THE ANALYTICS FOR RISK CONTRACTING (ARC) PLATFORM
Transforming Fragmented Data Into Intelligent Action Across Clinical, Financial, and Administrative Domains
By integrating actionable intelligence into clinical and administrative workflows, ARC drives alignment of financial incentives, improves quality metrics, reduces total cost of care, and strengthens care continuity.
POWERING INTELLIGENT ACTION
A Powerful Workflow Engine Built for Value-Based Performance
The ARC Platform unifies disparate clinical, financial, and administrative data into intelligent, actionable daily workflows. By embedding actionable insights directly into care delivery and operational workflows, ARC enables proactive risk management, improves quality performance, strengthens member engagement, optimizes network and contract performance, and reduces total cost of care. Powered by advanced analytics, AI-driven automation, and integrated workflow infrastructure, the platform helps healthcare organizations align financial incentives, support care teams at scale, and drive measurably better outcomes across populations and all lines of business.
Improve Financial Performance
Sustainable total cost-of-care performance with aligned incentives across the network.
- Value-Based Contract Performance
- Financial Insights, Planning, and Reporting
- PCP and Specialty Cost, Quality, and Clinical Continuity Performance
Drive Quality Improvement
Improve care coordination, close gaps faster, and drive measurably better outcomes across care settings and programs.
- Quality Reporting
- Care Gap Closures
- Care Management, Population Health Management, Utilization Management
Enhance Risk Management
Drive proactive risk management by identifying high-risk and high-cost members to guide timely and targeted interventions.
- Risk Stratification
- Risk Adjustment
- Network Optimization
Move from Dashboard to Workflow Engine
Unify disparate data sources into one source of truth for analytics, reporting, and clinical decision support.
- AI-powered Data Integration and Automation
- Workflow Alignment & Redesign
- Reporting and Visualization Architecture
data you can trust
The ARC Difference
Faster Implementation. Lower Lift.
Concierge-Level Support
ARC delivers a true white-glove implementation and managed data experience by handling end-to-end data ingestion, quality assurance, parsing, financial report matching, and ongoing accuracy—eliminating the burden typically placed on client IT teams. A streamlined SaaS model supported by comprehensive managed data intake services significantly accelerates ARC implementation timelines and reduces internal resource requirements.
End-to-End Integration Drives Stronger Contract Performance
ARC unifies financial performance, claims, clinical, and workflow data within a single connected platform, enabling organizations to manage contracts, track financial outcomes, and drive operational performance in one place. Unlike other platforms, ARC handles contract loading and financial performance modeling with clinical insights, creating a more complete view of value-based care performance and decision-making.
People + Processes + Platform =
More Than Just Software
ARC combines advanced technology with embedded operational expertise through an integrated platform and managed services model. Unlike platform-only options that rely heavily on client IT resources, or service-based organizations with limited analytics capabilities, ARC delivers both sophisticated technology and deep clinical, platform, and healthcare operations expertise—providing clients with more than software alone.
Care Management Built for Performance in Value-Based Care
ARC’s Care Management platform enables organizations to move beyond legacy, EMR-based systems to workflows designed around quality, risk adjustment, and contractual performance. By connecting care management activities directly to financial and value-based outcomes, ARC helps clients drive more coordinated and measurable performance. Clients also benefit from optional managed services backed by experienced care management professionals and enhanced through ARCi agentic AI.
ARC Outcomes
Recent Client Impact
MEET ARCi
Introducing ARCi™, an Agentic AI Suite Built to Improve Quality, Strengthen Financial Performance, and Modernize Member Engagement
ARCi AI agents augment your care teams to reduce burden and create scale by automating routine tasks across the care continuum, allowing staff to focus on higher-value work without adding headcount.
Core Capabilities
From Data to Daily Action
Target interventions with precision
Risk Stratification
Identify high and rising-risk members using clinical, utilization, and social determinant inputs to inform targeted, timely interventions.
Improve RAF accuracy
Risk Adjustment
Use real-time condition cues, suspected codes, and visit planning to improve documentation integrity and payment accuracy.
Align care pathways to performance and continuity
Network Optimization
Reveal variation in cost, quality, and referral patterns. Reduce leakage and ensure members reach the right care at the right time.
Empower and augment care teams
Care Management
Equip care teams with prioritized worklists, context-aware interventions, and impact tracking across medical, behavioral, and social needs.
Prevent overuse, misuse, and inappropriate high cost care
Utilization Management
Spot avoidable ED and inpatient use, readmission risks, and post-acute needs. Trigger timely follow-up that improves outcomes.
Strengthen contract performance
Value-Based Contract Performance
Track cost, quality, attribution, and drivers across MA, Medicaid, commercial, ACO, and at-risk arrangements. See what moves outcomes.
Gain financial clarity
Financial Insights, Planning, and Reporting
Forecast shared savings, model scenarios, and measure financial impact so leadership and care teams pull in the same direction.
Support providers at the point of care
PCP and Specialty Cost, Quality, Clinical Continuity Performance
Give PCPs and specialists panel insights, gap priorities, and continuity workflows that improve outcomes without extra burden.
Close gaps faster with targeted, role-ready actions
Care Gap Closure
Surface member-level opportunities tied to interventions that move measures. Cut rework. Speed results.
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Experience audit-ready reporting without the administrative lift
Quality Reporting
Automate sourcing, validation, and submissions for HEDIS, CMS, and payer requirements. Improve accuracy and reduce burden.
Improve performance across quality metrics
Quality Performance
Track and measure status across populations and products. Understand variation and the fastest path to targets.
CASE STUDY
Analytics Powering Provider Engagement and Performance
Read how ARC drove effective value-based contract management to achieve significant savings below MLR targets.
Recognition & Accreditation
