AI TOOL PROFILE
Curitics Health: Healthcare Workflow Automation Software
- Healthcare
- Workflow Automation
- Medical Services Organizations (MSOs)
- Accountable Care Organizations (ACOs)
- Health Plans
- Healthcare Organizations serving Medicare Advantage or Medicaid
Pricing
Pricing was not clearly available from the provided evidence. Buyers should confirm current pricing on the vendor website.
At a glance
- Best for
- Medical Services Organizations (MSOs), Accountable Care Organizations (ACOs), Health Plans, Healthcare Organizations serving Medicare Advantage or Medicaid
- Key use cases
- Value-Based Care Coordination, Clinical Care Planning, Quality Metric Management, Risk Adjustment Support, Administrative Automation
- Integrations
- EHR Point of Care plugin
- Official website
- Visit Curitics Health official website
How AI is used
Curitics Health is a low-code workflow platform for the healthcare sector, focused on value-based care. It allows users to visually design care pathways and clinical programs using a drag-and-drop studio, which the system converts into actionable tasks and cases.
The software is built for healthcare organizations such as Medical Services Organizations (MSOs), Accountable Care Organizations (ACOs), and health plans managing Medicare Advantage or Medicaid populations. It is designed to unify care management, patient engagement, and revenue operations into a single system.
Key capabilities include AI-assisted care planning, risk stratification, and HEDIS care gap tracking. The platform also provides tools for prior authorizations and EDI claims generation to support the administrative side of clinical operations.
Buyers should confirm how the 90-day deployment timeline aligns with their operational goals and verify that the low-code customization options meet their specific regulatory and clinical requirements.
Key Features
Low-code Workflow Studio
A visual builder that allows users to create care pathways via diagrams and define clinical triggers for automated alerts.
AI-Aided Care Planning
Analyzes clinical data and assessments to auto-generate draft care plans, including problems, goals, and interventions.
Risk Stratification AI
Modeling that incorporates social determinants of health (SDOH) and disease progression to prioritize high-risk patients.
HEDIS Care Gap Tracking
Tracks quality gaps with star-weighted prioritization and supports quality outreach workflows.
Multi-channel Engagement
Supports patient communication through email, SMS, fax, phone, telehealth, and letters within the platform.
Prior Authorization Engine
Includes tools for prior authorizations, an auto-approval engine, and utilization tracking.
Use Cases
Value-Based Care Coordination
Designing and deploying clinical programs for Medicare Advantage and Medicaid populations.
Clinical Care Planning
Using AI to generate draft care plans and health overviews from patient clinical notes and assessments.
Quality Metric Management
Identifying and closing HEDIS care gaps to meet quality benchmarks.
Risk Adjustment Support
Applying AI-driven risk stratification to prioritize high-risk patient populations.
Administrative Automation
Managing prior authorizations and generating EDI claims.
Integrations
- EHR Point of Care plugin
FAQ
What is Curitics Health used for?
- It is used to build and manage clinical workflows, automate care planning with AI, and track quality metrics like HEDIS gaps for value-based care programs.
Who is the target user for this software?
- The platform is designed for health plans, MSOs, ACOs, and providers who manage Medicare Advantage, Medicaid, and Special Needs Plans.
Does Curitics Health require coding knowledge to build workflows?
- No, it uses a low-code Workflow Studio that allows users to design care pathways visually using diagrams.
How does AI help within the Curitics platform?
- AI is used to auto-generate draft care plans, create narrative health overviews, and provide risk stratification based on clinical data and social determinants of health.
Source category: Healthcare
Source subcategory: Workflow Automation
More tools in Healthcare
Other published listings in the Healthcare category.
More tools in the Workflow Automation software type
Related listings that share the same software type for comparison and shortlisting.
