Economic: N/RClinical: SBP among participants with baseline BP >130/80 mmHg, PTH measured during study period, BP <130/80 mmHg, incidence of ESKD, death, measurement of phosphorus and UACR; the number of antihypertensive medications prescribed to those with poorly controlled hypertension; appropriate treatment with ACEI/ARB, phosphorus binders, vitamin D, and sodium bicarbonate; medication adherence; and the percent of subjects seen by nephrologyHumanistic: HRQoL and patient satisfaction. The gene discussed is PTH; the disease is Hypertension.