Point-of-care risk capture that pairs RAF lift with a defensible evidence chain. Modeled per member, per panel, per contract.
Best fit for risk-bearing groups, MA plans, and ACOs with 5,000+ lives at risk.
| Metric | Value |
|---|---|
| Average RAF lift per member (pilot) | +0.18 |
| Projected annualized HCC value per member | ~$1,440 / yr |
| Additional conditions assessed per visit (pilot) | 2.4 |
| Pilot PCPs who said they would continue | 14 / 14 |
| Codes supported by RADV-style evidence packet | 342 / 342 |
Modeled from a 90-day pilot across 14 PCPs and 2,847 visits. Validate against your own payer mix, contract terms, coding rules, and audit policies before contracting. Pricing discussed during the demo.
Customer-side value, modeled at $1,440 / member / yr at the projected RAF lift, before payer-mix and contract adjustments.
~$43M / yr projected annualized value to the customer.
~$144M / yr projected annualized value to the customer.
Illustrative, not contractual. Validate against your own contract economics before sharing with finance.
HCC 18 - common, persistently under-recaptured.
HCC 85 - high-RAF, evidence-rich.
HCC 138 - frequently undiagnosed.
HCC 111 - often documented as “shortness of breath.”
HCC 22 - BMI > 40 is the trigger.
HCC 59 - commonly missed in PCP visits.
HCC 108.
HCC 96.
Overdue imaging, medication non-adherence, lab trend deterioration.
Centers in Houston, New England, and Chicago. Mock RADV-style review on 342 codes.
Pilot results are early signals, not guaranteed outcomes. Validate against your own population, payer contracts, risk model, coding policies, and compliance standards.
30 minutes with our clinical and finance leadership.
