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Curitics Health: Healthcare Workflow Automation Software

Curitics Health helps health plans, MSOs, and ACOs coordinate care and manage risk adjustment. It is designed for teams needing to build custom clinical pathways without writing code.

At a glance

Category
Healthcare
Best for
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.
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
curiticshealth.com
Screenshot of Curitics Health website

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.

Best For

Medical Services Organizations (MSOs)Accountable Care Organizations (ACOs)Health PlansHealthcare Organizations serving Medicare Advantage or Medicaid

Integrations

EHR Point of Care plugin

Pricing

Pricing was not clearly available from the provided evidence. Buyers should confirm current pricing on the vendor website.

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

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