For risk-bearing provider groups and ACOs - Your risk contract is falling behind. Find the populations that need attention.
Hospital use and outside medical spending can overwhelm contract economics. Falcon connects attribution, utilization, quality gaps, and billing evidence so your team can identify affected populations and decide where follow-up is needed.
See a provider workflowToday
Contract results arrive in financial reports. Care gaps sit in another workflow. Provider and claims information are reviewed separately. Your team has to connect them before it can prioritize follow-up.
With Falcon
Investigate performance by attributed population and provider. Review utilization and quality gaps alongside claims evidence, then create follow-up lists and repeat the analysis to track changes.
An illustrative investigation
Which populations are driving the change—and where should we focus follow-up?
01
Locate the performance change
Check attribution and data completeness, then compare utilization and quality performance across member populations and providers.
02
Identify follow-up priorities
Use Helm to examine care gaps and affected populations. Check whether unusual billing also contributes to spending before choosing the response.
03
Keep the work moving
Create reports and follow-up lists for your team to review. Save the analysis as a reusable Skill and schedule monitoring of utilization and care gaps.
The tools behind the investigation
Bring the performance question your team needs to answer.
We’ll discuss your data and workflow, then show the relevant Falcon capabilities. Your team reviews the evidence and decides what to do next.
See a provider workflow