Predict Health, Empower Life.
ACUITYhealth 5-Tier Population Health Score System (0-100)

ACUITYhealth™ 100-Point Health Score System

Population Risk Management Scoring

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The ACUITYhealth Advantage: Immediate ROI Through CCM Integration

ACUITYhealth leverages Chronic Care Management (CCM) as the stepping stones for provider teams to enter into value-based care arrangements. By embedding CCM as an always-on, billable workflow, our system transforms traditional population health tracking into a real-time revenue generator. It also becomes the template for our Continuous Health Index (CHI) to monitor individuals, bringing actionable insights to provider teams along with real ROI prior to transitioning into VBC.

ACUITYhealth Model

Immediate Revenue
  • Start billing CCM codes within 30 days
  • Generate $40-400+ PMPM immediately
  • Scale revenue as you monitor
  • Build VBC readiness while earning

Traditional VBC

12-18 Month Wait
  • Long contract negotiations
  • Wait 12-18 months for PMPM awards
  • Risk-bearing without revenue
  • Delayed ROI on infrastructure

Key Insight: Every patient interaction becomes a billable opportunity through our 5-tier system, creating sustainable revenue streams that fund your transition to value-based care — no waiting period required.

Digital Twin: Personalized Patient Engagement Engine

The ACUITYhealth Digital Twin creates a real-time, personalized health avatar for each patient, transforming complex health data into actionable insights. This AI-powered companion drives engagement, improves outcomes, and generates additional billable touchpoints across all 5 tiers.

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72
Your Health Score
Tier 2: Emerging Risk
Blood Pressure
-8 pts
A1C Level
-12 pts
Activity
-3 pts
30-Day Forecast
Current Path 68 ↓
With Plan 78 ↑

Tier-Specific Digital Twin Engagement

1 Wellness (80-100)
  • Preventive care reminders
  • Wellness challenges & rewards
  • Health optimization tips
2 Emerging (60-79)
  • Risk progression alerts
  • Behavior modification coaching
  • What-if scenario modeling
3 Moderate (40-59)
  • Daily check-ins & monitoring
  • Medication adherence tracking
  • Symptom trend analysis
4 Complex (20-39)
  • Crisis prevention alerts
  • Care team coordination
  • Family member access
5 Critical (0-19)
  • 24/7 monitoring dashboard
  • Caregiver support tools
  • Advance care planning

Real-Time Insights

Patients see their health score update with each interaction, driving significantly higher engagement rates

Enhanced Billing

Digital twin interactions qualify for multiple care management billing codes, supporting sustainable practice operations

Predictive Interventions

AI-powered insights enable proactive care at transition zones, significantly reducing emergency department visits

Shared Decision-Making

Provider and patient view the same twin, testing treatment scenarios together in real-time

Clinical Impact: The Digital Twin transforms abstract health data into a personalized, visual experience that patients understand and trust. By creating a continuous connection between patients and their care teams, the system enables earlier interventions, stronger treatment adherence, and more informed health decisions — fundamentally changing how patients engage with their own health journey.

100
Perfect Score
5
Risk Tiers
15
Body Systems
2
Transition Zones
100%
Population Coverage

5-Tier Population Distribution by Health Score

Population
100%

This distribution shows how a typical patient population segments across the 5 health tiers. The majority (60%) of patients are in Tiers 1-2, representing wellness and emerging risk states where preventive interventions are most effective. The remaining 40% require increasingly intensive care management, with the highest-risk 8% in Tier 5 requiring daily monitoring and comprehensive support. This natural distribution enables practices to allocate resources efficiently while maximizing both clinical outcomes and billing opportunities through appropriate CCM service levels.

Tier 1: Optimal (80-100) - 35%
Tier 2: Emerging Risk (60-79) - 25%
Tier 3: Moderate (40-59) - 20%
Tier 4: Complex (20-39) - 12%
Tier 5: Critical (0-19) - 8%

Health Score vs. Care Intensity

Touch Points/Month
30 25 20 15 10 5 0
Complexity Index
25 20 15 10 5 0
100 80 60 40 20 0
Health Score (100 = Best)
Monthly Touch Points
Care Complexity Index

This graph demonstrates the inverse relationship between patient health scores and care intensity requirements. As health scores decrease from 100 (perfect health) to 0 (critical complexity), both the monthly touch points and care complexity index increase exponentially. The steepest increase occurs at the transition zones (Tiers 2 and 4), highlighting critical intervention points where proactive care escalation can prevent deterioration. This data-driven approach ensures appropriate resource allocation and maximizes billing opportunities at each tier.

5-Tier Health Score Management Protocols

1 Optimal Wellness 35%
Health Score: 80-100
Patient Profile
No chronic conditions or well-controlled single condition
0-1 body systems with minimal impact (≤20% system involvement)
All vitals in optimal range
No hospitalizations in past year
Health score 80+ indicates excellent health maintenance
Management Protocol
Annual wellness visits (AWV)
Preventive screenings per guidelines
Digital health education modules
Self-service patient portal
Automated health reminders
Care Team:
PCP only
Technology:
Patient portal, wellness apps
Monitoring:
Annual labs, vital tracking
Touch Frequency: MINIMAL - Annual visit + quarterly digital check-ins
Billing Codes
AWV: G0438 (initial), G0439 (subsequent)
Preventive: 99381-99397
Screenings: G0442, G0444
2 Emerging Risk Transition Zone 25%
Health Score: 60-79
Patient Profile
1-2 early-stage chronic conditions
2-3 body systems affected (20-40% involvement)
Some vitals trending away from optimal
Pre-diabetic, pre-hypertensive, or early CKD
Health score 60-79 indicates need for preventive intervention
Management Protocol
Quarterly preventive visits
Introduction to care coordination
Lifestyle modification programs
Basic RPM for trending vitals
Nutritionist/health coach consultation
Medication therapy review
Care Team:
PCP + RN care coordinator
Technology:
Basic RPM devices, care apps
Monitoring:
Quarterly labs, monthly vital review
Touch Frequency: LOW-MODERATE - Quarterly visits + monthly digital touchpoints
Billing Codes
PCM Setup: 99424
PCM Monthly: 99426-99427
RPM Setup: 99453
RPM Device: 99454
Behavioral Health: 99484
3 Moderate Chronic Care 20%
Health Score: 40-59
Patient Profile
2-3 active chronic conditions requiring management
4-6 body systems affected (40-60% involvement)
Controlled diabetes, hypertension, or COPD
1-2 ER visits or 1 hospitalization in past year
Health score 40-59 indicates moderate complexity
Management Protocol
Monthly care coordination calls
Bi-monthly office visits
Active RPM for multiple vitals
Medication adherence monitoring
Specialist coordination
Disease-specific education programs
Behavioral health integration
Care Team:
PCP + Care Manager + Specialists
Technology:
Full RPM suite, care coordination platform
Monitoring:
Bi-monthly labs, weekly vital review
Touch Frequency: MODERATE - Bi-monthly visits + bi-weekly care calls
Billing Codes
CCM Initial: 99490
CCM Complex: 99487
PCM: 99426-99427
RPM: 99453-99458
BHI: 99492-99494
Care Planning: 99483
4 Complex Rising Risk Transition Zone 12%
Health Score: 20-39
Patient Profile
3-4 chronic conditions with instability
6-9 body systems affected (60-80% involvement)
Recent decompensation or new diagnosis
2-3 hospitalizations or 3+ ER visits in past year
Early-stage heart failure, advancing CKD, or unstable diabetes
Health score 20-39 indicates high complexity
Management Protocol
Weekly care team touchpoints
Monthly comprehensive visits
24/7 nurse triage line access
Intensive RPM with AI alerts
Transitional care management
Home health evaluation
Palliative care consultation
Social determinants screening & intervention
Care Team:
Full MDT + Case Manager + Social Worker
Technology:
Advanced RPM, predictive analytics, telehealth
Monitoring:
Monthly labs, daily vital review, risk scoring
Touch Frequency: MODERATE-HIGH - Monthly visits + weekly calls + PRN support
Billing Codes
Complex CCM: 99487-99489
TCM: 99495-99496
RPM: 99453-99458
Care Navigation: G0506
Prolonged Services: 99417
Home Health: G0162-G0164
5 Critical Complexity 8%
Health Score: 0-19
Patient Profile
4+ complex chronic conditions
10+ body systems affected (80%+ involvement)
Advanced CHF, ESRD, severe COPD, active cancer
Frequent hospitalizations (4+ annually)
Multiple specialist involvement
High social complexity factors
Health score <20 indicates critical care needs
Management Protocol
Daily monitoring touchpoints
Bi-weekly comprehensive assessments
24/7 clinical support hotline
Continuous RPM with real-time alerts
In-home visits as needed
Integrated palliative/hospice care
Advance care planning
Family/caregiver support programs
Hospital-at-home eligibility
Care Team:
Full MDT + Intensivist + Palliative + Home Health
Technology:
Continuous monitoring, AI predictive, teleICU
Monitoring:
Weekly labs, continuous vitals, daily risk assessment
Touch Frequency: HIGH INTENSITY - Bi-weekly visits + daily monitoring + 24/7 support
Billing Codes
Complex CCM: 99487-99489 (60+ min)
Additional CCM: 99490-99491
TCM High: 99496
Critical Care: 99291-99292
ACP: 99497-99498
Prolonged E/M: 99354-99357
Home/Domiciliary: 99341-99350