Quality Metrics

  • Patient Selection

  • Data Imports

  • Gap Analysis

  • Performance Scoring

  • Provider Scorecard

Network Financial Performance

  • Visuals

  • Analytics Dashboard

    • Risk Stratification | Financial Benchmarks

  • Provider Scorecard

  • Aggregate Expenditure and Utilization

  • Quick Data Tool - Episodes of Care

  • Query Builder

  • 4-Year Drug and Health History

  • Risk Score | Benchmark

  • Out-of-Network Migration

  • Indicators and Predictions

  • Cost and Utilization

  • HCC Coding Assist Tool

  • Quality Gaps and FHIR EHR Get Calls

  • Patient-Generated Engagement

Data Sources

Epic, Cerner, Allscripts, AthenaHealth, eClinicalWorks


Medicare CCLF for ACO, DCE and PCF

Medicare DPC FHIR

Medicare Blue Button FHIR 

Medicare Advantage

Medicare ACO

Primary Care First (PCF)

Direct Contracting Entity (DCE)


•Quality Reporting Document Architecture (QRDA)

•Fast Healthcare Interoperability Resources (FHIR)

•HL7 Lab

•Admit, Discharge, Transfer (ADT)

Other Payer



•Self-Insured Employer TPA


•RPM Device Data

•Events-Based Health Screening Interventions

•Text Notifications

•Interactive Health History

Rural Village

Community Health Access and Rural Transformation (CHART) Model


  • The CHART Model is offering two track options for participation: the Community Transformation Track and the Accountable Care Organization (ACO) Transformation Track. CMS announced the Notice of Funding Opportunity (NOFO) for the CHART Model’s Community Transformation Track in September 2020. Applications for the Community Transformation Track are due by March 16, 2021. The Request for Application (RFA) for the ACO Transformation Track will be available in early 2021.

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