Kidney care is complex and often fragmented. A new pilot program by the Center for Medicaid and Medicare Services is in play. Its name is End-Stage Renal Disease Seamless Care Organization (ESCO). Doug Johnson, MD, Medical Director for Dialysis Clinic Incorporated, along with his team Dr. Toros Kapoian, Kathy Searson, Karen Nugent, Bob Motacki, Wayne Dwyer describe how they plan to improve care coordination and be more efficient with resources.