Chronic Kidney Disease

Healthcare today stands at a crossroads. To improve outcomes and reduce unnecessary hospitalizations, providers must shift from a reactive model—waiting for problems to become crises—to a proactive model that identifies and addresses care needs early. That’s the core message behind the recent Outcomes Rocket Podcast episode featuring PRINE Health leaders Colette Boroch and Jonathan Goldstein, alongside Kathryn Anderton of ThoroughCare.

Why the Shift Toward Proactive Care Matters

Traditional healthcare often waits until a patient’s condition escalates before intervening. This reactive approach can lead to avoidable emergency department visits, hospital admissions, and patient distress. In contrast, proactive care centers on early identification of clinical risk, ongoing patient engagement, education, and coordinated follow-up—long before health conditions worsen.

During the podcast, the panel highlighted how focusing on early screening, repeated education, and systematic care management can prevent patients from “crashing” into the hospital. This shift not only improves patient safety and experience but also aligns with value-based care goals that emphasize quality and cost-effective outcomes.

Lessons From the Front Lines: Insights from the Podcast

 Early Identification & Patient Engagement (Colette Boroch)

Colette underscored the importance of early screening and education, especially for patients with chronic disease or high risk of hospitalization. By removing barriers—such as transportation challenges and health literacy gaps—care teams can stay ahead of deteriorations in health. Routine engagement helps patients adhere to care plans, understand warning signs, and access support before a crisis hits.

 Seamless Care Management & Clinician Support (Kathryn Anderton)

Kathryn highlighted the role of clinical care management platforms in streamlining documentation, standardizing workflows, and freeing clinicians to focus on direct patient care. Technology that reduces administrative burden not only improves efficiency but also strengthens the ability to monitor patient data consistently. This structured approach allows care teams to track trends and intervene earlier.

 Financial & Strategic Value (Jonathan Goldstein)

Jonathan tied it all together from a financial perspective, explaining how proactive care coordination can reduce avoidable utilization, improve quality metrics, and support shared savings models. In value-based care arrangements, keeping patients healthy isn’t just better for individuals—it’s more sustainable for healthcare systems and provider organizations.

Proactive vs. Reactive: What’s the Difference?

While reactive care addresses health problems after they occur—often at a higher cost or with worse outcomes—proactive care intervenes earlier, with regular touchpoints, preventive screenings, and education. Healthcare teams can then spot subtle issues and manage them before escalation. This results in better long-term outcomes and fewer avoidable hospitalizations.

Key elements of proactive care include:

• Regular outreach and follow-ups between visits
• Risk stratification to prioritize patients most likely to benefit
• Patient education & self-management support
• Technology-enabled monitoring and alerts
• Coordinated care teamwork across providers

Why It Matters for PRINE Health

At PRINE Health, we believe that investing in early intervention, continuous care management, and collaboration helps reduce hospitalization rates while improving patient outcomes. By embracing proactive models and supporting clinicians with the right tools and data, healthcare organizations can accelerate their transition to value-based care—enhancing patient experiences and delivering measurable results.

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 Listen to the Full Episode: Proactive vs. Reactive: How Early Intervention and Care Management Prevent Hospitalizations on Outcomes Rocket

At PRINE Health, our mission is to provide high-quality, patient-centered care that supports long-term wellness. As part of our comprehensive approach to metabolic and chronic care management, we offer evidence-based treatments that help patients take control of their health.

One treatment option that has gained significant attention is GLP-1 medications—including Ozempic®, Wegovy®, Mounjaro®, and Zepbound™—for improving blood sugar, reducing appetite, and supporting meaningful weight loss. Below, we break down what these medications are, how they work, and what patients can expect when treated through PRINE Health’s clinically supervised program.

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What Are GLP-1 Medications?

GLP-1 medications belong to a class of drugs called GLP-1 receptor agonists, developed to help regulate blood sugar levels. These medications mimic a naturally occurring hormone that impacts:

• Blood glucose control
• Appetite and cravings
• Digestion and fullness signals
• Metabolic efficiency

Because of these effects, GLP-1 medications have become one of the most effective tools for treating Type 2 diabetes and achieving clinically significant weight loss.

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Why GLP-1s Are Effective for Weight Loss

Many PRINE Health patients using GLP-1 medications experience:

• Reduced hunger throughout the day
• Improved portion control
• Decreased cravings, especially for high-carbohydrate or high-sugar foods
• Steadier blood sugar levels
• 10–20% total body weight loss, depending on medication and adherence

When combined with lifestyle guidance, GLP-1 medications can help patients reach—and maintain—their health goals.

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Who May Benefit From GLP-1 Treatment?

At PRINE Health, GLP-1 medications may be considered for adults who:

• Have Type 2 diabetes
• Have a BMI of 30 or higher, or
• Have a BMI of 27 or higher with weight-related conditions such as high cholesterol, hypertension, prediabetes, or sleep apnea

Our clinical team reviews each patient’s complete health picture to determine whether GLP-1 therapy is appropriate and safe.

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A Personalized PRINE Health Approach

We don’t believe in “one-size-fits-all” medicine. Our GLP-1 program includes:

1. Comprehensive Clinical Evaluation

We assess medical history, metabolic markers, lifestyle habits, and health goals.

2. Medication Selection Tailored to the Patient

Different GLP-1 medications work differently. We help choose the most effective and safest option.

3. Ongoing Monitoring & Dose Adjustments

Doses are increased gradually under physician supervision to minimize side effects and support successful weight loss.

4. Nutrition & Lifestyle Integration

PRINE Health offers guidance from:

• Primary care physicians
• Licensed dietitians
• Chronic care specialists

We also offer Resting Metabolic Rate Testing to help personalize calorie and nutrition planning.

5. Long-Term Weight Maintenance Strategy

Our goal is sustainable, long-term improvement—not temporary results.

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What About Side Effects?

Most patients tolerate GLP-1 medications well. The most common side effects include:

• Mild nausea
• Fullness or decreased appetite
• Constipation or occasional GI discomfort

These often improve as your body adjusts. Our team helps manage symptoms with personalized strategies and dose modifications when needed.

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Why Get GLP-1 Medications Through PRINE Health?

With rising demand, the internet is filled with unregulated or counterfeit GLP-1 products. These can be unsafe, ineffective, or improperly dosed.

Patients at PRINE Health receive:
 FDA-approved medication
 Secure pharmacy dispensing
 Physician oversight
 Metabolic and lifestyle support
 Trusted clinical guidance from a leading Long Island medical group

This ensures greater safety, accountability, and long-term success.

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A Whole-Person Approach to Metabolic Health

PRINE Health’s GLP-1 program is about more than weight loss. It’s about helping patients achieve:

• Improved energy and stamina
• Better cardiovascular and metabolic health
• Reduced inflammation
• More confidence in their daily lives

We’re committed to supporting our patients through every step of their health journey.

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Interested in Starting GLP-1 Treatment?

Our providers are here to help.

 Call PRINE Health to schedule a consultation
 Locations across Long Island
 Visit PRINEhealth.com to learn more

Understanding how your body burns energy at rest can be the key to achieving long-term weight and wellness goals. Resting Metabolic Rate (RMR) testing provides a simple, accurate measurement of how many calories your body needs to perform essential functions like breathing, circulation, and cell repair — all while at rest.

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What Is RMR Testing?

RMR testing measures your oxygen consumption through a quick, noninvasive breathing assessment. In just 10–15 minutes, we can determine your body’s “idling speed,” or baseline calorie burn, using a method called indirect calorimetry.

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Why RMR Matters

Personalized insights lead to better results.
Your RMR helps you:

• Support weight goals with accurate calorie targets
• Build customized nutrition and activity plans based on your unique metabolism

No more generic guidelines — your results reflect your body.

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What to Expect During the Test

• You relax and breathe normally through a mouthpiece or hood system
• A device analyzes your oxygen and carbon dioxide levels
• Results are available immediately and reviewed with a PRINE provider

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How to Prepare

To ensure accurate results:

• Avoid food or caloric drinks for 4 hours
• Avoid caffeine, alcohol, and nicotine for several hours
• Avoid exercise for 12–24 hours
• Discuss medications with your provider

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Insurance & Cost

RMR testing is often covered by commercial insurance and Medicare when medically necessary. Our team verifies your coverage before your appointment. Self-pay options are also available.

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Take the Next Step

RMR testing offers clear, personalized insights that can help you make informed decisions about your health. Contact PRINE Health to schedule your test and learn more about your body’s unique energy needs.

As the weather cools and the holidays approach, it’s more important than ever to take simple steps to protect your health and the health of those around you. At PRINE Health, we’re committed to helping our Long Island community stay well year-round. Two of the best ways to do that are by getting your flu shot and scheduling your annual wellness visit with your primary care provider.

1. Why the Flu Shot Matters

Each year, the flu virus changes, and your immunity from last season’s shot naturally decreases. That’s why the Centers for Disease Control and Prevention (CDC) recommends getting a flu shot every fall.

Here’s why it’s worth it:

• Prevents illness: The flu vaccine significantly lowers your risk of getting the flu and if you do get sick, symptoms are usually milder.
• Protects others: Getting vaccinated helps protect family members, coworkers, and especially vulnerable populations like infants, seniors, and people with chronic health conditions.
• Reduces hospitalizations: A flu shot can help prevent severe complications that lead to hospitalization, keeping both you and your community safer.

Flu season typically peaks between December and February, so the earlier you get vaccinated, the better protected you’ll be.

2. The Power of an Annual Wellness Visit

Even if you’re feeling great, an annual wellness visit is one of the best investments you can make in your long-term health. During your visit, your Prine Health primary care provider will:

• Review your overall health and medical history
• Discuss preventive screenings and vaccinations (like your flu shot!)
• Offer personalized guidance on nutrition, fitness, and lifestyle
• Help you manage or identify any early signs of chronic conditions

These yearly check-ins help us catch potential issues early, often before you notice symptoms, and allow us to create a care plan tailored just for you.

3. Convenient Care Close to Home

At Prine Health, we make it easy to stay on top of your health. With multiple primary care locations across Long Island, our team of experienced providers is ready to help you protect your health this flu season and beyond.

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Take the next step today:
 Schedule your flu shot
 Book your annual wellness visit

Your future self will thank you!

Find a Prine Health location near you by calling us at (516) 951-1110 or by visiting our website https://prinehealth.com/specialty/primary-care/

This past weekend was filled with incredible moments of recognition, gratitude, and inspiration as we celebrated the remarkable work of Shannon Mulroy and her family — champions for organ donation and kidney health awareness.

Assemblyman Michael Durso had the privilege of presenting Shannon Mulroy with her 2025 Woman of Distinction Award, surrounded by her loving family — husband John, daughter Julia, and son TJ. He said, “It was truly an honor to meet such an amazing family whose commitment to advocacy, education, and community service continues to touch countless lives.”

Shannon’s tireless work as a living donor, organ donation advocate, and supporter of transplant families only begins to capture her impact. Her compassion, courage, and leadership inspire others every day to consider the life-changing gift of organ donation.

“This award means so much—not just to me and my family, but to everyone touched by the power of kidney donation. My greatest hope is that others are inspired to give the gift of life through living kidney donation.”
– Shannon Mulroy, PRINE Health, 2025 Woman of Distinction

Additionally, Shannon was humbled to receive the New York State Woman of Distinction Award and Proclamation for her advocacy around kidney disease and kidney donation. Shannon shared, “As a living donor — having donated my kidney to a stranger — this recognition is a reminder of the strength and unity within our donor community. Together, we are proving that one act of kindness can change the course of another person’s life.”

The weekend concluded at the Families of Distinction Gala at Crest Hollow Country Club, where the family celebrated alongside Shannon’s daughter’s donor family and hundreds of others who share in the mission. It was an evening filled with hope, gratitude, and renewed purpose, a testament to the power of compassion and community.

To honor the legacy of Shannon’s daughter, the family is proud to announce the Julia Mulroy ’20 Scholarship Fund at Saint Anthony’s High School. This annual scholarship supports students who demonstrate exceptional leadership and advocacy for kidney donation and kidney disease awareness.

“This scholarship also recognizes students who are personally navigating the challenges of kidney disease or transplant, honoring their strength, resilience, and determination. Through this fund, we invest in the next generation of changemakers — those who will continue to spread awareness and inspire others to give the gift of life.” – Shannon Mulroy, PRINE Health

Shannon will be sharing more soon about upcoming fundraising opportunities to support the scholarship and expand our outreach programs.

You can also learn more about Shannon’s journey and the power of living kidney donation in Shannon’s inspiring book, available here:
 Amazon: Click to Learn More

Pictured left to right, Colette Boroch, Director of Clinical, PRINE Health; Felix Baudrit, Sr. Business Development Manager, Groth Pain and Spine; Tim Groth, CEO, Groth Pain and Spine; Meagan Marrero, Director of Business Development, PRINE Health; Dr. Simon Prince, CEO, PRINE Health.

PRINE Health was honored to support the American Red Cross Heroes Celebration earlier this month at The Heritage Club at Bethpage. The annual event is the premier fundraiser for the Red Cross on Long Island, benefiting communities across Nassau and Suffolk counties.

The evening celebrated individuals whose courage, compassion, and commitment to helping others reflect the very best of our community. Guests heard moving stories from honorees who have gone above and beyond to save lives, offer hope, and strengthen their neighborhoods.

At PRINE Health, our mission extends beyond clinical care, it’s about improving the health and resilience of the communities we serve. Supporting the American Red Cross aligns with that mission by advancing humanitarian aid, emergency relief, and programs that reach people when they need it most.

Every 60 seconds, 20 people receive assistance from the Red Cross, and $0.90 of every dollar raised goes directly toward humanitarian services and programs. These numbers represent the power of community, and the difference collective compassion can make.

“Hopefully everyone enjoyed hearing about the extraordinary work being done by Red Cross volunteers every day,” said Jonathan Goldstein, representing PRINE Health at the event. “We’re proud to stand behind an organization whose values so closely reflect our own: service, empathy, and commitment to those in need.”

PRINE Health extends heartfelt thanks to the American Red Cross and all those who helped make this year’s Heroes Celebration a success. Together, we continue to build stronger, healthier communities for all.

To learn more about volunteer opportunities, donations, or the Heroes Celebration, visit the American Red Cross Long Island Heroes Celebration page.