Turn value-based contracts into captured value.
Risk stratification, care-gap closure, HCC coding, and quality-measure performance — the clinical operations that decide whether a value-based contract earns or falls short. Metolius runs the whole workflow as one operation, watched in one live dashboard, with always-on AI.
Signing the contract is the easy part.
Value-based contracts don't pay on intent — they pay on execution. Risk scores have to reflect the real panel. Care gaps have to close before the measurement year ends. Quality measures have to be tracked year-round, not reconstructed at the deadline. Across multiple entities and payers, that work fragments fast — and the shared savings you were entitled to quietly erodes through under-captured risk and missed gaps.
What Metolius runs for you.
Risk stratification
Rising-risk patients identified across the panel so the highest-need populations get worked first — not surfaced in a report after the year closes.
HCC coding & risk capture
Accurate HCC coding so risk-adjustment scores reflect the panel you actually manage, with AI flagging suspected gaps for clinician review before the year closes.
Care-gap closure
Open care gaps worked through coordinated patient outreach and tracked to closure — managed as an operation, not left in a dashboard nobody opens.
Quality-measure performance
Quality measures tracked and reported year-round across every entity, so performance is managed continuously rather than reconstructed at the deadline.
Shared-savings operations
The full value-based workflow run end to end so the savings a contract makes available are actually captured — attribution, gaps, and coding held in one system of record.
Multi-entity, multi-payer VBC
One operating picture across every value-based contract, entity, and payer — because a system's VBC book rarely sits with a single arrangement.
From first call to live operation.
Discovery
We map your value-based contracts, attributed populations, payers, and current gap and coding workflows, then lock a scoped plan and timeline.
Migration
Panels, contracts, and quality history move into PracticeOS with enterprise SSO, role-based access, and audit logging configured from day one.
Dedicated ops team + SLAs
A named team works your risk-capture, care-gap, coding, and quality queues to service levels in writing — with AI predicting, drafting, and watching alongside them.
Live in myMetolius
Leadership sees attribution, open gaps, risk capture, and quality performance in real time and in plain language — so the team decides instead of chases.
What your operation feels like.
Bring us your value-based book. We'll show you where the value is going uncaptured.
Run on the platform behind 1,000+ clinics, built on fifty years of enterprise depth — Continuant (30) and PPS (20) — with SOC 2 Type II and HIPAA-compliant operations.