The platform empowers organizations to move beyond fee-for-service and into measurable, patient-centered outcomes. By monitoring patients continuously and guiding proactive interventions, Caregence helps reduce unnecessary hospitalizations and ensures incentives are tied directly to improved health outcomes.

Key Features

• Predictive analytics align care plans with personalized outcome goals
• Real-time risk detection and with automated task assignment for timely follow up
• Continuous patient monitoring of patients across care settings for comprehensive oversight
• Data-driven insights to support optimize performance under value-based reimbursement models
• Built-in reporting to demonstrate measurable improvements in care quality and outcomes improvements

Impact

Personalized care journeys, reduced avoidable hospital visits, fewer readmissions, and improved value-based payment sperformances delivering better health outcomes and financial sustainability.

Our platform streamlines the revenue cycle by automating claims processing – from interpreting clinical notes and applying payer rules to auditing before submission. Our platform automates claims by interpreting notes, applying payer rules, and auditing before submission. By combining automation with prescriptive analytics, the platform boosts clean claim rates, accelerates reimbursements, and optimizes resource use.

Key Features

• Automated claims processing: interpretation, rule validation-checking, and auditing before submission
• Higher Improved clean-claim rates submission rates with fewer denials and resubmissions
• Faster reimbursements and improved cash flow through reduced delays
• Prescriptive analytics to optimize resources resource allocation, staffand schedulesscheduling and overall efficiency

Impact

Lower admin burden, avoidable denials, stronger operating margins, healthier cashflow and better alignment between financial and clinical outcomes.

AI-enabled intake captures structured and unstructured inputs and generates clinically validated summaries. Intelligent routing prioritizes urgent needs and directs routine tasks to the right team instantly. The system ensures patients are never lost in the queue and care teams get clear, actionable information from the start.

Key Features

• AI-enabled patient intake with clinically validated structured summaries
• Automated triage and prioritizationto identify for urgent or red-flag symptoms
• Smart routing of refills, scheduling, and non-urgent inquiries
• Conversational AI agents for 24/7 digital access and support

Impact

Faster onboarding, better access, higher patient satisfaction while reduced admin load, and more time for direct, meaningful patient carehigher patient satisfaction.

The platform unifies fragmented data into a longitudinal patient view record while predictive models forecast staffing needs, utilization trend, and caregiver burnout risk. Real-time and explainable insights give enable care teams from reactive to proactive decision making.foresight to act instead of reacting.

Key Features

• Unified Consolidated longitudinal patient records for a comprehensive data driven view of health
• Predictive models for staffing staff optimization and utilization forecasting
• Early Risk risk detection for both patients and caregivers and patients
• Explainable rReal-time explainable insights for to drive data-backed decisions

Impact

Proactive interventions, improved operational agility, and more accurate personalized care delivery.

Caregence streamlines clinical and administrative operations by automating documentation, refill requests, and scheduling across EHRs and payer systems. Caregence automates documentation, refill requests, and scheduling across EHRs and payer systems. AI agents handle repetitive tasks, while care teams manage hundreds of patients confidently with real-time task assignments.

Key Features

• Automated workflows for documentation, refills, and scheduling
• Real-time task assignment across to balance workloads across care teams
• Seamless integration with EHRs and payerspayer systems driving end-to-end efficiency

Impact

Streamlined operations, reduced admin overhead and caregiver burnout, and improved productivity and more time for direct patient care.

In healthcare, compliance is non-negotiable. Caregence is built engineered with HIPAA-grade security, built-in regulatory safeguards, audit-ready governance, and explainable AI recommendations. Every workflow has transparency and traceability, so providers can innovate without risk.

Key Features

• HIPAA-grade data security and end-to-end encryption to protect sensitive health data
• Explainable AI delivering transparent, trustworthy for every recommendations
• Audit-ready documentation and governance with automated documentation trails
• Regulatory compliance safeguards embedded directly into workflows
• Built-in regulatory compliance safeguards

Impact

Uncompromised trust, scalable innovation, and peace of mind for providers, and patients and partners alike.