Copilot for Value-Based Economics
Understand contribution margin across patients, cohorts, and providers—and know what to do next.
Value-based care organizations track risk, utilization, cost, and quality. But none translate that into precise actions that improve financial performance.
Teams don’t just need data—they need answers:
• Who is negative margin and why?
• Which interventions will pay off?
• Where should we deploy care teams?
• Which cohorts are financially deteriorating?
A decision-support engine that combines claims, clinical data, and cost models to recommend high-value clinical and operational interventions.
Not insights. Prescriptions.
Patient-level contribution margin
Root-cause cost decomposition
Intervention recommendations & playbooks
ROI simulation before deployment
Provider panel & site-level margin analysis
Writes insights back into workflows (roadmap)
Patient-level contribution margin
Understand unit economics at the person level
Root-cause cost decomposition
Pinpoint the drivers (Rx, ED, leakage, SDOH, etc.)
Prescriptive interventions
CCM, triage, referral steering, care pathways
ROI simulation
Model the financial impact before deployment
Write-back roadmap
Integrate into clinical workflows over time
We sit on top of your data layer — not in place of it.
Athena
Epic
Innovaccer
Arcadia
Direct payer / claims ingestion
ACOs & ACO REACH groups
Delegated-risk IPAs & MSOsMA-focused primary care groups
Systems shifting from FFS → full risk
Specialty VBC (renal, oncology, cardiology)
Best fit for groups with 10,000+ attributed lives.
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