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
ACOs and risk-bearing providers
Lower total cost of care across every contract, with the staff you have.
Radial Care reads your MSSP track, benchmark and quality gate, finds the members who are high-risk and still impactable, and routes the next best action to the person who can act on it.
Track
Two-sided
Benchmark
$12,000 PMPY
Quality gate
On track
Shared-savings opportunity by lever
SNF days$1.2MReadmissions$0.8MHospice at end of life$0.6MAvoidable ED visits$0.5MTotal$3.1M
Trusted by health systems, payers and research institutions
What keeps you up at night
We hear it in every first conversation.
“We're two-sided now and can't see where the savings will come from.”
Downside risk raises the stakes on every SNF stay, readmission and late hospice referral.
“Our risk lists are long and our care managers are few.”
High-risk is not the same as impactable, and the difference decides where staff time goes.
“By the time the claim arrives, the moment has passed.”
Admissions, discharges and ED visits need action within hours, not at the next report.
How Radial Care helps
Four capabilities, in the order you'd use them.
- 1Contract IntelligenceKnow what success pays.Codifies each contract's track, benchmark and quality measures and sizes shared savings by lever, against national MSSP and REACH benchmarks.Explore Contract Intelligence
- 2Next-Generation BISee where to act.Benchmarks every measure against peer ACOs, explains the gap and writes the board update.Explore Next-Generation BI
- 3AI AgentsReach the right patients.Admission Avoidance, SNF, Readmissions, Palliative Care and Hospice agents focus care managers on the members who move total cost of care.Explore AI Agents
- 4Next Best ActionMake the next best action happen.Turns claims and real-time ADT events into the next best action for each member, routed to the PCP, care manager or partner best placed to act.Explore Next Best Action
The agents
Agents for the members who move total cost of care.
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
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
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
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
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
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
Solutions
One platform for every front door.
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