Capability 1 of 4 · Radial Care Contract Intelligence
Know what success pays.
Radial Care reads every value-based contract you hold and points the whole platform at the measures that pay.
Track
Two-sided
Benchmark
$12,000 PMPY
Quality gate
On track
Shared-savings opportunity by lever
Trusted by health systems, payers and research institutions
What it does
Know what success pays.
Codifies each contract
Attribution, benchmark, track and risk level, shared-savings and loss rates, quality gates, penalties and bonus terms, for MSSP (including LEAD), Medicare Advantage, Medicaid ACO and avoidable-admission programs, commercial risk, and episode models such as TEAM, CJR-X and BPCI.
Finds where impact is greatest
Sizes the opportunity by contract, measure, care setting and condition, such as SNF days per 1,000, avoidable admissions, readmissions under HRRP and UAMCC, and hospice use at end of life, against national MSSP and REACH benchmarks.
Tunes Radial Care for optimal value
Sets agent thresholds, worklist priority and next-best-action rules to each contract's incentives, so a member in a two-sided MSSP contract and a patient in a TEAM episode get the attention their contracts justify.
Forecasts the year
Projects shared savings, penalties and quality scores, and shows which interventions move them.
Covers hospitals without risk contracts
For a hospital, the contract is everything that sets how it is paid: DRG and per-diem terms, Medicare Advantage terms and denial patterns, mandatory CMS programs such as HRRP, TEAM and CJR-X, and its own capacity and length-of-stay targets.
Starts every engagement
The Radial Opportunity Assessment is Contract Intelligence run on your own data, with a prioritized plan and an executive readout.
For hospitals without risk contracts
Every hospital has a contract. CMS and your payers wrote it.
For a hospital, “contract” means everything that sets how it is paid. Contract Intelligence maps that exposure and shows where avoidable days and penalties cost the most, so you can start with capacity and margin and grow into value on the same platform.
What Contract Intelligence reads for a hospital
- DRG and per-diem payer contracts, and Medicare Advantage terms and denial patterns
- Mandatory CMS programs: HRRP, and TEAM or CJR-X where the hospital is in a selected market
- Your own capacity and length-of-stay targets
- A readiness view of what a LEAD or Medicare Advantage risk arrangement would look like on your data
Where every engagement starts
The Radial Opportunity Assessment is Contract Intelligence, run on your own data.
A fixed-scope, paid engagement of about six weeks: Radial runs Contract Intelligence and the agents on your own data, sizes the opportunity by contract and measure, and delivers a prioritized plan and an executive readout. Its fee is credited toward your first-year subscription.
For every front door
Contract Intelligence for each kind of organization
Health systems
Maps exposure under HRRP, TEAM and payer contracts and shows where avoidable days and penalties cost the most.
ACOs
Codifies the MSSP track, benchmark and quality gate and sizes shared savings by lever.
Health plans
Ties MLR and Star measures to the members and interventions that move them.
Questions it answers
The questions leaders and care teams actually ask.
- Which measures in our two-sided MSSP contract carry the most money this year?
- Where are we exposed to HRRP and TEAM penalties, and how large is each exposure?
- How many avoidable SNF days per 1,000 separate us from the top quartile of ACOs?
- If we lower readmissions by two points, what happens to shared savings and our quality gate?
- What would a LEAD or Medicare Advantage risk arrangement look like on our own data?
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