Incentivize Health

Provider incentives

A quality program the practice will actually use.

Fee-for-service practices carry half your panel and most of your open gaps. We reach them inside the workflow they already run, one patient, one clear ask, one place to upload evidence.

The gap

The measures that move Stars are where FFS trails most.

Fee-for-service versus MSSP ACO performance on four HEDIS measures quality teams live and die by. The delta is the addressable opportunity, and it's sitting in your non-integrated practices right now.

Source: CMS FFS PY2024 and MSSP PY2023.

MeasureFFSMSSPΔ
Breast Cancer Screening53.2%80.9%+27.7
Blood Pressure Control41.9%79.4%+37.5
Colorectal Cancer Screening70.5%77.8%+7.3
Diabetes HbA1c Control51.3%90.6%+39.3

The workflow

Detect. Prompt. Close. Pay.

Four steps that run in days instead of quarters, from an open gap to a paid provider.

01

Detect

Claims and eligibility surface open gaps before chart-chase season.

02

Prompt

The specific ask lands with the person who actually closes it.

03

Close

One patient, one request, one place to upload evidence.

04

Pay

Verified in days. Paid the way the practice wants, check, ACH, or gift card.

The product

A worklist that fits the practice's day.

The office manager, coder, or MA who actually closes the gap gets one patient, one clear ask, and one place to upload evidence. Balances update on approval. Payment lands the way the practice wants it. That's the whole product, and it's why practices open it.

Pick two measures. We'll model the pilot.

Scope a pilot