Care Gap Closure Services

Step 1: Planning

In approximately 90 days from approvals, we analyze data (the aggregation of EHR, claims, service utilization, cost data, and care manager notes from a preceding 24- to 48-month data set), with a proprietary neural network-based AI model.

Following fact-gathering, we collaborate with your team, community leaders, and our providers and co-design and plan the intervention.

Step 2: Baseline

By 180 days post-launch we have operationalized all components, identified influential relationships via community health councils, and collected baseline data. 

We begin execution of the optimization phase along the 6 dimensions of Access, and either validate the initial assumptions or make adjustments.

Step 3: Optimize

In a series of 12-week sprints, program specialists track lead and lag measures for engagement, outcomes, and returns on the client investment.

Flexibility is inherent in the model, allowing refinement of location, frequency, operating hours, clinical services, workflows, and partnerships without a single dollar of additional investment.

Process improvements in every location are continually shared across the network, creating an exponentially improving system of hyperlocal healthcare delivery, scalable across geographies.