A value-based care (VBC) provider practice faced challenges reaching their Medicare patients between office visits. With more than 30,000 patients, they recognized their clinicians and administrators were spending too much time sifting through of patient data and doing manual outreach with low to no ability to identify the people who were most at risk or not adhering to their care plan.

A health care company’s members had a high level of readmission rates following hospitalization. The care team did not have the capacity to effectively engage and monitor each patient post-discharge

A large managed care company (MCO) had a low adoption rate among their members for the diabetes program they offer, resulting in increased ER/ hospital usage, deteriorating health, and higher costs.