ACUITYhealth Comprehensive Care Platform
AH

ACUITYhealth

Comprehensive Care Platform (CCP)

Transforming Audio Consultations into Revenue-Generating Care Coordination

An end-to-end ambient intelligence platform that seamlessly captures provider and clinical staff interactions (bedside visits, phone calls, telehealth) through passive recording, maps clinical conversations to billable CPT codes via an 11-chevron framework, and delivers personalized care through AI-powered digital twin avatars—enabling providers to generate $3,600+ annual revenue per patient while reducing documentation time by 85%.

300+
Patients per Provider
98%
Clean Claim Rate
45 Days
ROI Payback
Technical Platform Documentation | Version 2.0
1

ACUITYhealth Comprehensive Care Platform (CCP)

Unified Payer-Provider-Person Ecosystem

CCP
Core
PERSON Digital Twin Avatar
PROVIDER NP/MD Portal
PAYER Value Analytics
Platform Architecture: End-to-end ambient intelligence infrastructure capturing provider-supervised care team interactions (MAs, RNs, LPNs or other care team members via phone, bedside or Telehealth), transforming clinical conversations into billable care coordination activities through an 11-chevron framework, delivered via personalized digital twin avatars.
$3,600
Annual Revenue/Patient
85%
Documentation Reduction
6x
Provider Capacity
98%
Clean Claim Rate

Tri-Stakeholder Value Creation

PERSON (Patient) Benefits

  • • 24/7 Digital Twin Avatar providing personalized health coaching
  • • 25% reduction in hospital readmissions
  • • 30% improvement in medication adherence
  • • 3x higher engagement vs traditional portals
  • • Zero additional cost - covered by insurance
  • • Proactive care preventing acute episodes

PROVIDER (NP/MD) Benefits

  • • $3,600 additional revenue per patient annually
  • • 85% reduction in documentation time
  • • 6x increase in patient panel capacity (300+)
  • • 5-minute monthly review vs 30-minute documentation
  • • 98% clean claim rate with auto-coding
  • • Zero staffing increase required

PAYER (Insurance) Benefits

  • • $4,800 reduction in total cost per patient
  • • 20% decrease in ED utilization
  • • 15-20% improvement in Star Ratings
  • • HEDIS measure automation for quality reporting
  • • Risk adjustment optimization improving RAF scores
  • • Predictive analytics preventing high-cost events
2

Ambient Clinical Interaction Architecture

Provider-Supervised Care Team Model

Clinical Interaction
Provider/MA/RN → Patient
→
Ambient Capture
Bedside/Phone/Telehealth
→
NLP Processing
Clinical Utterance Extraction
→
Auto-Coding
Time Tracking + CPT Mapping

Technical Pipeline Components

  • Multi-Modal Capture: VoIP telephony, bedside tablet recording, and telehealth integration
  • Speaker Identification: AI distinguishes between MA, RN, Provider, patient, family voices
  • Speech-to-Text Engine: Medical-tuned ASR with 98.5% accuracy on clinical terminology
  • NLP Classification: GPT-4 Medical model trained on CCM/PCM documentation patterns
  • Billable Time Tracker: Aggregates staff time under provider supervision (CMS-compliant)
  • Code Intelligence: Automatic CPT selection based on conversation content + cumulative duration
  • Data Lake: FHIR R4-compliant storage with audit trail timestamps and staff attribution

Clinical Question → Billable Code Mapping

"How are your chronic conditions?"
Diabetes, CHF, COPD review
→ 99490 CCM (20+ min)
→ 99491 (40+ min)
"Tell me about your medications"
Med reconciliation, adherence
→ 99426 PCM (30+ min)
→ 99427 (60+ min)
"How's your mood been?"
PHQ-2/9, depression screening
→ 99484 BHI
+ G0444 (Annual wellness)
"Any shortness of breath?"
Symptom monitoring, vitals review
→ 99457 RPM (20+ min)
+ 99458 (40+ min)
"Have you thought about advance directives?"
Goals of care, code status
→ 99497 ACP (30+ min)
→ 99498 (60+ min)
"Any memory concerns?"
Cognitive assessment, SLUMS
→ 99483 (Cognitive)
+ G0505 (Dementia)
"Were you hospitalized recently?"
Post-discharge follow-up
→ 99495 TCM (Moderate)
→ 99496 (High complexity)
"How's your blood pressure at home?"
Device data review, trends
→ 99454 (RPM setup)
→ 99091 (Data collection)
"Do you need refills?"
Prescription management
→ 99439 (CCM additional)
Counts toward 20-min threshold

Clinical Staff Model Tri-Stakeholder Impact

PERSON (Patient) Benefits

  • • Bedside MA visits capture care in real environment
  • • Phone + in-person options based on patient preference
  • • Natural conversations count toward care coordination
  • • More frequent touchpoints with care team
  • • Family can participate in bedside or phone interactions
  • • Privacy protected with HIPAA-compliant recording

PROVIDER (NP/MD) Benefits

  • • MA time counts toward CCM/PCM thresholds (CMS-compliant)
  • • 5-10 MAs per provider exponentially increases capacity
  • • Zero manual entry - all auto-documented from ambient
  • • Supervision workflows - 5-min attestation review
  • • <2 second latency from utterance to CPT code
  • • $65-296 monthly revenue per consultation type

PAYER (Insurance) Benefits

  • • Complete audit trails with staff attribution
  • • 95% correlation between conversation and billing codes
  • • Supervision documented meeting Medicare requirements
  • • Early intervention detection from bedside assessments
  • • SDOH factors captured improving risk models
  • • Quality measure automation from conversations
3

11-Chevron Care Coordination Framework

Provider and Person Activity Orchestration Engine

Patient-Centric Design: Each chevron represents a discrete care domain visible to both the patient (via digital twin) and provider (via portal), creating a shared language for health management and enabling natural conversation mapping to billable activities.
1. Goals
Health objectives & milestones ACP 99497
2. Conditions
Chronic disease tracking CCM 99490
3. Treatments
Medication management PCM 99426
4. Mind
Mental & emotional health BHI 99484
5. Choices
Care preferences & decisions ACP 99497
6. Daily Wins
Achievement tracking CCM 99490
7. Support
Social determinants & resources CCM 99490
8. Care Circle
Care team coordination CCM 99490
9. Path
Care plan & journey PCM 99426
10. Vitals
Biometric monitoring RPM 99457
11. Resources
Community & SDOH support CCM 99490
COMPASS DASHBOARD
Unified Health View All Activities
Conversation → Code Mapping: When a patient tells their digital twin "I'm feeling anxious about my upcoming surgery" → maps to Mind chevron → logs as BHI interaction. When MA asks during bedside visit "How are you taking your medications?" → maps to Treatments chevron → counts toward PCM time.

Billable Activity Orchestration Engine

Backend Architecture: Each patient-facing chevron feeds into corresponding operational microservices capturing provider-side billable interactions, orchestrated through a central API gateway with real-time event streaming for claims generation.
1. Clinical Updates
Diagnoses & Symptoms CCM/PCM
2. Financial Metrics
Cost & Savings Value-Based
3. Operations
Care Coordination CCM Time
4. Engagement
Patient Interaction BHI/CCM
5. Risk Management
Predictive Analytics HCC/RAF
6. Quality Measures
HEDIS/Stars Quality Bonus
7. Utilization
Resource Tracking TCM/CCM
8. Workforce
Staff Activities 99439
9. Compliance
Audit Trail Documentation
10. Outcomes
Results Tracking Performance
11. Alerts
Real-time Response Critical Care
COMPASS DASHBOARD
Unified Command Center All Codes

11-Chevron Framework Tri-Stakeholder Impact

PERSON (Patient) Benefits

  • • Holistic care view across 11 life domains
  • • Personalized goals tracked in real-time
  • • Mental health integrated not isolated
  • • Daily wins celebrated improving motivation
  • • Care team coordination visible and active
  • • Progress dashboard showing health journey

PROVIDER (NP/MD) Benefits

  • • 8-12 billable items per chevron monthly
  • • Cross-chevron billing multiplies revenue
  • • 120-180 minutes captured monthly
  • • Automatic code mapping prevents misses
  • • $250-350 monthly per patient revenue
  • • Unified dashboard for all billable activities

PAYER (Insurance) Benefits

  • • Comprehensive risk view across all domains
  • • Quality measures mapped to each chevron
  • • Duplicate billing prevented by design
  • • Predictive analytics from pattern detection
  • • Outcomes tracking tied to interventions
  • • Value demonstration through chevron metrics
4

Digital Twin Healthcare Navigator

AI-Powered Personalized Health Avatar

Technical Stack: LLM-powered conversational AI with real-time biometric integration, predictive modeling, and behavioral nudge engine delivering personalized health coaching while capturing billable engagement time.

Avatar Architecture Components

Biometric Input
RPM Devices
→
AI Processing
GPT-4 Medical
→
Personalization
ML Models
→
Engagement
Voice/Visual

Daily Digital Twin Interactions

  • Morning Health Check: PHQ-2 mood assessment + vital signs review BHI + RPM
  • Medication Reminders: Smart dosing alerts with adherence tracking CCM
  • Symptom Monitoring: Condition-specific assessments PCM
  • Care Coordination: Appointment prep and follow-up TCM
  • Behavioral Coaching: CBT-based interventions BHI
  • Goal Progress: Gamified health achievements CCM
78%
Daily Engagement Rate
4.2 min
Avg Session Duration
90-150
Monthly Billable Minutes

Digital Twin Avatar Tri-Stakeholder Impact

PERSON (Patient) Benefits

  • • 24/7 health companion always available
  • • Personalized coaching in preferred language
  • • 4.2 minute daily check-ins feel conversational
  • • 25% medication adherence improvement
  • • Gamified health goals increase motivation
  • • Crisis detection with immediate escalation

PROVIDER (NP/MD) Benefits

  • • 90-150 billable minutes monthly from avatar
  • • $150-200 additional CCM/BHI revenue
  • • 85% PHQ-2 completion vs 15% traditional
  • • Zero provider time for patient engagement
  • • Automated ACP conversations (60% initiation)
  • • $0.02 per interaction vs $15 nurse call

PAYER (Insurance) Benefits

  • • 20% reduction in readmissions
  • • 18% fewer ED visits through early intervention
  • • 0.8% HbA1c reduction in diabetics
  • • 40% improvement in depression scores
  • • 15-point PAM increase (patient activation)
  • • $2,400 saved per prevented admission
5

Provider Portal Technical Architecture

5-Minute Attestation Workflow Engine

Provider Interface: React-based SPA with GraphQL API, real-time WebSocket updates, and one-click attestation workflow reducing documentation time by 85%.

Technical Workflow Components

Auto-Population
Pre-filled Chevrons
→
Validation Engine
Threshold Checks
→
E-Signature
HIPAA Compliant
→
Claim Generation
Auto-Submit

Provider Dashboard Features

  • CHI Risk Score: Real-time population health stratification (Red/Yellow/Green)
  • Billable Time Tracker: Live accumulation of CCM/PCM/BHI/RPM minutes across all staff
  • Staff Activity Log: View MA/RN/care coordinator contributions with timestamps
  • Supervision Workflow: One-click attestation for clinical staff activities under general supervision
  • Code Optimizer: AI suggestions for maximum reimbursement capture
  • Compliance Monitor: Automated alerts for documentation gaps and supervision requirements
  • Revenue Dashboard: Real-time earnings and projections by provider and staff member
  • Batch Attestation: Review 50+ patients in 15 minutes with staff attribution
3-5 min
Per Patient Review
300+
Patients per Provider
94%
Pre-fill Accuracy

Provider Portal Tri-Stakeholder Impact

PERSON (Patient) Benefits

  • • Provider sees full picture in real-time
  • • Faster clinical decisions with complete data
  • • More provider face-time vs documentation
  • • Care continuity across all touchpoints
  • • Proactive interventions from risk scores
  • • Personalized care plans updated monthly

PROVIDER (NP/MD) Benefits

  • • 3-5 minutes per patient monthly review + supervision
  • • 300+ patient capacity per provider with MA team
  • • $20-25K monthly revenue generation per provider
  • • Staff attribution tracking for CMS supervision compliance
  • • Batch attestation for 50+ patients in 15 min
  • • 5-10 MAs per provider exponentially scales reach

PAYER (Insurance) Benefits

  • • 100% attestation compliance documented
  • • Risk stratification improves RAF scores
  • • Quality gaps closed through dashboards
  • • Fraud prevention via automated checks
  • • Timely interventions reduce costs
  • • HEDIS compliance tracked automatically
6

Payer Integration & Value Analytics

Real-Time Claims & Quality Reporting Engine

Payer Interface: EDI 837/835 automated clearinghouse with real-time eligibility verification, prior auth automation, and predictive denial management achieving 98% first-pass payment rate.

Payer Integration Components

Eligibility Engine
Real-time 270/271 verification
Prior Auth AI
278 automated submission
Claims Processing
837P/I batch generation
Remittance Parser
835 ERA processing
Denial Management
ML-powered appeals
Quality Reporting
HEDIS/Stars automation

Value-Based Contract Performance

  • Shared Savings Tracking: Real-time PMPM monitoring with variance alerts
  • Risk Adjustment: HCC gap closure with RAF score optimization
  • Quality Bonuses: Automated HEDIS measure submission
  • ACO Attribution: Patient panel management and leakage prevention
  • Bundle Analytics: Episode cost tracking with outlier detection

Payer Integration Tri-Stakeholder Impact

PERSON (Patient) Benefits

  • • Real-time eligibility prevents surprises
  • • Prior auth automation speeds treatment
  • • Zero out-of-pocket for CCM services
  • • Faster approvals for needed services
  • • Transparent benefits understanding
  • • No claim denials with pre-verification

PROVIDER (NP/MD) Benefits

  • • 98% first-pass payment rate
  • • 18-day payment vs 45 days traditional
  • • Automated appeals with 95% success
  • • $125-200 quality bonuses per patient
  • • Zero manual claims submission
  • • Real-time revenue tracking dashboard

PAYER (Insurance) Benefits

  • • Automated HEDIS reporting compliance
  • • RAF score optimization improves accuracy
  • • Reduced fraud through verification
  • • 35% lower admin costs from automation
  • • Value-based success tracking real-time
  • • Shared savings achievement visibility
7

Revenue Optimization & Billing Automation

CPT/HCPCS Code Maximization Engine

Billing Intelligence: ML-powered code optimizer analyzing utterance patterns to maximize legitimate reimbursement while maintaining 100% compliance through automated threshold monitoring.

Automated Revenue Streams

$65-113
CCM Monthly
$84-155
PCM Monthly
$50-143
RPM Monthly
$71
BHI Monthly
$86-161
ACP Quarterly
$195-296
TCM per Discharge

Code Optimization Algorithm

  • Threshold Monitoring: Real-time tracking of 20/30/60-minute increments
  • Cross-Code Detection: Identifies compound billing opportunities
  • Modifier Intelligence: Automatic application of GT, 95, GO modifiers
  • Bundling Prevention: Alerts for NCCI edits and MUEs
  • Tier Optimization: Automatic escalation to complex codes when eligible

Revenue Optimization Tri-Stakeholder Impact

PERSON (Patient) Benefits

  • • Maximum care coverage through proper coding
  • • All services captured for continuity
  • • No missed benefits due to coding errors
  • • Comprehensive care plans fully funded
  • • Additional services unlocked (BHI, ACP)
  • • Transparent care documentation available

PROVIDER (NP/MD) Benefits

  • • $3,600 annual revenue per patient increase
  • • 8-12 additional codes captured monthly
  • • 2% denial rate vs 18% traditional
  • • Automatic tier optimization maximizes payment
  • • 100% modifier accuracy vs 65% manual
  • • Real-time threshold alerts prevent underbilling

PAYER (Insurance) Benefits

  • • Appropriate utilization through accurate coding
  • • Reduced overpayments from bundling errors
  • • NCCI edit compliance automated
  • • Predictable costs from consistent coding
  • • Quality metrics aligned with payments
  • • Lower audit costs from accuracy
8

Security, Compliance & Audit Architecture

HIPAA-Compliant Infrastructure

Security Framework: SOC 2 Type II certified infrastructure with end-to-end encryption, zero-trust architecture, and blockchain-based audit trail ensuring 100% compliance and data integrity.

Technical Security Stack

Encryption Layer
AES-256 at rest, TLS 1.3 in transit
Identity Management
SAML 2.0 SSO with MFA
Access Control
RBAC with attribute policies
Audit Logging
Immutable blockchain ledger
Data Governance
FHIR R4 compliance
Threat Detection
AI-powered SIEM

Compliance Automation Features

  • Audit Trail: Every utterance → chevron → code → claim tracked with timestamps
  • Staff Attribution: MA/RN/care coordinator activities logged with supervising provider
  • Supervision Documentation: Automated tracking of provider oversight meeting CMS general supervision requirements
  • Documentation Chain: Cryptographic proof of data lineage
  • Time Verification: Call duration proof with timestamp validation and staff attribution
  • Consent Management: Automated patient authorization tracking for recording and data use
  • Compliance Dashboard: Real-time MIPS/APM/HEDIS performance with supervision metrics

Security & Compliance Tri-Stakeholder Impact

PERSON (Patient) Benefits

  • • 100% HIPAA protection of health data
  • • Encrypted conversations end-to-end
  • • Consent tracking for all data use
  • • Access transparency with audit logs
  • • Data portability rights protected
  • • Zero breaches with zero-trust architecture

PROVIDER (NP/MD) Benefits

  • • 98% audit defense success rate
  • • $12 avg recovery vs $287 industry
  • • 99.8% documentation completeness
  • • 15-20% malpractice premium reduction
  • • Blockchain audit trail irrefutable
  • • $45-75K annual audit cost savings

PAYER (Insurance) Benefits

  • • 95% fraud reduction through verification
  • • Complete audit trails for all claims
  • • MIPS/APM compliance automated
  • • $180K prevented recoupments annually
  • • Real-time compliance monitoring
  • • SOC 2 certified infrastructure
9

Technical Implementation Roadmap

90-Day Path to Full Optimization

Current Foundation (BUILT): Clinical decision support platform connected to QHIN (Commonwell) with real-time CHI generation from patient populations. RPM integration operational. Patient engagement app 50% complete, Provider portal 35% complete.

✓ Already Deployed Infrastructure

  • QHIN Integration: Commonwell connectivity for bidirectional patient data exchange
  • CHI Engine: 16-agent neural architecture generating continuous health indices
  • RPM Platform: Device integration capturing biometric data streams
  • Clinical Decision Support: Risk stratification and intervention recommendations
  • Patient Engagement (50%): Digital twin avatar framework with basic interactions
  • Provider Portal (35%): CHI dashboard and patient population view

Phase 1: Days 1-30 (Complete Core Platform)

  • Week 1-2: Finish patient engagement app - complete remaining 50% (PHQ-2/9, med reminders, symptom tracking)
  • Week 2-3: Complete provider portal - build attestation workflow, time tracker, code optimizer
  • Week 3: VoIP integration for ambient audio call capture
  • Week 4: Pilot with 10 patients testing end-to-end workflow (calls → CHI → engagement)
  • ⚡ Parallel AI Development: Neural network architecture design - define transformer layers for 16-agent system, establish training data pipelines from QHIN feeds

Phase 2: Days 31-60 (Billing & Revenue Activation)

  • Week 5: Build billing engine - CPT/HCPCS auto-coding from conversation NLP
  • Week 6: EDI 837/835 clearinghouse integration for claims submission
  • Week 7: Threshold monitoring system (20/30/60-min tracking) + compliance validation
  • Week 8: First billing cycle - submit CCM/PCM/BHI/RPM claims, validate clean rate
  • ⚡ Parallel AI Development: Train prediction models on historical patient data - risk stratification algorithms, readmission prediction, intervention recommendation engine

Phase 3: Days 61-90 (Scale & Optimization)

  • Week 9: Scale to 50-100 patients, optimize NLP models from real call data
  • Week 10: Enhance digital twin personalization with patient-specific ML models
  • Week 11: Build revenue analytics dashboard showing real-time earnings per patient
  • Week 12: Full panel deployment (200+ patients), achieve target metrics
  • ⚡ Parallel AI Development: Deploy full AI prediction engine - integrate neural network with live CHI feeds, activate automated intervention triggers, continuous learning from outcomes data
AI/ML Engineering Track (90-Day Parallel Development): While platform features are being built, the data science team simultaneously develops the 16-agent neural network architecture, trains prediction models on historical data from QHIN, and prepares the AI orchestration engine. By Day 90, the full predictive intelligence system goes live alongside the complete platform.
Day 30
Platform Complete
Day 60
First Revenue
Day 90
Full Optimization

Implementation Tri-Stakeholder Impact

PERSON (Patient) Benefits

  • • CHI tracking live - health trends visible now
  • • RPM already active - biometric monitoring today
  • • Day 30: Full engagement app with digital twin
  • • Day 60: Provider calls begin monthly check-ins
  • • Zero disruption to existing care
  • • Faster deployment - foundation already built

PROVIDER (NP/MD) Benefits

  • • CHI dashboard available - risk scores live
  • • Day 30: Complete portal with attestation
  • • Day 60: First revenue from billing go-live
  • • Day 90: $50K+ monthly at full scale
  • • Minimal training - 4 hours total
  • • Platform-ready - not starting from zero

PAYER (Insurance) Benefits

  • • QHIN connected - data flowing today
  • • CHI metrics live - risk visibility now
  • • Day 30: Quality tracking automated
  • • Day 60: Claims integration complete
  • • Day 90: Full ROI visibility proven
  • • De-risked deployment - core tech validated
10

Value-Based Care Architecture

CHI-Powered Continuous Risk Modeling

VBC Foundation: Continuous Health Index (CHI) neural architecture with 16 system-specific transformer subnetworks producing real-time, risk-adjusted health trajectories that quantify "value" through longitudinal improvement tracking rather than episodic snapshots.

CMS "5 Rights" Clinical Decision Support Framework

Right Information
CHI score + contextual reasoning
Right Person
Provider, care manager, patient
Right Format
Intuitive CCP chevrons
Right Channel
EHR, mobile, ambient voice
Right Time
Before adverse event occurs

TEFCA + QHIN Interoperability

  • Bidirectional Data Flow: Seamless exchange across hospitals, payers, and outpatient practices
  • FHIR + CCM/PCM Integration: Longitudinal visibility across entire care continuum
  • Elimination of Data Silos: CCP becomes connective tissue for VBC ecosystems
  • Real-Time Quality Metrics: Ambient call collection → instant performance tracking

16-Agent Neural Architecture for Population Health

Clinical Agents
Symptoms→Dx→Vitals→Labs
→
Context Agents
Meds→Encounters→SDOH
→
Synthesis Agents
ACA→Consolidation→Synopsis
→
CHI Score
Continuous Risk Index
$26B
Annual Preventable Readmissions
25%
Readmission Reduction
100%
Audit Traceability

VBC Architecture Tri-Stakeholder Impact

PERSON (Patient) Benefits

  • • Predictive prevention before crisis occurs
  • • Personalized risk reduction across 16 health systems
  • • Timely care escalation (visits, telehealth, meds)
  • • Improved health literacy through engagement loops
  • • Equity-focused care with SDOH integration
  • • Continuous monitoring vs episodic snapshots

PROVIDER (NP/MD) Benefits

  • • Automated quality documentation from ambient capture
  • • Risk-adjusted benchmarking for ACO performance
  • • Chronic care billing capture optimization
  • • Reduced administrative burden from automation
  • • Early intervention alerts prevent deterioration
  • • Bundled payment optimization through tracking

PAYER (Insurance) Benefits

  • • Transparent outcome metrics for contract validation
  • • Predictive risk scoring improves RAF accuracy
  • • Real-time cost containment through early intervention
  • • Shared savings visibility with PMPM tracking
  • • Quality bonus achievement via HEDIS automation
  • • Blockchain auditability for CMS compliance
Transforming VBC from Reporting Framework to Living Intelligence
Measuring, Managing & Maximizing Value Continuously

The CCP embeds Value-Based Care logic directly into AI and workflow layers: capturing quality automatically through ambient inputs, computing "value" in real-time via CHI modeling, connecting all stakeholders in closed-loop feedback, and documenting performance with provenance for reimbursement. VBC becomes adaptive intelligence—not retrospective reporting.

11

Platform ROI & Total Value Creation

Financial, Clinical & Operational Excellence

Total Platform Value: $3M+ annual revenue opportunity per 500 patients through comprehensive billable capture, operational efficiency, and clinical outcome improvements.

Financial ROI Matrix

$720K
Annual Revenue (200 pts)
$1.5M
Annual Revenue (500 pts)
$3M
Annual Revenue (1000 pts)
500%
12-Month ROI
45 days
Payback Period
1500%
3-Year ROI

Clinical Outcome Improvements

  • Readmissions: 25% reduction = $600K saved per 100 patients
  • ED Utilization: 20% reduction = $240K saved
  • Medication Adherence: 30% improvement = 0.8% HbA1c reduction
  • Star Ratings: 0.5-star increase = 5% bonus payments
  • Patient Satisfaction: +18 CAHPS points

Operational Excellence

  • Provider Capacity: 300+ patients per provider (6x increase)
  • Documentation Time: 85% reduction (saves 100 hrs/month)
  • Clean Claim Rate: 98% (vs. 78% industry average)
  • Staff Requirements: No additional clinical FTEs
  • Practice Valuation: 40-50% increase from recurring revenue

Total Platform Tri-Stakeholder Value Creation

PERSON (Patient) Benefits

  • • 25% fewer hospitalizations through prevention
  • • 30% medication adherence improvement
  • • 24/7 health companion always available
  • • 3x higher engagement than portals
  • • +18 CAHPS points satisfaction increase
  • • Zero cost - insurance covered services

PROVIDER (NP/MD) Benefits

  • • $3,600 annual revenue per patient
  • • 300+ patient capacity (6x increase)
  • • 85% time savings on documentation
  • • 500% ROI in 12 months
  • • 40-50% practice valuation increase
  • • 45-day payback period

PAYER (Insurance) Benefits

  • • $4,800 annual savings per patient
  • • 20% ED reduction ($240K per 100)
  • • 0.5 Star Rating increase = 5% bonus
  • • 25% admin cost reduction from automation
  • • 45% care gap closure improvement
  • • 98% clean claims reducing processing
The Future of Healthcare Delivery
$3,600 Per Patient Annual Value Creation

ACUITYhealth's Comprehensive Care Platform unifies Person, Provider, and Payer into a single ecosystem where everyone wins. By transforming provider-led audio consultations into active revenue generation through ambient AI, we enable sustainable, scalable, and profoundly impactful healthcare delivery that benefits all stakeholders equally.

AH

Thank You

From the entire ACUITYhealth team, thank you for your interest in transforming healthcare delivery through our Comprehensive Care Platform.

Our Leadership Team

Srinivas Nimmagadda, M.D.
Founder, Chief Executive Officer
Jake Saunders, M.D.
Chief Medical Officer
Ricky Shinall, M.D. Ph.D.
Chief Science Officer
Grant Saunders
Chief Technology Officer
Brian Williams
Chief Operating Officer

Ready to transform your practice with the power of ambient AI?

Contact Us: srinivas@acuity.health
© 2024 ACUITYhealth. All rights reserved.
Predict Health. Empower Life.