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For Providers

AI for the organizations accountable for care.

Provider groups, ACOs, MSOs, and IPAs win or lose on a thin margin between revenue and cost of care. Diagnostic Robotics gives you the AI to identify who matters most, engage them at scale, and prove the outcomes - across every contract, every population, every quarter.

Care Managers

Our AI handles the administrative tasks that take up 80% of a Care Manager's time — so your licensed staff can focus 100% on care.

  • Reduce administrative backlog
  • Consistent, high-quality, 24/7 messaging
  • Scheduling & rescheduling appointments
  • Utilize AI to ID overdue patients
  • Close gaps in care through targeted outreach
  • Expand capacity without adding to headcount
Connect the data necessary to feel confident in VBC arrangements.
Predict who will be expensive next, and automate targeted, preventative outreach.
Value-Based Care outcomes

Proven across enterprise VBC books.

Outcomes from production deployments with leading provider groups, ACOs, MSOs, and risk-bearing organizations.

5M
Patients covered at enterprise scale
Elevance - VBC
25%
Reduction in inpatient visits
Elevance - VBC
3M
Members engaged via AI navigation
Discovery
$1,600
PMPM savings in care management
BCBS RI
The reality

Value-based care lives or dies on focus.

Most provider organizations in VBC are working with risk-adjusted populations of 50,000 to 500,000 lives, paid against benchmarks that get tighter every cycle. The math is unforgiving - and the operational lift is enormous.

Care teams can only call so many members. Risk scores arrive 60 days late. Quality measures get chased in Q4. Documentation gaps cost six and seven figures in dropped HCCs. None of this is fixable with another dashboard.

You need AI that finds the right member, makes the right call, and proves the right outcome - in production, not in pilot.

Where the margin lives
Per member per month
  • HCC coding accuracy$200–500 PMPM
  • Avoidable IP / ER$120–400 PMPM
  • Care management ROI3–8× spend
  • HEDIS / Stars lift$50–150 PMPM
The Solution

One platform. Every VBC workflow.

Agentic AI, predictive intelligence, and a clinical-grade knowledge graph - deployed across the workflows where VBC economics are actually decided.

Predictive Intelligence
Find the most impactable members.

Not just the sickest. Not just the most expensive. The members where intervention will actually change the trajectory - ranked, explained, and refreshed daily.

~6 mo
lead time
3.2×
impact lift
Care Management
Scale your care team without scaling headcount.

Maxine handles outreach, intake assessments, scheduling, and warm hand-offs. Care managers see only the conversations that need a human - with full context already on screen.

↑ 4×
case throughput
70%
reach rate
HCC & Risk Adjustment
Capture every supportable HCC, with evidence.

AI surfaces candidate HCCs from claims, charts, and Rx, with chart-level citations. Coders work 5× faster. Compliant, auditable, RADV-ready.

↑ 5.1×
coder output
97%
precision
Quality & HEDIS
Close gaps year-round, not just in Q4.

Identifies open gaps, prioritizes by Stars / quality impact, conducts member outreach via Maxine, books closures, and updates supplemental data continuously.

↑ 0.4★
Stars lift
↑ 28%
closure rate
Member Engagement
Reach more members. Build real relationships.

AI-prioritized outreach, multi-channel cadences, native multilingual fluency. Member NPS rises, engagement compounds, retention follows.

92
member NPS
engagement rate
Network & Performance
Operate at the performance frontier.

Provider-level performance analytics, network leakage signals, episode-level cost tracking - surfaced in the workflows where network and ops teams already work.

Real-time
signals
Explainable
by design
How it works

Live in your workflows within a quarter.

No rip-and-replace. We embed AI directly into the systems your care, quality, and risk teams already use.

Step 1
Connect

Read-only integration with claims, EHR, CRM, telephony, and your population health stack. SOC 2 + HIPAA from day one.

Step 2
Configure

Pick from VBC-specific workflow templates. Encode your policies, contracts, and care models with our clinical solutions team.

Step 3
Run

Agents work alongside your team. Weekly outcome reviews, continuous tuning, transparent attribution.

Get started

Operationalize AI across your VBC book.

Tell us your top contract and your top pain point. We'll show you how comparable organizations have moved the needle on cost, quality, and member experience.

What can we help you automate?