Health systems and hospitals

Open capacity with safer, faster discharges.

Radial Care finds the patients who can go home sooner and safely, assembles the discharge plan and confirms the referrals, so your beds turn over and your case managers cover more patients without adding staff.

Size your opportunity See the platform

Next Best Action · Patient A

Illustrative data

Flagged by the Placement agent · Owner: case manager

Discharge plan assembledCase manager approvesApproved
Home health referral sentCoordination agentAccepted
PCP follow-up within 7 daysTransitions nurseBooked
Medication reconciliationPharmacistDone

Outcome recorded: discharged home with services. Counted toward your readmission and SNF-days measures.

Trusted by health systems, payers and research institutions

What keeps you up at night

We hear it in every first conversation.

“Our beds are full and the ED is boarding.”

Every avoidable inpatient day is pure cost under DRG payment, and it blocks the next admission.

“Our case managers are stretched thin.”

Discharge planning starts too late because nobody can tell on day one who is on the border.

“We're paying penalties for what happens after discharge.”

Readmission and episode penalties land on hospitals with or without a value-based contract.

How Radial Care helps

Four capabilities, in the order you'd use them.

You already have value-based contracts

Accountable after discharge, with or without a value-based contract.

CMS and your payers wrote them. Many hospitals now face programs that pay on what happens after the patient leaves, and under DRG payment every avoidable inpatient day is pure cost.

In effect; Medicare Advantage patients from FY 2027
HRRP
The Hospital Readmissions Reduction Program lowers Medicare payments to hospitals with excess readmissions, and its measures now count Medicare Advantage patients too.
HRRP on cms.gov
Since January 1, 2026, in selected markets
TEAM
The Transforming Episode Accountability Model makes hospitals in selected areas accountable for five surgical episodes through 30 days after discharge.
TEAM on cms.gov
From January 1, 2028, nationwide
CJR-X
The expanded Comprehensive Care for Joint Replacement model makes most hospitals accountable for hip, knee and ankle replacements through 90 days after discharge.
CJR-X on cms.gov
Updated from FY 2028
Excess Days in Acute Care
The Inpatient Quality Reporting measures of excess days back in the hospital after heart attack, heart failure and pneumonia add Medicare Advantage patients.
FY 2027 IPPS final rule fact sheet
New from FY 2030
Advance Care Planning
A new Advance Care Planning measure joins the Inpatient Quality Reporting and Promoting Interoperability programs.
FY 2027 IPPS final rule fact sheet

Program details as published by CMS; whether each applies depends on your hospital and market.

Discharge work, done earlier

Cover more patients without adding FTEs.

Shorter stays don't empty beds; they free them for the next admission. Radial Care takes the searching and the chasing off your case managers, so their time goes to the conversations only they can have.

What Next Best Action handles for discharge

The discharge plan assembled from your protocols, for the case manager to edit and approve
Post-acute referrals sent, and acceptance confirmed, before the patient is medically ready
Follow-up arranged before the patient leaves, so the transition home holds

The agents

Start with the agents that open 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

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

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

The measures it moves

Results in the terms you report on.

Avoidable inpatient days
Beds freed for the next admission
Readmission and episode penalties avoided
Case-manager capacity, without adding FTEs

Payment programs Radial Care reads

HRRP
TEAM
CJR-X
Medicare Advantage
DRG and per-diem payer contracts

A typical first 90 days

Weeks 1 to 6
The Opportunity Assessment sizes avoidable days, penalties and post-acute patterns on your own data.
Weeks 4 to 10
Claims and ADT connect first, then a scheduled EHR reporting extract; agents are tuned with your case management leaders.
By day 90
Case managers work from prioritized worklists, and the first results review compares done versus not done.

As you grow into value

The same platform, ready for your first risk contract.

Most health systems carry a few value-based contracts alongside a mostly fee-for-service business. The same agents that shorten stays also lower total cost of care for your ACO and Medicare Advantage patients, so you can grow into value on one platform.

The Radial Opportunity Assessment includes a readiness view of what a LEAD or Medicare Advantage risk arrangement would look like on your own data.

Size your opportunity

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

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

Solutions

One platform for every front door.

ACOs and risk-bearing providersLower total cost of care and lift quality scores across MSSP, LEAD and every other risk contract, with the staff you have.

Health plans and Medicare AdvantageFind rising-risk members early, steer them to the right program and keep them healthy at home.

PartnersEmbed Radial's clinical intelligence in your services or platform through APIs and the Radial MCP server.

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.

Book a demo Size your opportunity

A named clinical and technical lead
Quarterly business reviews
On-site visits and training