Reads your contracts.
Shows what to chase. Works the list.

Most population health tools show you the gap. Population Health AI, part of Atlas, reads every value-based contract you hold, assigns a value to every action, and shows your team where effort is worth the most. Agents work the routine steps. Your team owns the exceptions.

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see it in action
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3Meeting target
5Off target
$550,000Dollars at risk
$7,290,000Dollars in play
ContractLivesStatusProjected
Medicare Advantage3· Avg PMPM $816
Northgate Health PartnersHumana
13,640On target$1,150,000
Lakeside Medical GroupHumana
9,340Healthy$480,000
Harborview IPAAetna
6,800Off target$390,000
MSSP2· Avg PMPM $896
Sable Ridge ACOCMS
22,400On target$2,040,000

MCR vs. Target

Harborview IPA

88.2%

+1.7pp over 86.5% target

Target 86.5%PY 89.6%

Quality score

Northgate Health Partners

3.62

gate 3.75

PY 3.48

34%
average gap closure using patient outreach reminders
$1.9M
value created by reducing 30-day readmissions and post ED visits
12%
cost reduction in managing patients post-ED
16%
Improvement in Coding Gap Closure
24%
Reduction in ED visits across ACO REACH members
34%
average gap closure using patient outreach reminders
$1.9M
value created by reducing 30-day readmissions and post ED visits
12%
cost reduction in managing patients post-ED
16%
Improvement in Coding Gap Closure
24%
Reduction in ED visits across ACO REACH members

Why This Exists

Your dashboard shows the gap. It does not read the contract or work the list.
Insight is not the constraint
Every platform can surface a care gap. Few can say which gaps decide how a contract pays.
Capacity is the constraint
A care coordinator on a 150 to 200 patient panel actively manages the top 5%. The rest of the contract value waits.
Point tools deepen the fragmentation
Each contract gets its own list and its own tool. Nobody plans across all of them at once.
What changes for your team
Effort goes to what moves each contract's result, maximizing outcomes
Contract-aware planning
Plans around the terms of each contract, not a generic care-gap list.
Performance-driver detection
Weights opportunities by their impact on each contract.
Routes sized to your capacity
Every route carries a projected result and an ETA at the staff you actually have.
Goal and capacity controls
Change targets or staffing and watch the plan adjust.
Learns from every outcome
Every action closes against its approved projection, and the plan is re-estimated from the result, so the number moves for reasons your team can trace

Human in the loop, by design.

  • Opportunities ranked by impactAgent led
  • Outreach scheduledAgent led
  • Documentation preppedAgent led
  • Worklist refreshedAgent led
  • Action status trackedAgent led
  • Plan built from contract termsHuman intervention required
  • Routes sized to capacityHuman intervention required
  • Plan re-estimated from resultsHuman intervention required

Agents

Work the approved routine steps in the background: outreach scheduling, documentation prep, list refresh, status tracking. Every step is logged and reviewable.

Your care team

Approves every path, reviews each step, and owns every exception and clinical decision. Nothing is set-and-forget.

Book a consultation
with an expert.
Start with your contracts. See what your team can actually work, with Population Health AI.
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