Provider Level & Patient Level Intelligence
Drill from population-level leakage down to individual physician spend and patient-level claims.
It Does Not Have To.
Most accountable care organizations know patients are leaving the network. Few have visibility into where it is happening, why it keeps happening, and what to do about it. Persivia changes that, from the first day of deployment.
Network leakage happens when patients receive care outside the ACO's preferred provider network.
Of total ACO expenditure flows to providers outside the organization's control
In estimated lost revenue identified across just two ACO networks in a single analysis
In potential Medicare savings from reducing OON primary care by just 0.1 percentage points
Persivia CareSpace is a purpose-built intelligent health platform that brings together everything an ACO needs to perform, data and analytics, risk adjustment, care management, quality reporting, and network oversight, in one platform.
Unified patient records across all care settings give every provider the complete patient picture.
Track where referrals are going, which providers are driving leakage, and drill from population to physician and patient level.
Guided referral tools and preferred-provider workflows help physicians make in-network choices naturally, without friction.
When a patient leaves the network, care managers know and have the tools to re-engage. Closed-loop workflows ensure follow-up happens.
Cost-of-care insights tied to specific referral patterns and service categories , grounded in real organizational data, not industry averages.
Patented AI embedded in care workflows surfaces next best actions, flags high-risk patients, and recommends the right next step.
Drill from population-level leakage down to individual physician spend and patient-level claims.
| Capability | Persivia CareSpace® | Other Reporting Tools | Standalone Analytics |
|---|---|---|---|
| Longitudinal patient records | ✓ Unified across all settings incl. external | ✗ Internal EHR only | ✗ Aggregated, Often siloed |
| Provider-level referral analytics | ✓ Drill to individual physician patterns | ✗ Aggregate level only | ✗ Limited depth |
| Embedded clinical decision support | ✓ Next best action at point of care | ✗ Not available | ✗ Analytics separate from workflows |
| Care management integration | ✓ Leakage triggers auto outreach | ✗ Manual, not connected | ✗ Analytics output only |
| Day-one operational readiness | ✓ Active from deployment | ✗ Months of configuration | ✗ Significant setup required |
The ACOs that address this gain a measurable advantage in financial performance, care quality, and payer relationships. The starting point is a clear picture of where leakage is actually happening – specific to the network, the patient population, and the providers involved.
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