Value-Based Care

Succeed in Value-Based Care with AI-Powered Population Health

Automatically identify care gaps, stratify patient risk, track quality measures, and optimize your MIPS/MACRA performance - all in one integrated platform.

MIPS/MACRA Compliance Made Simple

Automated quality measure tracking ensures you maximize your Medicare reimbursement and avoid penalties - without manual data entry or complex reporting.

MIPS Performance Categories

Projected Score: 92/100
30%

MIPS Quality

Track and report quality measures automatically

25%

Promoting Interoperability

Meet electronic prescribing and HIE requirements

15%

Improvement Activities

Document care coordination and patient safety activities

30%

Cost

Monitor and optimize total cost of care metrics

Automatic Measure Selection

AI recommends the best quality measures for your specialty and patient population to maximize your MIPS score.

Real-Time Performance Dashboard

Track your progress throughout the year with live updates on all quality measures and performance categories.

One-Click CMS Submission

Generate and submit QRDA III files directly to CMS. No manual data extraction or third-party registries required.

Care Gap Management

Never Miss a Care Gap Again

Automatically identify patients who are overdue for preventive screenings, chronic disease management, or quality measure compliance. Prioritize outreach based on risk and urgency.

  • Smart Identification

    AI scans your patient population to find gaps automatically

  • Priority Scoring

    Risk-based prioritization ensures high-impact patients first

  • Automated Outreach

    Send reminders via SMS, email, or patient portal

  • Closure Tracking

    Real-time updates when gaps are addressed

Active Care Gaps

468 total patients

Diabetes - HbA1c Due

47 patients

Overdue

Annual Wellness Visit

124 patients

30 days

Breast Cancer Screening

38 patients

Overdue

Colonoscopy Due

56 patients

60 days

Flu Vaccination

203 patients

Seasonal

Patient Risk Distribution

High Risk145 patients (12%)
Rising Risk287 patients (24%)
Moderate Risk412 patients (34%)
Low Risk356 patients (30%)

1,200

Total Patients

87%

RAF Accuracy

Risk Stratification

AI-Powered Risk Stratification

Identify high-risk patients before they become emergencies. Our machine learning models analyze clinical, claims, and social determinants data to predict risk and guide interventions.

Cardiovascular Risk

10-year ASCVD scoring

Readmission Risk

30-day prediction model

Medication Adherence

PDC tracking & alerts

Rising Risk

Early intervention flags

Chronic Care Management

Streamline CCM & RPM Workflows

Manage chronic care patients efficiently with automated time tracking, care plan templates, and seamless billing integration.

Automatic Time Tracking

Track CCM time automatically as you review charts, make calls, and coordinate care. Never miss billable minutes again.

  • Phone call logging
  • Chart review tracking
  • Care coordination time

Care Plan Templates

Condition-specific care plans with automated goal tracking and progress monitoring. Customize for each patient's needs.

  • Disease-specific templates
  • Goal setting & tracking
  • Patient education materials

Smart Alerts & Reminders

Get notified when patients need outreach, when time thresholds are met, and when care plans need updates.

  • Monthly CCM reminders
  • Billable time alerts
  • Care plan review due

CCM Billing Codes Supported

Auto-suggested based on time logged

99490

CCM 20+ min

99491

Complex CCM 30+ min

99457

RPM 20+ min

99458

RPM Additional 20 min

Automated Patient Outreach

Close care gaps faster with intelligent, automated patient communication that drives action without overwhelming your staff.

Outreach Channels

Appointment Reminders

SMS, email, and voice

92% open rate

Care Gap Campaigns

Automated outreach sequences

45% response rate

Wellness Check-ins

Periodic health surveys

38% completion

Impact Metrics

Care Gap Closure Rate+47%
Quality Measure Performance+23%
Patient Engagement+56%

"We closed 47% more care gaps in the first quarter after implementing CareMetric's automated outreach. Our MIPS score improved by 15 points."

- Dr. Sarah Chen, Internal Medicine

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