Who should use the Value-Based Care Optimization workflow?
Teams or solo builders working on healthcare tasks who want a repeatable process instead of one-off tool experiments.
AI Workflow · Healthcare
Leverage Stellar Health's AI-driven platform to identify and close care gaps, improve risk adjustment coding accuracy, and increase annual wellness visit completion rates, aligning provider incentives with quality outcomes.
Deliverable outcome
Providers are financially motivated to sustain high performance, with transparent, data-driven incentive payments.
30-90 minutes
Includes setup plus initial result generation
Free to start
You can swap tools by pricing and policy requirements
Providers are financially motivated to sustain high performance, with transparent, data-driven incentive payments.
Use each step output as the input for the next stage
Step map
Instead of relying on a single generic AI model, this pipeline connects specialized tools to maximize quality. First, you'll use Stellar Health to a unified, clean patient dataset ready for gap analysis and risk scoring. Then, you pass the output to Stellar Health to a prioritized list of care gaps with actionable next steps for each patient. Then, you pass the output to Stellar Health to risk adjustment factor (raf) scores optimized with accurate, documentation-supported hcc codes. Then, you pass the output to Stellar Health to awv completion rate increased by at least 20% within 90 days, with visit templates driving gap closure. Finally, Stellar Health is used to providers are financially motivated to sustain high performance, with transparent, data-driven incentive payments.
Ingest and Normalize Practice Data
A unified, clean patient dataset ready for gap analysis and risk scoring.
Identify and Prioritize Care Gaps
A prioritized list of care gaps with actionable next steps for each patient.
Improve Risk Adjustment Coding Accuracy
Risk adjustment factor (RAF) scores optimized with accurate, documentation-supported HCC codes.
Increase Annual Wellness Visit Completion Rates
AWV completion rate increased by at least 20% within 90 days, with visit templates driving gap closure.
Align Provider Incentives and Monitor Performance
Providers are financially motivated to sustain high performance, with transparent, data-driven incentive payments.
Connect Stellar Health's platform to your EHR, claims systems, and payer data feeds. Run the data ingestion pipeline to pull patient demographics, encounter history, diagnosis codes, and wellness visit records. Then use the platform's normalization engine to clean, deduplicate, and map data to standard coding schemas (e.g., ICD-10, CPT, HCPCS).
Why Stellar Health: Stellar Health is explicitly designed for practice data ingestion and care gap identification, directly matching the step's needs for platform, EHR API access, and claims data feeds.
Use Stellar Health's AI-driven gap engine to scan the normalized data against HEDIS, STARs, and payer-specific quality measures. The platform automatically surfaces open care gaps (e.g., missing mammograms, A1c tests, or medication adherence). Prioritize gaps by clinical urgency, financial impact, and patient outreach likelihood using the built-in scoring model.
Why Stellar Health: Stellar Health's core function is identifying and closing care gaps, directly matching the step's need for a gap engine, quality measure library, and prioritization algorithm.
Leverage Stellar Health's real-time coding suggestions during encounters. The platform analyzes clinical notes and structured data to recommend additional HCC codes that are supported by documentation. Train providers on coding best practices using the platform's embedded feedback loop, and run retrospective audits to catch under-coded conditions.
Why Stellar Health: Stellar Health explicitly includes improving risk adjustment coding accuracy, directly matching the step's needs for coding AI, EHR integration, and audit dashboard.
Use Stellar Health's patient outreach module to automatically contact patients due for an Annual Wellness Visit (AWV) via preferred channel (SMS, call, portal message). Schedule visits directly from the platform and pre-populate visit templates with known care gaps and risk conditions. Track completion rates in real-time and re-engage no-shows.
Why Stellar Health: Stellar Health explicitly includes increasing annual wellness visit completion rates, directly matching the step's needs for outreach, scheduling integration, and visit templates.
Configure Stellar Health's incentive dashboard to tie provider bonuses directly to gap closure rates, coding accuracy improvements, and AWV completion. Set up monthly performance reviews using the platform's scorecards. Automate incentive calculations and payouts based on verified data from the previous steps.
Why Stellar Health: Stellar Health includes incentive modules and performance monitoring for care gap closure, directly aligning with provider incentive alignment and scorecard building.
§ Before you start
Teams or solo builders working on healthcare tasks who want a repeatable process instead of one-off tool experiments.
No. Start with the top pick for each step, then replace tools only if they do not fit your pricing, compliance, or output needs.
Open the mapped task page and compare top options side by side. Prioritize output quality, integration fit, and predictable cost before scaling.
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