For Payers

Enable Your Provider Network

Give providers infrastructure instead of spreadsheets. Drive Stars improvement, close quality gaps, and improve member outcomes — without building call center capacity.

Operational in Days HIPAA Compliant No EMR Required

The Challenge

You Send Data. Providers Can't Act On It.

You invest heavily in analytics and quality programs. But providers receive spreadsheets they can't operationalize — stale contact info, gaps that don't exist, patients who've already been addressed. They waste time chasing phantom problems while real opportunities go unaddressed. The infrastructure layer that turns data into action is missing.

Directory Errors
52%
Scripts Unfilled
20-30%
Admin Burden
73%

Provider Enablement

Turn Quality Data Into Quality Outcomes

Same data. Actionable infrastructure. Measurable improvement.

Data Validation First
Before outreach begins, validate contact information and identify data issues. Providers focus on patients who actually need intervention — not chasing bad phone numbers or closed gaps.
Conversational Engagement
Natural AI conversations achieve results manual calling can't match. Barriers surface. Appointments schedule. Refills confirm. Every interaction drives toward gap closure.
Network-Wide Visibility
See which providers excel and why. Identify what's working and share winning strategies across your network. Fair attribution drives improvement.
Aligned Incentives
You fund the platform. Providers get powerful tools at no cost. Stars improve. Quality bonuses protect. Medical costs drop. True partnership achieved.
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Partnership Model

Stop Sending Problems. Start Enabling Solutions.

Traditional payer-provider dynamics create friction. You send gap lists. Providers complain about data quality. Quality suffers. Relationships strain. Everyone loses.

The platform approach changes the dynamic. You provide infrastructure, not just data. Providers get tools that actually work — validated patient lists, conversational outreach, automatic workflow triggers. When the tools deliver results, trust builds.

The transformation is measurable: PDC improves across your network. Quality gaps close faster. Stars improve. Bonus payments protect. Providers send thank-you notes instead of complaints.

  • Provider Satisfaction Tools that work, not more spreadsheets
  • Quality Improvement Measurable Stars and HEDIS gains
  • Financial Protection Bonus payments preserved

Quality Programs

Every Stars Measure Enhanced

Medication Adherence (Part D)

PDC measures drive Star ratings. Conversational outreach identifies barriers, confirms refills, and connects patients to solutions. Natural dialogue achieves adherence rates manual calling can't match.

HEDIS Gap Closure

Preventive screenings. Chronic disease management. Annual wellness visits. Every conversation checks for open gaps and connects patients to scheduling.

Care Coordination

Transitions of care. Follow-up after hospitalization. Medication reconciliation. The coordination that prevents readmissions and improves outcomes.

Member Experience

CAHPS scores reflect member experience. Proactive outreach, barrier resolution, and genuine conversation improve how members feel about their care.

How It Works

From Gap Lists to Closed Gaps

You provide member data and quality gap files — the same data you already send to providers. The platform validates contact information, identifies data issues, and prioritizes patients by impact potential.

Conversational AI conducts outreach at scale. Natural dialogue surfaces barriers, answers questions, and coordinates next steps. Appointments schedule during calls. Refills confirm. Issues escalate appropriately.

Your network sees results in real-time dashboards. Which gaps are closing. Which barriers are most common. Which providers are succeeding. Intelligence that drives continuous improvement.

  • Your Data Gap lists you already produce
  • Platform Execution AI-powered conversational outreach
  • Network Results Real-time progress visibility
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From Data Dumps to Provider Enablement

Transform Provider Experience

Traditional Approach

  • Send spreadsheets, demand action
  • Providers complain about data quality
  • Manual outreach burns staff time
  • Quality results disappoint

Platform Approach

  • Provide infrastructure, enable success
  • Validated data providers can trust
  • AI handles outreach at scale
  • Quality results exceed targets

Change the Economics

Traditional Model

  • Each provider builds own capacity
  • Duplicated effort across network
  • Inconsistent execution quality
  • Stars improvement unpredictable

Network Model

  • You fund shared infrastructure
  • Providers get tools at no cost
  • Consistent execution everywhere
  • Stars improvement systematic

Platform Performance

What the Infrastructure Delivers

40:1

Team Leverage

capacity multiplier

56%

Refill Success

vs 5-10% manual

+8-12

PDC Improvement

points typical

2-3 pt

Quality Measures

improvement

Network Deployment

Enable Your Entire Network From Day One

One platform investment. Every provider enabled.

Traditional provider enablement requires each practice to build capacity independently. Different tools. Different approaches. Inconsistent results. The providers who need help most often have the least resources to build it.

The platform model inverts this equation. You invest in infrastructure once. Every provider in your network gets access to the same powerful tools — regardless of their size or technical sophistication. Small practices get enterprise-grade engagement capability.

Deployment scales across your network in weeks, not years. Providers upload their existing patient lists. The platform handles the rest. Results visible immediately.

  • Universal Access Every provider enabled equally
  • Rapid Deployment Network-wide in weeks
  • Immediate Results Value visible from day one

Transform Provider Frustration Into Network Excellence

30-minute walkthrough with our team. See how the platform enables provider networks to improve Stars, close quality gaps, and deliver better member outcomes.

See What the Platform Can Do

30-minute technical walkthrough. Bring your hardest patient outreach problem.

Conversational AI infrastructure for healthcare. Build intelligent patient engagement at scale.

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