Proactively Identify and Mitigate Actionable Spending Spikes in VBC Contracts

Step 1 Real-time Alerting

Kairon Insights provides off-the-shelf and customizable algorithmic alerts for proactive tracking of spending anomalies.

Immediate quantification of potential financial impact on shared savings at physician-level granularity ensures timely, data-driven interventions.

Step 2 Prioritized Intervention Management

AI-driven prioritization ranks actionable spending interventions based on impact potential change-management feasibility.

Step 3 Alerts at Multiple Levels

Practice by practice: Kairon Engage auto-populates meeting agendas with tailored talking points and recommended interventions.

Across markets & contracts: the system flags and quantifies the issue, pinpointing the practices and providers with the greatest impact.

Example: MSSP ACO Mitigiates Long-Term Care Spending Spike

  • ACO uses Kairon to algorithmically surface increases in panel attribution from providers rounding in Long-Term Care Unskilled Nursing Homes.
  • Insights enable early interventions – engaging prioritized, highest-leverage providers.
  • Targeted education and workflow adjustments lead to a 10% reduction in avoidable spending, preserving shared savings.

Impact Summary

  • Immediate identification and response to financial risks
  • Significant reduction of BI developer time spent exploring large data sets
  • Improved intervention success rate through targeted efforts