The AI Agent That Works
While You Care.
Unity PHM is the enterprise-grade Agentic AI platform that continuously closes care gaps, optimizes clinical performance, and improves value-based care performance — for health centers, ACOs, health systems, and payers.
Close a gap in one domain.
Unity closes them all.
Clinical, operational, and financial performance aren't three separate problems — they're one connected loop. A gap in any one quietly drags down the other two. Unity's AI agent works all three at once, so every action compounds instead of stalling.
Op Optimize a visit Clin Care gap closes Fin Quality score & shared savings rise
One action ripples through all three domains — that's the compounding loop.
Every domain of population health. One unified platform.
Unity's eight purpose-built modules work together as a single AI engine — not a collection of disconnected tools. Each module shares data, triggers actions, and informs the others.
HEDIS · Star Ratings · NCQA
Quality Management
AI scans 245+ measures daily, ranks patients by priority, and auto-generates outreach — lifting quality scores and capturing payer performance bonuses.
Risk Stratification · CCM · Care Plans
Care Management
Continuously scores every patient by clinical and social risk, auto-generates care plans, tracks CCM billing, and ensures no high-risk patient falls through the cracks.
Pre-Visit Prep · AWV · No-Show AI
Visit Management
Maximizes the clinical and quality value of every encounter — AI pre-visit briefs, AWV optimization, no-show prediction, and post-visit follow-up automation.
Referral Tracking · Leakage Prevention
Network Management
Keeps patients in-network, tracks every referral from creation to closure, and flags out-of-network utilization before it drains your shared-savings performance.
MSSP · Medicare Advantage · VBC
Contract Management
Real-time visibility into every payer contract — performance vs. thresholds, shared savings projections, and 48-hour early warnings before a breach costs you bonus dollars.
HCC Coding · RAF Optimization
Risk Management
Identifies undocumented HCC diagnoses, improves RAF scores, and supports complete, accurate risk-adjustment documentation — with 98% RADV audit readiness built in.
AI Outreach · SMS · Voice · Portal
Patient Engagement
Reaches every attributed patient via their preferred channel with AI-personalized messaging — achieving 68% response rates and reducing staff outreach burden by 80%.
RPM · Devices Included · AI Billing
Remote Monitoring
A fully managed RPM program with devices shipped to patients, 24/7 AI monitoring, and automated billing support — supporting documentation for reimbursable monitoring programs, subject to payer rules.
Healthcare organizations are missing measurable opportunities to improve outcomes — every year.
The gap isn't clinical intent. It's operational capacity. Your team can't manually track thousands of patients, manage every payer contract, and close every care gap — and traditional PHM tools only report the problem.
Care Gaps Go Unclosed
HEDIS measures plateau because staff lack the bandwidth to work every patient list. Preventable gaps persist — costing quality bonuses, Star ratings, and shared savings dollars.
Outcomes Left on the Table
Attribution mismatches, undocumented HCC codes, missed AWVs, and unmonitored payer thresholds quietly drain six- and seven-figure VBC opportunities each year.
Staff Time Overwhelmed
Care coordinators spend 100+ hours a week on manual outreach, list-building, and report generation — work that AI can handle automatically, freeing your team for patients who need them.
Most platforms give you a dashboard.
Unity gives you a finished day.
Unity's AI Agent doesn't just surface care gaps — it closes them. It creates EMR tasks, places orders, messages patients, schedules appointments, reconciles attribution, and submits payer data. Every day. Automatically.
Ingest
Continuously pulls data from your EMR, PM system, payer attribution files, HIE, and patient registries — creating a unified, real-time view of every attributed patient.
Stratify
Scores every patient by clinical risk, care gap priority, HCC coding opportunity, and payer contract deadline — so the right patients get the right attention at the right time.
Act
Automatically creates EMR tasks, places lab and imaging orders, sends personalized patient outreach, uploads clinical documents, and monitors payer performance thresholds — no manual work required.
Deliver
Closed care gaps, filled schedules, improved outcomes, protected contracts, and improved quality scores — all visible in real-time dashboards with full audit trails.
Measurable clinical and quality impact within 90 days.
Based on a 10-provider, 12,000-patient clinic with MSSP, Medicare Advantage, and commercial VBC contracts.
Before Unity
| Metric | Before Unity | After Unity |
|---|---|---|
| Quality Score | 68% | 85% ↑ +17pts |
| Care Gaps Closed | 58% | 87% ↑ +29pts |
| AWV Completion | 62% | 88% ↑ +26pts |
| RAF Score Accuracy | 75% | 92% ↑ +17pts |
| Shared Savings | $250K | $900K ↑ 3.6× |
"Unity's AI Agent handled what would have taken five full-time coordinators — and did it better. We saw our first closed care gaps in the EMR within two weeks of going live."
Built differently. Designed for outcomes.
Unity isn't just another PHM dashboard. It's an AI agent that takes action on behalf of your care team — purpose-built for the operational realities of healthcare delivery.
Agentic, Not Analytic
Unity takes action — it doesn't just report. EMR tasks, lab orders, patient messages, payer submissions — all executed autonomously while your team focuses on care delivery.
Works With Your EMR
FHIR-based integrations with major EMRs including Epic, eClinicalWorks, athenahealth, Veradigm, and dr.chrono. No rip-and-replace, no complex implementation — live in weeks, not years.
No Added Headcount
Scale your population health programs without adding staff. Unity's AI agent covers 100% of your attributed patient population, every day — appointments or not.
Enterprise-Grade Security
Built for HIPAA, aligned with SOC 2-type controls, FHIR R4 ready, HL7 integrated. Every AI action is logged in a full audit trail — giving your compliance team complete transparency.
ROI in 90 Days
Flexible contract terms and a 3-month no-obligation trial. Most clinics identify their first measurable improvement opportunity within the first week of access.
Healthcare-Native Design
Built exclusively for healthcare — UDS reporting, HRSA requirements, sliding-fee context, payer attribution logic, and HEDIS workflows are built-in, not bolted on.
See Unity in Your EMR in
20 Minutes.
We'll walk you through a live demo using your specialty mix and patient population. No prep required. No commitment necessary.
Built for HIPAA · Aligned with SOC 2-type controls · FHIR R4 Ready · HL7 Integrated · Dublin, OH