Close gaps in risk share of savings
Value-based care depends on a comprehensive understanding of every patient. TeleMEDix delivers clinical clarity across the patient journey so you can identify every relevant condition, improve risk-adjustment accuracy, close quality gaps, and earn shared savings — without manual chart review.
$540K
Gross incremental revenue per practice
$412K
Net profit after staff & platform costs
9.5x
Return on platform investment
75th
Quality percentile, up from the 40th
Volume-to-value moves practices into two-sided risk
What "two-sided risk" really means
Every device and app captures a slice of the picture, but none of them share a record — so no one sees the whole patient.
USE CASE
The programs exist, they just never get executed
CCM – available
Tracked on spreadsheets
20 of ~400 eligible enrolled
RPM — available
Devices unused in a closet
0 patients actively monitored
ADT — arriving
Faxed, checked weekly
48-hour follow-up window missed
The result
Faxed, checked weekly
48-hour follow-up window missed
One system for risk stratification ,HCC capture, and quality-gap closure
TeleMEDix unifies the chronic-care workflow. Four connected capabilities turn the same staff and the same panel into captured revenue and higher quality. Here is what each one does — and what it looks like in practice.
AI Risk Engine
Tells staff who needs attention, what they need, and when
The optimizer runs quality-gap campaigns on their own, tracks closure across the whole panel, and routes each open item into a staff worklist — so gaps get closed before they hit your quality score.
Use case
James T.’s home blood pressure climbs to 158/94 over five days. The engine flags him today — not at his annual visit six months from now — so a nurse intervenes before it becomes an admission.
VBC Optimizer
Closes quality gaps and captures shared-savings drivers automatically
The optimizer runs quality-gap campaigns on their own, tracks closure across the whole panel, and routes each open item into a staff worklist — so gaps get closed before they hit your quality score.
Use case
Robert K.’s A1c is four months overdue. Rather than surfacing at year-end, he’s automatically added to the diabetes campaign and an order is queued — one of 33 gaps closed this quarter without manual review.
HCC / RAF Dashboard
Surfaces every documentable condition before the visit
TeleMEDix reads labs, medications, and history to suggest HCC conditions the record supports but no one has coded yet — structured for risk adjustment and defensible on audit, across the whole panel rather than just complex cases.
Use case
Maria G.’s last two labs show an eGFR of 48, consistent with CKD Stage 3 — but it was never coded. It’s surfaced before her visit, documented in seconds, and adds +0.32 to her risk score.
Longitudinal Lifetime Medical Record
Anchors every patient to one record across payers and sites
Longitudinal lifetime medical record assembles data from every care site and payer into a single longitudinal record, normalized to FHIR R4 and C-CDA. It sits above your existing systems with zero rip-and-replace, so documentation stays consistent and defensible across the panel.
Use case
A new patient arrives with history spread across six prior care sites. Longitudinal lifetime medical record pulls it together, deduplicates it, and hands the clinician one clean record — in minutes, not after weeks of records requests.
Same staff. Same panel. ~$540K more revenue.
A five-physician primary care practice with 2,000 lives in an MSSP Enhanced track — 12 to 18 months on TeleMEDix.
Before TeleMEDix
20 CCM patients
Spreadsheets. RPM in a closet. ADT faxed and checked weekly. 40th percentile. Zero shared savings.
After · CCM
400 patients
~$168K · code 99490
Automatic time tracking and one-click compliant billing.
After · RPM
200 patients
~$18K · 99454 + 99457
Active monitoring with real-time ADT and 48-hour follow-up.
After · VBC
75th percentile
~$192K value-based
HCC, avoided admissions, MA Star, and MIPS — now earning shared savings.
Where the ~$540K comes from
VBC revenue = HCC capture, avoided admissions, MA Star, and MIPS combined.
Quality percentile
Download TeleMEDix Beta
TeleMEDix Beta is now open for early access on iOS and Android. Experience AI-powered health monitoring, secure telehealth, medication tracking, referrals, and seamless medical record collaboration—built for both Patients and Providers.
From daily activity and wearable data to medication adherence and telehealth updates, TeleMEDix brings your health journey into one intelligent view. Share real-time insights with your care team and make faster, better-informed decisions. Be among the first to experience connected digital care.
Be among the first to experience connected digital care.
Bring Clarity to Your Data. Work More Effectively with Your Patients. Capture More Revenue!
A 30-minute demo with our team. No prep required — we use a sample patient record and show you exactly how it works.
Bring Clarity to Your Data. Work More Effectively with Your Patients. Capture More Revenue!
Frequently asked
TeleMEDix assembles a comprehensive longitudinal record across care sites and payers and applies its clinical engine to surface every relevant condition. An HCC/RAF dashboard structures the output for risk-adjustment programs, and documentation stays consistent across the whole panel.
Yes. The value-based-care optimizer runs quality-gap campaigns automatically and tracks closure across the panel, routing identified gaps into staff workflows rather than leaving them in unstructured notes.
By reducing preventable utilization. Real-time ADT with 48-hour follow-up, RPM monitoring and intervention, and utilization tracking help avoid admissions — a documented driver of the example practice’s shift to earning shared savings at the 75th percentile on quality.