Expanding Access to Nutrition Care in Vulnerable Populations with Kidney Disease


Chronic kidney disease (CKD) affects more than 1 in 7 US adults, and 1 in 3 are at risk for developing CKD. The leading causes of kidney disease – diabetes and hypertension – disproportionately affect communities of color. RDN-provided nutrition management remains among the most important interventions for both prevention and management of chronic disease, including slowing CKD progression. The majority of adults with CKD never receive medical nutrition therapy. Common barriers to accessing nutrition care include inconsistent screening and referral; lack of RDNs with nephrology nutrition expertise; lack of RDNs with language and cultural skills to effectively support non-white communities; uncertainty of insurance coverage; and variances in patient readiness to make health-related behavior change, resulting in delay of care until very late stages of CKD. In alignment with the recent statement from the Academy President’s Strategic Advisory Group focused on Nutrition Care and Health Systems, a group establishing a goal to increase access to equitable, high-quality, consistent nutrition care, speakers will discuss opportunities for expanding access to MNT for people with CKD. They will share their experiences fostering collaborative partnerships that increased value of care and promoted health equity and discuss how they have successfully utilized payment streams to support nutrition care.

Planned with the Renal Dietetic Practice Group and the Nutrition Services Payment Committee

Learning Objectives

Identify actionable opportunities to enhance RDNs visibility and create meaningful value proposition to stakeholders caring for patients with all stages of chronic kidney disease

Describe the basics of coverage, billing and payment for MNT for non-dialysis chronic kidney disease

Develop strategies to improve patient access to nutrition services

Performance Indicators

1.7 Applies cultural competence and consideration for social determinants of health to show respect for individuals, groups and populations

3.3 Advocates for nutrition and dietetics services and resources for clients and populations

12.1 Advocates for health promotion and disease prevention in communities, in populations and globally


Holly Kramer

Professor, Public Health Services; Nephrologist

Loyola University Chicago/Loyola Medical Center

Tamaan Osbourne-Roberts

Chief Medical Officer and Vice President of Health Strategy

Colorado Access

Edith Yang

Owner, Principal Registered Dietitian

Healthy Mission Dietitian, Inc


Rebecca Kelly

CEO & Founder

Element Health, Inc.

Scroll to Top