Your Star Rating Is Decided Between Visits.
In a quality contract, the dollars ride on work nobody sees in clinic: the discharge follow-up, the refill that was never picked up, the gap nobody called about. That work needs a system, not a heroic coordinator.
It's Thursday. The Report Just Landed.
The plan's monthly file arrives: hundreds of rows, every one a patient someone should call. A hospital has sent three discharge summaries since Monday. The adherence list says a dozen patients are late on a refill, and the only way to check is to open the plan's portal and look them up one by one.
Your quality coordinator is good at this. They're also the only one who knows where everything is — in a spreadsheet, three portal tabs, and their head. When they're out, it stops.
And at the end of the quarter the score moves, up or down, and nobody can say exactly why. You signed a contract that pays for quality. You were never handed a way to run it.
Four Workstreams. One Queue.
Each one used to live in someone's spreadsheet. In the Hub, each one is a worked list with an owner, a due date and a record of every call.
Seven Days Go Fast
The pain: A patient is discharged on a Friday. The paperwork arrives as a PDF nobody has time to read, and by the time someone calls, the follow-up window has closed.
The Hub: Reads the discharge papers into the fields your team needs, for a person to confirm, and tracks the 7-day window, the calls, transport, equipment and medication checks until the episode is closed.
The Refill Nobody Picked Up
The pain: The adherence report lists the patients at risk. Confirming who actually picked up means opening the plan's portal one patient at a time.
The Hub: Turns the report into call queues, pharmacy calls and pickup confirmations. A browser helper checks the portal for fills in one pass, and patients who can't afford a medication are held and tracked, not lost.
The Gap That Walked Out the Door
The pain: A patient with an open gap comes in for something else, and leaves with the gap still open, because nobody knew in time.
The Hub: Call lists for open gaps, and the patients coming in this week who still have one, so the gap is closed while they're in the building.
The List That Doesn't Match
The pain: The plan's list of conditions to attest and your providers' lists drift apart, and the difference shows up as lost dollars months later.
The Hub: Checks your providers' lists against the plan's before the visit, so the attestation happens in the room, not in a correction later.
Nobody Retypes the Portal Again
The plan's monthly quality and adherence files load straight into the Hub. A small browser helper checks the plan's portal for pickups in one pass, for the patients who need checking, instead of a person opening each record by hand.
Where the Hub reads a document for you — a hospital discharge, a scorecard — a person on your team confirms every field before it counts. The work gets faster. The judgment stays yours.
The Numbers That Decide a Value-Based Year
Fee-for-service practices live on visits. You live on your panel. So the monthly scorecard reads the levers that move your payments.
Attributed Lives
How many patients the plan counts as yours, who's new, who's drifting, and who hasn't been seen this year.
What Each Life Earns
Per-member revenue against the cost of care, so you can see which part of the panel carries the rest.
Quality Dollars on the Line
Which measures are closest to the next threshold, and what closing them is worth — so the next call is the one that pays.
A Queue Your Team Works. A Meeting Where We Read It.
The Hub gives your team the queues. The partners give you the read: once a month we sit down with you on the same numbers, name the measure that matters most right now, and agree who's working it. The score stops being a surprise because someone is watching it with you all quarter.
Let's look at your quarter together.
Twenty minutes: a preview of the Hub on a sample practice, and a rough read on what your contract puts at stake, from a few ballpark numbers.
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