Acurist’s 97.3%-accurate MCI Screen identifies members 3+ years earlier than MMSE — with audit-grade documentation that defends HCC coding through RADV, and Star/HEDIS uplift through provider-led AWV capture.
Delaying institutionalization by months produces immediate, auditable savings for plans.
Early detection reduces ER visits and hospital admissions through medication reconciliation and targeted care.
Accurate, documented diagnoses increase RAF revenue and support Star/HEDIS improvements — revenue that pays for the program and then some.
Under V28, plans can no longer rely on volume or catch-all “unspecified” diagnostic codes. Success requires a shift from simple diagnosis to high-precision severity staging — and nowhere is the financial delta starker than in cognitive impairment.
Where most plans get stuck. Generic dementia codes leave legitimate funding on the table.
Audit-defensible staging unlocks up to ~$3,300+ in incremental annual revenue per properly identified member.
Late-stage capture. Costlier care, but compliant documentation when supported by objective measurement.
Failing to detect cognitive decline captures $0 in risk-adjustment revenue while exposing the plan to reactive, late-stage medical cost. Passive coding practices also face a 2–4% baseline capitation erosion under V28.
Automated screening plus high-accuracy clinical confirmation so you find the right members without overwhelming providers.
Standardized Individual Care Plans (ICP) and chronic care management (CCM) workflows that reduce falls, medication errors, and avoidable admissions.
Registry, timestamps, and clinician notes that defend HCC coding and RADV audits — protecting RAF revenue.
Pre-agreed adjudication rules (TOB/POS/revenue centers, MDS, facility days) and a reconciliation workbook that produces provisional quarterly statements and a final annual settlement.
Acurist cognitive health solutions are designed for easy implementation by care providers — no specialist credentials required to administer, no IT lift, and a clinician report ready before the provider walks in the room.
Turnkey provider billing templates (CPT 99483, AWV integration), care manager playbooks, and a lightweight data exchange using hashed IDs.
Every outcome is reconciled against claims and validated by your actuarial team.
Per confirmed cohort, measured over a 12-month attribution window.
Among confirmed members through proactive management and medication review.
From earlier, defensible coding of cognitive impairment.
Higher cognitive assessment and care-plan rates translate to plan revenue upside.
Low upfront PMPM and milestone costs; shared savings paid only on validated avoided spend.
Acurist solves the structural payer dilemma with an integrated, end-to-end platform — transforming cognitive care from a liability into a high-margin asset.
Native integration into Epic and Athena as standard order sets. Providers leverage rapid, automated billing templates (CPT 99483, Medicare AWV) — turning a clinical hurdle into a reimbursed, self-funding care protocol.
Validated Memory Screen and MCI Screen deliver >90% clinical accuracy. Paired with automated FAST tracking, Acurist drops time-stamped, objective data straight into the EMR — documentation that withstands aggressive CMS RADV audits.
V28 funding is only profitable if it isn’t consumed by reactive crisis utilization. Acurist auto-generates Personalized Risk Profiles and Individual Care Plans — delaying nursing-home placement and reducing catastrophic hospitalizations from chronic-disease mismanagement.
Standardized early cognitive screening creates returns that compound across an entire senior-population book.
net savings across a 3-year maturity curve for a 10,000-senior population — approximately $139 in long-term cost avoidance for every $1 invested in the Acurist framework.
Documented cognitive assessment and care planning map directly to HEDIS Care for Older Adults and Dementia Management & Support metrics. Crossing the 4-star benchmark unlocks the Quality Bonus Payment.
Dual-Eligible SNP populations are highly susceptible to under-documented cognitive disease. Acurist provides the documentation to support integrated benchmarks — while the clinical support reduces member churn.
incremental annual revenue when a member moves from “unspecified” to an audit-defensible HCC 126 (Moderate Dementia) — backed by objective testing and FAST staging.
Figures are directional and vary by population size, plan mix, baseline screening rate, and contracting model. Actual outcomes are reconciled against claims data over the attribution window.
Enter your covered senior population and see the projected annual value of accurate cognitive staging — V28 RAF capture, Star quality bonus, delayed institutional care, and reduced acute utilization — modeled the way our actuarial team builds a payor engagement.
Start with three inputs. Open the assumptions panel below to model a specific scenario.
Illustrative projection based on the Acurist payor actuarial model and CMS-HCC V28 parameters. Results depend on plan mix, baseline utilization, regional cost, and contract structure, and are not a guarantee of outcomes or a pricing proposal. A claims-linked analysis is available for your specific population.
See every value driver, the cohort funnel, and the 3-year pro forma. We’ll email the detailed payor report to you.
No spam. Your figures are sent to the Acurist actuarial team so we can follow up with a tailored, claims-linked analysis.
| Value driver | Year 1 | Year 2 | Year 3 | 3-Yr Total |
|---|---|---|---|---|
| V28 RAF staging lift | ||||
| Star quality bonus | ||||
| LTC placement delay | ||||
| Acute / ER avoidance | ||||
| Program investment | ||||
| Net payer return |
Year 1 reflects program setup and the standard Medicare Star quality-bonus payment lag; capture ramps in Years 2–3. The V28 RAF lift is included across all years.
Confidential & proprietary illustrative model — not a pricing proposal. For a claims-linked analysis tailored to your population and payer mix, contact info@acurist.ai.
We’ll run a quick feasibility scan using your age-band counts and historical LTC placement rates — and show a pilot ROI scenario tailored to your population.
Custom feasibility scan and tailored ROI scenario · HIPAA compliant · No commitment
Capture RAF and Star value with auditable, claims-based reconciliation.