Placement
4 · Hospital
Which hospitalized patients are on the border between a facility and a safe discharge home with services.
Serves: Case managers, transitions nurses and PT/OT
- Functional status
- Home support
- Prior post-acute stays
Capability 3 of 4 · Radial Care AI Agents
Strategy, practiced at the bedside.
Always-on clinical agents bring your strategic priorities to the front lines, so case managers and clinicians act on the right patients, with the reasoning in front of them.
Ranked by risk and actionabilityLive
- Patient A · Unit 4 WestPlacement agent86On the border: SNF or homeStrong home supportPT eval due today
- Patient B · Unit 6 EastReadmissions agent74No follow-up bookedNew medications
- Patient C · Unit 3 NorthPalliative Care agent69Repeat stays this yearRecent decline
- Patient D · Unit 4 WestHospital Length of Stay agent58Past expected stayAwaiting SNF bed
Trusted by health systems, payers and research institutions
What it does
Reach the right patients.
01
One agent per high-value decision
Admission Avoidance, SDOH, SNF Three-Day Waiver, Placement, Hospital Length of Stay, SNF Length of Stay, Readmissions, Palliative Care and Hospice, ordered from community to end of life.
02
Always on
Each agent watches claims, ADT events and clinical data continuously and scores every patient on risk and actionability.
03
Explainable by design
Every flag arrives with the factors behind it, so the conversation with the care team starts from evidence.
04
Tuned to the contract
Contract Intelligence sets what each agent prioritizes, so front-line work tracks the organization's strategy without a memo.
05
Clinicians decide
Agents recommend and prepare; clinicians review and act. Every recommendation is logged and explainable.
06
Custom agents
Radial builds new agents with customers for their own priorities, such as heart-failure ED diversion or pediatric asthma admission avoidance, on the same foundation.
Nine agents across the journey
One agent for every high-value decision, from community to end of life.
Each agent either keeps a patient from being pulled away from home, or brings them back safely. Select an agent to see the decision it supports.
Admission Avoidance
1 · Community
Who is rising toward an avoidable ED visit or admission, and what can still prevent it.
Serves: Population health teams and care managers
- Recent ED use
- Chronic disease burden
- Gaps in primary care follow-up
SDOH
2 · Community
Which social risks stand between a patient and good outcomes, and which program can help.
Serves: Care managers, social workers and community partners
- Area deprivation
- Housing and transport risk
- Program eligibility
SNF Three-Day Waiver
3 · Before the hospital
Who can go straight to a high-quality SNF under the waiver and skip an unnecessary hospital stay.
Serves: ACO care teams and SNF partners
- Waiver eligibility
- Clinical stability
- SNF quality and capacity
Placement
4 · Hospital
Which hospitalized patients are on the border between a facility and a safe discharge home with services.
Serves: Case managers, transitions nurses and PT/OT
- Functional status
- Home support
- Prior post-acute stays
Hospital Length of Stay
5 · Hospital
Which stays are drifting past their expected length, and what is holding up discharge.
Serves: Case managers, hospitalists and throughput leaders
- Expected length of stay
- Pending services
- Discharge barriers
SNF Length of Stay
6 · Post-acute
Which SNF stays can end sooner with a well-supported transition home.
Serves: Post-acute care managers and SNF partners
- Progress in therapy
- Length versus benchmark
- Home readiness
Readmissions
7 · Transition home
Who is at rising risk of returning to the hospital, and which follow-up lowers it.
Serves: Transitions nurses and primary care teams
- Discharge disposition
- Follow-up scheduled
- Medication changes
Palliative Care
8 · Serious illness
When quality of life is becoming as important as treatment, and a palliative consult should happen.
Serves: Hospitalists, palliative teams and primary care
- Recent decline
- Repeat hospital and SNF stays
- Symptom burden
Hospice
9 · End of life, at home
When a patient may benefit from hospice, with the evidence clinicians need for the conversation.
Serves: Palliative teams, primary care and families' care teams
- Trajectory of illness
- Utilization near end of life
- Goals of care
How an agent works
Watch. Score. Explain. Route.
- 1
Watch
Reads claims, ADT events and clinical data continuously, so new risk surfaces within hours.
- 2
Score risk and actionability
Ranks each patient by how much an intervention can still change the outcome, not by risk alone.
- 3
Explain
Shows the factors behind every flag in plain language, ready for the care-team conversation.
- 4
Route
Puts the patient on the right person's worklist or in their inbox, tuned to the contract.
The principle behind every agent
Agents recommend and prepare. Clinicians decide.
Every recommendation arrives with its reasons, is reviewed by a clinician before anything happens, and is logged so it can be explained later. Agents take the searching off busy teams; the judgment stays with them.
For every front door
AI Agents for each kind of organization
Health systems
Placement, Hospital Length of Stay and Readmissions agents flag discharge opportunities on day one.
ACOs
Admission Avoidance, SNF and Palliative agents focus care managers on the members who move total cost of care.
Health plans
Admission Avoidance and SDOH agents find rising-risk members before the claim.
Questions it answers
The questions leaders and care teams actually ask.
- Which of today's admissions are on the border between a SNF and a safe discharge home?
- Who in our population is high-risk and still impactable this week?
- Which patients are ready for a palliative care conversation?
- Which SNF stays are running past what the patient needs?
- Who qualifies for the SNF three-day waiver right now?
Custom agents
Your priority, your agent, on the same foundation.
Radial builds new agents with customers for their own priorities, such as a heart-failure ED diversion agent or a pediatric asthma admission-avoidance agent. They use the same data, explanations, routing and outcomes tracking as the other nine.
A partner, not a portal
See Radial Care tuned to your contracts.
Bring one question about your population. We'll show you the platform on illustrative data, then size the opportunity on yours, with the team who would work beside you.
- A named clinical and technical lead
- Quarterly business reviews
- On-site visits and training