Medicare Data Solutions
Purpose‑built for Accountable Care Organizations
Your Shared Savings Program or ACO REACH team already receives beneficiary claims from CMS—but the raw CCLF or BCDA feeds are bulky, delayed, and hard to act on. Informed + Choice turns that fire‑hose into real‑time, role‑ready insight for care‑management, quality, and finance.
Seamless BCDA ingestion
Direct pipeline to CMS
We authenticate with your Beneficiary Claims Data API (BCDA) credentials and pull Part A, B & D claims in the same FHIR bulk format CMS delivers weekly.
No individual patient onboarding
Because the BCDA feed covers your prospectively assigned or assignable beneficiaries, data begins flowing as soon as your organization authorizes us—no member‑by‑member consent chase.
Encrypted, segregated storage
Each ACO's dataset lives in its own HIPAA‑compliant vault; access is logged and reportable for every user touch.
Enrichment that matters
| What we add | Why it helps your teams |
|---|---|
| Network tracker – flags out-of-network encounters & high-leak providers | Reduce leakage, tighten referral patterns |
| Annual-visit & gap monitor – PCP, AWV, colonoscopy, mammography, HEDIS-like checks | Proactive outreach boosts quality scores |
| ED / IP alerts – recent ER visits & admits w/ LOS, discharge dates | Rapid post-discharge follow-up prevents readmits |
| Medication adherence scorecards (PDC / MPR) | Target non-adherent members before star-rating penalties hit |
| Cost trends & benchmarks – 3-, 6-, 12-month PMPM & episode costs | Spot high-spend cohorts early |
| Provider-touch heat map – last-visit date & frequency by NPI | Coordinate care & strengthen preferred networks |
| Risk & propensity scores – HCC + custom utilization risk models | Focus care-management on the highest-yield patients |
| Claims timeline – interactive 12-month strip chart of encounters | Give clinicians an at-a-glance patient journey |
Dashboards & APIs out of the box
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Population-level tiles for quality, utilization, leakage, and spend
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Patient drill-downs with visit history, meds, labs, imaging, and risk drivers
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Export endpoints for your BI tool or data warehouse
Pricing that respects thin margins
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One-time BCDA onboarding – a fraction of legacy CCLF integration costs
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Flat $19.99 per active clinician seat / month – identical to our Core Access users
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Add-ons (risk analytics, white-label portals, AI documentation assistant) are optional and pay-as-you-go
Stop wrangling CSVs. Start improving shared-savings performance.
Join the ACO waitlist today and lock in launch pricing.