Curitics is built around achieving results. We eliminate inefficiencies and we strive to improve care outcomes.
Profile: A leading regional payor managing over 1 million covered lives across Medicare Advantage and Medicaid—including Chronic (CSNP), Dual-Eligible (DSNP), and Institutional (ISNP) Special Needs Plans—faced growing challenges in coordinating care for high-utilization and rising-risk populations. Fragmented care delivery, disparate systems, and inconsistent outreach left gaps in transitions, medication adherence, and disease management.
| Metric | Before | After Implementation | % Improvement |
|---|---|---|---|
| ER Diversion Rate | 62% | 78% | ▲ 26% |
| Admits per 1,000 | 325 | 275 | ▼ 15% |
| Readmits per 1,000 (30-day) | 62 | 48 | ▼ 23% |
| Average Length of Stay (ALOS) | 5.6 Days | 4.3 Days | ▼ 23% |
| Bed Days per 1,000 | 1,820 | 1,340 | ▼ 26% |
| Avoidable ER Visits | 42% | 29% | ▼ 31% |
| AI-Powered Dynamic Risk Stratification | Manual | Real Time AI Segmentation | ▲ 5x Faster |
| Care Plan Generation Time | Avg. 3 hours | <15 minutes (AI-assisted) | ▼ 92% |
| Member Engagement (Multilingual) | Limited | 7 Languages Supported | ▲ 3x Engagement |
Profile: A prominent national provider group operating under full-risk Medicare contracts was facing Low visit conversion rates despite member outreach, poor coding completeness and HCC capture, fragmented workflows across retrospective and prospective reviews and inefficient AWV and encounter workflows.
| Metric | Before | After Implementation | % Improvement |
|---|---|---|---|
| Membership | 800,000 | 900,000+ | ▲ 12.5% |
| Outreach-to-Visit Conversion | 20% | 50% | ▲ 150% |
| HCC Recapture Rate | 60% | 85% | ▲ 41.7% |
| Coding Accuracy Rate | 78% | 95% | ▲ 21.8% |
| Successful Encounter Submissions | 82% | 97% | ▲ 18.3% |
| Version 28 HCC Impact | -6% | +2% | ▲ 8% |
| AWV Completion Rate | 45% | 72% | ▲ 60% |
| Retrospective Chart Review & Submission | Manual, siloed | Unified +85% throughput | ▲ 85% |
| Concurrent & Prospective Reviews | Disconnected | AI-prioritized, 3x faster | ▲ 200% |