplinary programs for advanced CKD reduced hospitalizations, emergent dialysis starts, the need for renal replacement therapy, and medical costs.
Read the paper ↗
International Journal of Medical Sciences
Patients managed by a multidisciplinary care team showed slower progression of their kidney disease.
Read the paper ↗
International Urology and Nephrology
A systematic review and meta-analysis linked multidisciplinary CKD care to lower hospitalization rates and slower eGFR decline.
Read the meta-analysis ↗
Thank you
Thank you to everyone who made Reset possible
To our patients and families: thank you for trusting us with your care. To our nephrologists, nurse practitioners, dietitians, therapists, care managers and educators: thank you for the work you did for every patient. To the health plans, ACO REACH programs, hospitals and physicians who referred patients to us: thank you for your partnership. And to our investors and advisors: thank you for believing in what we set out to build.
The founders
Arun Sharma
Arun Sharma was diagnosed with C3G, a rare kidney disease, at 18 and later received a preemptive kidney transplant. He has spent 20 years in healthcare strategy, most recently as Head of Strategy for Optum Care. He also led corporate strategy at Optum, grew home dialysis at Fresenius, and consulted at Oliver Wyman and Deloitte.
Dr. Bessant Parker
Internal medicine physician with more than 20 years as a physician and health system executive. As chief medical officer of Adventist Health, he oversaw 300 providers caring for more than 300,000 patients across five hospitals. He built care delivery models for large populations and led disease management programs, including for kidney disease.
Medical records for former patients
Reset’s records are held by an independent medical records company. To request a copy, contact them by:
- chartcontrol@clarydm.com
- Phone
- 763-548-1320
- Fax
- 763-548-1325
Include your full name, date of birth and where to send the records. Reset cannot provide medical care or advice. In an emergency, call 911.