The AI Platform For Healthcare Workflows
Curitics enables you to build deeply complex programs without writing code or relying on vendors. Our AI-enabled technology lets you deploy fully customized clinical workflows in days not months complete with robust engagement strategies.
Purpose-Built for Value-Based Care
Curitics serves the organizations accountable for cost, quality and outcomes, with workflows built around how each one operates.
Health Plans
A full picture of member health for identifying risk, building revenue and making key decisions with accurate, current data.
MSOs
Align programs across your enterprise and share data easily with your provider network and payer partners.
Medical Services
Support front-line providers with better care coordination, fewer gaps in care and lower operating costs.
ACOs
Close care gaps, meet quality benchmarks and deliver cost-effective care with data-driven, collaborative workflows.
AI That Works Across Your Entire Workflow
From configuring programs to reviewing charts and signing encounters, Curitics embeds AI throughout the care continuum, analyzing conditions, utilization patterns, assessments, clinical notes and source documents to surface actionable insights.
Member has 3 chronic conditions, rising ER use and food insecurity. Prioritize outreach this week. Draft care plan ready: 4 problems, 6 SMART goals and 9 interventions, each with a justification. Drafted a post-discharge follow-up assessment with 12 questions, scoring and alerts. Review to save. 2 documentation gaps found and 1 suggested code added for review before sign-off. 48 pages read and matched to the member: 3 documented and 2 inferred HCCs ready for coder review. Suspect condition supported by recent labs. Next best action: schedule a follow-up visit. PHQ-9 score of 14 indicates moderate depression. Recommend a behavioral health referral. Care plan and education materials translated into Spanish, Vietnamese and Chinese.
Powerful Workflow Studio
Design your model of care visually. With Curitics Health's Workflow Studio, users can build care pathways by drawing intuitive diagrams. Behind the scenes, the system intelligently converts these workflows into actionable cases, tasks, and care coordination tools, streamlining operations and ensuring consistency in care delivery.
Define key clinical triggers such as assessment scores, missed appointments, or vital sign trends, and the system automatically generates alerts to notify the right team members at the right time.
Every automation appears as a connected flow, with how often each rule fires and whether it is healthy visible at a glance.
Works Inside Your EHR
Bring Curitics to the provider instead of the other way around. Point of Care sits alongside the chart providers already use, so insight and action happen at the moment of care.
- Chart matching links the open chart to the right member automatically
- Selective sync pulls in the conditions, medications and demographics you choose
- AI chart review surfaces suspect conditions, care plan additions and next best actions
- Act in-chart to create tasks, complete assessments and review documents
Everything You Need to Run Value-Based Programs
Curitics eliminates the complexity of integrating point solutions by unifying care management, engagement, quality, and revenue operations.
Care Management
Run every program from one workspace, with care plans that draft themselves and assessments that adapt as members answer.
- Hierarchical care plans with AI-assisted drafting
- Assessments with conditional logic and scoring
- Medication reconciliation and clinical notes
Encounter Builder
Assemble any visit from prebuilt clinical components, each with coding intelligence built in, so encounters arrive complete and ready to bill.
- Prebuilt components for any visit type
- AI documentation review before sign-off
- Electronic signature and claim-ready PDFs
Multi-Channel Engagement
Reach members wherever they are and keep every conversation connected to their record.
- Email, SMS, fax, phone, telehealth and letters
- Patient-matched call pop and call transcription
- Campaign automation in 5+ languages
Quality Management
Prioritize the gaps that move your star ratings and close them at the point of care.
- HEDIS gap tracking with star-weighted priority
- Gap closure inside the encounter
- Supplemental documentation and quality outreach
Risk Adjustment
Find every supported condition and capture it accurately across the full review cycle.
- CMS-HCC V28 risk scoring
- AI chart classification and suspecting
- Prospective, concurrent and retrospective review
Automation Engine
Turn your model of care into rules that create the right task, alert or outreach at the right moment.
- 14+ trigger types and 10+ result actions
- Visual flow builder for linked automations
- Live run monitoring for every rule
Scheduling & Field Visits
Book the right people for every visit and get field teams where they need to be.
- Multi-party visits with sequenced roles
- Drive-time-aware assignment for home visits
- Daily route planning for field teams
Authorizations & Billing
Move from authorization to payment without leaving the platform.
- Prior authorizations with an auto-approval engine
- Utilization tracking
- 837P claims delivered on your schedule
Analytics & Reporting
See performance across programs, providers and populations, and build your own reports in minutes.
- Embedded dashboards and self-service reporting
- Encounter, RAF and scheduling performance reports
- Population risk stratification
Latest Insights
Perspectives on CMS policy, risk adjustment, quality and care coordination.
Article
The 2027 Medicare Star Ratings: What Moved and What to Fix for the Next Cycle
CMS published the 2027 Medicare Advantage and Part D Star Ratings on October 8, just ahead of open enrollment. At first glance the results look steady: the enrollment-wei...
Read article
Article
The Year-End Playbook: AWVs, Quality Gaps and HCC Recapture Before December 31
September is when the year-end math becomes real. With roughly sixteen weeks left before December 31, every value-based organization faces the same arithmetic: a list of...
Read article
Article
Clean Data In, Clean Claims Out: Why Validated Ingestion Is a Financial Strategy
Every value-based care organization runs on files. Eligibility rosters from health plans, claims extracts, lab and clinical feeds from practices, pharmacy fills, admissio...
Read article
Ready to Transform Your Clinical Operations?
See how Curitics can help you deploy customized care programs faster, close care gaps, and improve outcomes across your population.
