Value-Based Care v2
Maximizing Value in Every Contract
Unity’s AI Agent helps healthcare organizations optimize Value-Based Care (VBC) contracts, providing a comprehensive view of savings, quality rewards, and Medicare models.
- Opportunity Analysis:
Agent analyze VBC contract terms alongside historical performance to identify savings and bonus opportunities. Recommended initiatives help organizations focus on high-impact populations and services. - Attribution Insights:
Agent continuously track patient attribution across Medicare, Medicaid, and commercial contracts using Payer Attribution files, EMR and claims data. Real-time visibility into cohort trends enables early action before performance or renewals are impacted. - Quality Measure Tracking:
Agent automatically monitors contract-driven quality measures such as HEDIS and STARS. Dashboards and alerts highlight gaps early, allowing care teams to meet targets and maximize incentives.
Balancing Risk and Performance with Precision
Managing risk scores is critical for success in value-based care. Unity’s Agentic framework leverage advanced tools to validate, adjust, and optimize patient risk using Hierarchical Condition Category (HCC) scoring and payer collaboration.
- RAF Optimization:
Agent automatically calculate accurate HCC and RAF scores using complete EMR data. Validated diagnoses strengthen payer submissions and maximize reimbursement. - Predictive Risk Analysis:
Agent identify high-risk patients early using clinical and claims signals. Proactive alerts enable timely interventions that prevent complications and admissions. - Payer Collaboration:
Agentic workflows automate risk data exchange with payers using FHIR and secure APIs. Supporting evidence and reconciliation are handled seamlessly, reducing audits and disputes.
Optimizing Patient Attribution Across Networks
Seamlessly manage patient attribution to ensure alignment with Medicare, Medicaid, and commercial insurance contracts. Our tools allow healthcare organizations to maximize attributed populations while enhancing overall network efficiency.
- Attribution Tracking:
AI agent continuously track patient attribution across Medicare, Medicaid, and commercial networks. Real-time alignment with payer rosters keeps provider panels balanced and contract-compliant. - Insurance Network Optimization:
The platform dynamically optimizes payer mix by guiding referrals and intake strategies. This ensures financial targets are met while maintaining high-quality care delivery. - Unattributed Patient Management:
Agent identify patients without clear attribution and automate primary care assignment. This reduces leakage and ensures every patient is aligned to a responsible provider. - Payer Mix Insights:
Advanced analytics compare cost and outcome performance across payers and clinics. Actionable insights help leaders optimize network strategy and contract decisions.
Empower Your VBC Team
Discover how Unity helps drive outcomes, streamline workflows, and maximize performance. Learn More
Accelerating Value-Based Care Success
Unity’s Agentic AI executes the operational work behind Value-Based Care by automating attribution, risk alignment, and supplemental submissions. So that providers capture incentives, reduce leakage, and improve contract performance.
Optimize Value-Based Earnings
Improved reimbursements and financial performance.
Enhance Patient Outcomes
Drive better care and health results.
Streamline Care Coordination
Improve efficiency across care teams.
Optimize Provider Workflows
Reduce workload and boost productivity.
Unlock Actionable Insights
Leverage data for smarter decisions.
Transforming Value-Based Care with Intelligent Insights
