Persivia

Persivia helps payers, providers, and hospital groups excel in value-based care with the power of the next-generation AI-driven platform CareSpace

[Persivia @PersiviaInc]

What separates top-performing ACOs from the rest isn’t effort. It’s foresight.
Persivia's Predictive forecasting with 99% accuracy of ACOs doesn’t wait for CMS reconciliation to understand performance. They forecast shared savings, downside risk, and utilization trends six months earlier, while there’s still time to act.
With unified data, AI-driven forecasting, and early intervention workflows, ACOs can move from reacting to results to shaping them.
This isn’t https://t.co/G1Bru9QMWq’s control.
ACOs Without Limits. Built for Risk, Scale, and Results. Contact us today to schedule a demo with us: https://t.co/PYG5hcEBWB

#ACO #AccountableCare #ValueBasedCare #PredictiveAnalytics #HealthcareAI #PopulationHealth #Persivia

[Persivia @PersiviaInc]

The clock is ticking: Three dates every hospital leader in the country needs them on their calendar right now!
June 9, 2026 is the public comment deadline, a narrow window for hospitals to formally shape the final model design before CMS locks it in. If your organization has concerns about the mandatory structure, the risk adjustment methodology, or the financial implications for your patient population, now is the time to put them on record.
Late 2026, the FY2027 IPPS final rule is expected. This is when CJR-X moves from proposed to confirmed, and when hospitals that haven't started preparing will suddenly feel the pressure.
October 1, 2027: CJR-X launches nationwide. Mandatory participation begins for most IPPS hospitals.
That's 17 months from today. For a program that requires episode cost tracking, post-acute coordination, care pathway redesign, and gainsharing arrangements with surgeons, 17 months is not a long runway.
Waiting is not a strategy. Learn more at https://t.co/Meodu6W3hJ
#CJRX #CMS #MandatoryModel #HealthcarePolicy #ValueBasedCare #Persivia

[Persivia @PersiviaInc]

Most ACOs know leakage is happening. Far fewer understand why.

The root causes run deeper than a broken referral process:
Referral Blind Spots: Physician referral behavior is one of the most powerful financial levers in an ACO, yet most organizations have zero visibility into where referrals are actually going. No tracking. No data. No accountability.

Network Gaps: Even well-performing ACOs struggle to keep patients within their preferred network. When specialists, imaging centers, and post-acute providers aren't accessible or preferred within the network, patients leave, and so does the revenue.

Patient Choice: Nearly 90% of ACO beneficiaries receive at least some care outside the network. Patients follow relationships, convenience, and prior history. Without guided referrals and active engagement, that behavior is nearly impossible to change.

The result? Nearly one-third of total ACO spending flows outside the network. Most specialty referrals leave entirely. Outpatient services, imaging, procedures, diagnostics, leak in over half of ACOs analyzed.

This isn't a small operational gap. It's a structural vulnerability that compounds every single year. Understanding the root cause is the first step to fixing it. Learn more at: https://t.co/791X91AlSA

#NetworkLeakage #ACO #ValueBasedCare #ReferralIntelligence #NetworkIntegrity #PopulationHealth #HealthcareLeadership #Persivia

[Persivia @PersiviaInc]

If network leakage isn't on your financial risk register, it should be.
Research estimates that patient leakage costs between $821,000 and $971,000 in lost revenue per physician annually. Multiply that across your network. Now add the $140 million in revenue losses identified across just two ACOs in a single analysis.

This is not a clinical operations issue that finance reviews at the end of the quarter. This is revenue leaving the building in real time, through every out-of-network specialist referral, every imaging order that goes elsewhere, every post-acute placement outside your preferred network.

The CFOs who are getting ahead of this are treating network leakage the same way they treat any other revenue integrity problem: with data, measurement, and accountability

Out-of-network spend. Revenue capture rate. PMPM cost trends. These numbers tell the story. The question is whether your organization has the analytics infrastructure to read them. Learn more: https://t.co/QnbckcHFaQ

#HealthcareFinance #ACO #NetworkLeakage #RevenueIntegrity #CFO #ValueBasedCare #Persivia

[Persivia @PersiviaInc]

On April 10, 2026, CMS released its FY2027 IPPS proposed rule with a proposal that will change how hospitals manage one of Medicare's most common surgical procedures.

CJR-X; the Comprehensive Care for Joint Replacement Expanded Model will be the first mandatory, nationwide episode-based payment model in Medicare history. Every IPPS hospital in the country. Financially accountable for joint replacement episodes from the day of surgery through 90 days post-discharge.

This is not a voluntary program you can opt out of. This is not a pilot in selected markets. This is every hospital. Mandatory. October 1, 2027.

For hospital CFOs, CMOs, orthopedic service line leaders, and population health teams, this is not something to track from a distance. The organizations that start preparing now will be the ones that perform when it counts. The ones that wait will be building infrastructure under real financial pressure.

Read the full breakdown at https://t.co/8PxdTCrgFe
#CJRX #ValueBasedCare #CMS #EpisodeBasedPayment #HealthcarePolicy #Persivia

[Persivia @PersiviaInc]

Yesterday morning's breakfast panel at #NAACOS2026 was one worth waking up early for. 🙌
We were proud to host an all-women led discussion on what's actually working on the ground, real talk from leaders who are in the work every day, not just talking about it.
Thank you to our incredible panelists; CarolAnn Hudson, from Lifepoint Health, and Sujata Bajaj, from Yuvo Health
The conversation covered how health systems are using real-time insights, AI, and workflow-embedded tools to navigate changing regulations, reduce operational burden, and drive meaningful outcomes across care and cost.
The energy in that room reminded us why these conversations matter. And why getting the right people around the same table, off stage, over breakfast, is often where the most important thinking happens.
If you missed it, we're still at #NAACOS2026 through today. Find us at Booth #B and let's keep the conversation going.

#NAACOS2026 #ValueBasedCare #ACO #HealthcareAI #WomenInHealthcare #PopulationHealth #Persivia

[Persivia @PersiviaInc]

#NAACOS2026 kicks off today, and we're already looking forward to tomorrow morning's session.
The real challenge for ACOs isn't just having data. It's having the right intelligence to act on it, and knowing whether the gaps in performance come from lack of data, misaligned attribution, or both.
That's the conversation happening at our Interactive Breakfast Panel tomorrow:
"What's Working on the Ground: How Health Systems Use Data & AI Today"
📅 Thursday, April 23
🕐 7:30 – 8:15 AM
📍 Room Key 11-12 | Hilton Baltimore Inner Harbor
Hear directly from health system leaders on how real-time insights, AI, and workflow-embedded tools are supporting value-based performance, navigating regulatory shifts, and reducing operational burden across care and cost.
If you're at NAACOS, don't miss it, and come find the Persivia team at BOOTH B, while you're there.
Book a personalized demo: https://t.co/lBXUlasYuT
#NAACOS2026 #ACO #ValueBasedCare #HealthcareAI #PopulationHealth #Persivia

[Persivia @PersiviaInc]

When a patient leaves your network, most care teams lose the thread entirely.
No discharge summary. No updated meds. No idea what was found or what's next. The gaps don't show up because your team failed, they show up because the data never arrived.
Readmissions climb. Care gaps go unclosed. High-risk patients slip through at the worst possible moment.
CareSpace® by Persivia keeps care management connected to the full patient journey, not just the in-network portion. When a patient steps out, visibility follows them.
Fewer readmissions. Faster gap closure. Care that's actually coordinated.
Read more → https://t.co/EjSa2N7Kxi
#CareManagement #ACO #NetworkLeakage #CareCoordination #Persivia

[Persivia @PersiviaInc]

Chicago delivered. 🙌
Great conversations, great people, and a lot of momentum coming out of #BeckersAnnualMeeting. Thanks to all who stopped by Booth #114, the energy around AI-driven healthcare performance was impossible to miss. Until next time!

#Beckers2026 #HealthcareAI #DataDriven #Persivia

[Persivia @PersiviaInc]

You've spent years building a preferred provider network. Contracting specialists. Aligning physicians. Negotiating performance arrangements.

And then, 60 to 67% of specialist referrals leave anyway.

Not because the network isn't strong enough, but because referral behavior is driven by habit, relationships, and convenience. Not by network design documents physicians never see.

Most organizations have no visibility into which physicians are driving it or what it is costing. Which specialties are bleeding the most volume. Which in-network providers are underutilized despite being high performers.

Without that data, network development is working blind. Strengthening network performance isn't just a contracting problem. It's a data and behavior problem.
CareSpace® changes that, showing which providers drive specialty leakage and giving your team the intelligence to act at the physician level. Guided referral tools, performance dashboards, preferred provider visibility embedded at the point of care.
Specialty leakage isn't just a financial problem. It's where care coordination breaks down at exactly the moment patients need it most.

To learn more: https://t.co/k7XoFZPAWt

#SpecialtyCare #NetworkLeakage #ACO #ReferralIntelligence #NetworkStrategy #CareCoordination #Persivia

[Persivia @PersiviaInc]

When a patient leaves the network, most care management systems lose the thread entirely. No alert. No follow-up. No visibility into whether their needs were actually met.

Lisa Leach, Director of Care Management at A&D Home Health Care, describes exactly what changes with CareSpace®, the ability to alert the right person when a patient has a need, generate a referral, and then close the loop so the person who initiated that referral can see how it was resolved.

That closed loop is everything in care coordination. It's the difference between a referral that disappears into the system and one that comes back with an answer.
Network leakage doesn't just cost revenue. It breaks the continuity of care for patients who depend on coordinated support. CareSpace® ensures that when care leaves the network, the coordination doesn't.

For more information on how we can do the same for your organization, check out and schedule a personal demo with us: https://t.co/fcpkicsDGU

#NetworkLeakage #CareCoordination #CareManagement #ValueBasedCare #CareSpace #Persivia

[Persivia @PersiviaInc]

Most ACO leaders know leakage exists. Very few know their actual number or where it's concentrated.
And that distinction matters. Because network leakage is manageable. The ACOs that address it gain a measurable advantage in financial performance, care quality, and payer relationships. The ones that don't keep losing ground without knowing exactly why.
The starting point isn't a massive overhaul. It's a clear picture of where leakage is actually happening, specific to your network, your patient population, and the providers involved.
That's exactly where CareSpace® starts. Swipe through, then let's find out what leakage is actually costing your ACO.

Read more: https://t.co/KHfW8r7K2j

#ACOs #Healthcare #CMS #Persivia #NetworkLeakages

[Persivia @PersiviaInc]

The future of provider performance is here and so are we.
Persivia is on the floor at #AMGA2026. Come find us, ask the tough questions, and see how AI-driven intelligence is transforming the way medical groups perform.
📍 Mandalay Bay Resort & Casino
📅 April 15–18
👉 Book your personalized demo today: https://t.co/BKW9YBAJli
#AMGA2026 #HealthcareAI #ProviderPerformance #Persivia

[Persivia @PersiviaInc]

CMS has officially released the LEAD Model RFA - the program replacing ACO REACH when it sunsets in 2027.

The May 17 application deadline is closer than it looks.

LEAD places heavy emphasis on high-needs Medicare populations. Patients with advanced chronic illness, frailty, ESRD, recent SNF stays, and HCC risk scores above 3.0. CMS wants applicants to demonstrate real population management capability, not just intent.

Persivia's intelligent platform, CareSpace®, gives ACOs the infrastructure to prove it.

CareSpace® identifies and stratifies the highest-risk patients, equips care teams with the workflows to act early, and builds the documentation trail needed to make a strong application case.

For ACOs transitioning from ACO REACH or entering LEAD for the first time, the groundwork matters now.

Get the full breakdown of what LEAD requires and how to prepare: https://t.co/946EfGxk1p

#LEADModel #Persivia #CMSLeas #ACOs

[Persivia @PersiviaInc]

Network leakage is costing ACOs far more than most realize, and the damage doesn't stop at lost referrals.
When patients receive care outside your preferred network, the consequences ripple across every layer of your organization:
Operationally: Referral patterns go unmonitored, care managers lose visibility, and disconnected care teams struggle to coordinate.
Clinically: Patient records become fragmented, external data goes missing, care gaps widen, and quality measurement breaks down.
Financially: Downstream revenue evaporates, out-of-network costs drive up PMPM, shared savings benchmarks become harder to meet, and contract performance suffers.
This is not a referral management problem. It is a systemic threat to how your ACO performs overall.
If you don't have full visibility into where your patients are going and why, you are already losing.
The question is: how much? Explore How persivia helps ACOs recover what they're losing: https://t.co/kPd8JnGW98

#NetworkLeakage #ACO #ValueBasedCare #PopulationHealth #NetworkIntegrity #HealthcareAI #ReferralIntelligence #Persivia

[Persivia @PersiviaInc]

#BeckersHealthcare 16th Annual Meeting is here, and so are we.
We're on the floor at Booth #114, ready to walk you through how integrated clinical, claims, and operational data are helping health systems improve quality performance, reduce administrative burden, and strengthen financial outcomes.
Come find us, ask the hard questions, and see trusted intelligence in action.

📍 Booth #114 | Hyatt Regency Chicago
📅April 13–16

Book a meeting with our team: https://t.co/IZbQmRJbvC
#BeckersAnnualMeeting #HealthcareInnovation #ValueBasedCare #PopulationHealth

[Persivia @PersiviaInc]

That's not a rhetorical question. For most ACO Executive Directors, the honest answer is: not really.
89.8% of ACO beneficiaries receive care outside the network. Yet the majority of ACOs still lack the tools to track referral destinations, monitor network utilization in real time, or identify where leakage is concentrated.
You can't manage what you can't measure. And what you can't measure is costing you, research has identified over $140 million in lost revenue across just two ACO networks due to leakage alone.
ACO administrators are held accountable for network performance, contract outcomes, and shared savings results. All of those are directly impacted by whether referral patterns are visible and whether utilization is staying within your preferred network.
Referral intelligence isn't a nice-to-have. It's the foundation of an ACO that performs. To learn more, read: https://t.co/VvqFZPcPdH

#ACO #NetworkLeakage #ReferralIntelligence #NetworkUtilization #ValueBasedCare #Persivia

[Persivia @PersiviaInc]

Did you know? Studies of Medicare Shared Savings Program ACOs show that about 32.9% of total expenditures occur outside the ACO network, meaning nearly one-third of spending is delivered by providers the ACO does not control. This means that detecting network leakage is only half the problem, but the other half is fixing it, systematically.

High-performing ACOs don't just monitor where patients are going. They actively build the infrastructure to keep care within the network:

Optimize Referrals: Guided referral workflows ensure physicians are directing patients to in-network, high-performing providers. Uncontrolled referral patterns are one of the single biggest drivers of leakage. Intelligence changes that behavior at the source.

Unify Data: You cannot manage what you cannot see. A longitudinal patient record that pulls clinical, claims, and external data into a single view gives care teams the visibility to coordinate effectively and catch leakage before it compounds.

Control Utilization: Specialty care, outpatient services, imaging, diagnostics. These areas are where the majority of high-cost leakage occurs. Real-time analytics and network performance insights put organizations in a position to act, not just report.

Strong network integrity isn't achieved by fixing one thing. It is the result of referral intelligence, data unification, and utilization control working together.

This is exactly what CareSpace® is built to do. By turning fragmented data into strategic insight, CareSpace® empowers organizations to retain care within their network, optimize financial performance, and succeed in value-based care. Stay tuned to learn more, or visit: https://t.co/DlinD6qqwH

#NetworkIntegrity #ACO #ValueBasedCare #ReferralOptimization #PopulationHealth #HealthcareAI #NetworkLeakage #Persivia

[Persivia @PersiviaInc]

Many healthcare platforms are now described as "intelligent."
In practice, this often means intelligence is layered on top of fragmented systems, resulting in more dashboards, more alerts, and limited operational impact.
Persivia CareSpace® is built differently.
At the core of the platform is a patented clinical intelligence engine (US 12,254,975) that continuously analyzes longitudinal patient data to generate actionable insights, embedded directly into clinical workflows, not surfaced after the fact in a report.
This is what intelligent performance management actually looks like: care gaps identified before they impact quality outcomes, risk stratification that improves contract performance visibility, documentation burden reduced for clinicians, and clinical, operational, and financial data signals unified into one platform.
Not fragmented reporting. Not retrospective alerts. Workflow-integrated decision support built on two decades of healthcare data intelligence.
📍 Visit Persivia at AMGA 2026 to see CareSpace in action. Reserve your meeting spot here: https://t.co/ivWQyLVNJB

#AMGA2026 #CareSpace #ProviderPerformance #ValueBasedCare #PatentedIntelligence #Persivia

[Persivia @PersiviaInc]

Easter is a reminder that progress doesn’t always happen all at once, it builds over time.

In healthcare, that couldn’t be more true. Better outcomes, stronger systems, and meaningful change come from consistent effort, the right support, and a shared commitment to doing things better.

At Persivia, we see that every day in the work healthcare teams do to improve care, reduce complexity, and deliver better results for their patients. Today is a moment to pause and appreciate that progress, and the people behind it.

Wishing you and your teams a peaceful Easter and a season of continued progress ahead.

— Team Persivia 🏥

#HappyEaster #Healthcare #ValueBasedCare #AIinHealthcare

[Persivia @PersiviaInc]

Operational burden in healthcare is rarely the result of a lack of effort.

It is driven by fragmented systems, duplicate documentation, and workflows that are not aligned with how care is actually delivered. As complexity increases, so does the administrative load placed on care teams, often at the expense of time spent with patients.

Persivia addresses this challenge by embedding intelligence directly into clinical and operational workflows.

Organizations using Persivia have achieved up to 89% operational efficiency, not by adding more tools, but by removing friction from day-to-day processes. Work becomes prioritized, actionable, and aligned, enabling teams to reduce manual effort, streamline coordination, and focus on what truly impacts patient outcomes and performance.

📍 Visit Persivia at Booth #114 at Becker’s Healthcare 16th Annual Meeting
📍 Hyatt Regency, Chicago
📅 April 13–16

👉 Learn more: https://t.co/E2oFGNt4Sr

#Persivia #BeckersHealthcare #Beckers16thAnnualMeeting #Healthcare #AI #RealOutcomes #valuebasedcare