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ACOs & Risk-bearing Organizations
Precision Support for Population Health
Praventa Health partners with ACOs and clinically integrated networks to improve performance on shared savings contracts by aligning analytics, care delivery, and documentation under one roof.
We combine population-level insights with scalable, clinician-led outreach to close gaps, reduce total cost of care, and boost performance on quality and financial benchmarks.
Our Value to Risk-Bearing Organizations
We combine population-level insights with scalable, clinician-led outreach to close gaps, reduce total cost of care, and boost performance on quality and financial benchmarks.
Population Stratification & Predictive Modeling
We identify rising-risk patients, high-cost outliers, and unengaged members who can benefit most from early intervention.
Shared Savings Enablement
Our programs directly reduce unnecessary utilization, hospital readmissions, and duplicative care, contributing to measurable savings.
HCC & Risk Adjustment Alignment
We support accurate capture of clinical complexity to ensure fair compensation under MSSP, MA, and commercial ACO contracts.
Evidence-Based Preventive Care
Our interventions are protocol-driven, ensuring that all outreach and care pathways are backed by current guidelines and best practices.
Care Management & Navigation
We provide licensed care teams to manage transitions, coordinate services, and ensure continuity across fragmented care episodes.
Real-Time Performance Dashboards
We deliver actionable insights on quality, cost, and engagement to support proactive decision-making at the network level.
Risk stratification is foundational to successful population health management. By categorizing patients by acuity and care needs, ACOs can prioritize high-risk individuals for proactive outreach—reducing admissions, closing gaps, and generating shared savings. These analytics-driven strategies not only improve patient outcomes but help ensure appropriate resource allocation across networks.
Praventa Health empowers providers and health systems to succeed in value-based care without disrupting clinical workflows or requiring additional staffing.
We start with deep claims and EMR analytics to uncover care gaps, quality improvement opportunities, and overlooked reimbursement pathways. Then, our clinical team executes the interventions—delivering care on your behalf, through your existing infrastructure, and under your NPI.
Providers & Health Systems
Maximize Value. Minimize Complexity.
Our Value to Providers
Turnkey Quality & Gap Closure Programs
We identify and act on gaps related to CCM, RPM, AWVs, MTM, preventive screenings, and chronic condition management.
Increased Reimbursement
By capturing reimbursable services and enhancing RAF accuracy, we unlock previously unrealized revenue within existing patient populations.
Cost Efficiency
Our services are CMS-reimbursed and require no capital investment or internal hiring—improving profitability without increasing overhead.
Operational Relief
Our integrated services streamline workflows, reduce staff workload, and ensure consistent execution of value-based care initiatives without requiring additional internal resources.
Performance Improvement
Our clinical insights help you track, improve, and report on metrics that impact value-based contracts and payer relationships.
Provider Enablement
We allow physicians to work at the top of their license while we handle chronic care and preventive services in parallel.
Advancements in data analytics are reshaping how payers manage cost and quality. By leveraging population health analytics and risk stratification, plans can proactively identify care gaps, service overutilization, and emerging risk within their covered populations—enabling smarter intervention strategies that lower medical loss ratios and improve quality performance.
Payers
Powering Performance Through Data & Trust
Praventa Health helps payers maximize the performance of value-based contracts by turning fragmented data into meaningful action—and bridging the gap between the health plan and the patient.
Our Value to Payers
Advanced Population Analytics
We act as an extension of the payer’s strategy team, delivering solutions that optimize HEDIS, STAR, and risk metrics while strengthening member trust through provider-aligned engagement.
Care Gap Closure
Our clinical teams execute targeted outreach and interventions for preventive screenings, chronic condition follow-up, and medication adherence, improving quality scores and downstream outcomes.
Cost Containment
We reduce avoidable ED and inpatient utilization through proactive care management and early intervention strategies, directly impacting MLR.
Risk Adjustment Optimization
Through precise HCC documentation support and retrospective reviews, we improve the accuracy of risk scores for capitated populations.
Operational Relief
We handle member engagement, documentation, and data reporting—freeing payer teams to focus on strategic oversight.
Patient Trust Through Provider-Led Messaging
Our outreach is clinically rooted and provider-aligned, ensuring higher engagement and lower friction with your member population.
