Customer story

How Central Florida ACO coordinates care across practices

Central Florida ACO, an MSSP ACO with multiple practice sites, runs the Zynix data foundation, outreach agents and risk analytics across its participating practices.

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Segment

ACO

Program

Medicare Shared Savings Program

Scope

Multiple practice sites

Workflows

Follow-up, gap outreach, wellness visits

The challenge

More gaps and outreach than staff could cover

Central Florida ACO manages a large MSSP population across multiple practice sites. Avoidable ED visits, readmissions and fragmented care transitions pushed costs up, manual workflows could not keep pace with HCC gaps, quality measures and outreach, and participating practices needed tools that fit their workflows without adding administrative work.

Workflows

What Central Florida ACO runs on Zynix

The data foundation, outreach agents and risk analytics across every participating practice, with the practices’ clinicians making clinical decisions.

One data layer

Zynix

Brings claims, clinical, ADT and lab data together across all participating practices.

Care team

Practices keep working in their own EHRs.

Data foundation →

Outreach and access

Agent

Runs post-discharge follow-up, gap closure outreach, wellness visit scheduling and after-hours call intake.

Care team

Care coordinators and on-call clinicians take everything clinical, by rule.

AI agents →

Risk analytics

Zynix

Flags patients likely to need avoidable acute care.

Care team

Care managers decide how and when to reach them.

Analytics →

Analytics Demo Sample data

Rising-risk patients

This week · all practices

Pt 2604 · Two ED visits this month

Practice 4

Care manager, RN

Review

Pt 1379 · Missed medication refills

Practice 2

Outreach agent

In progress

Pt 3321 · New heart failure diagnosis

Practice 1

Care manager, RN

Queued

Pt 1855 · Discharged, no visit booked

Practice 3

Outreach agent

Booked

Analytics flags the change; the care manager decides what happens next.

Illustration of the workflow with sample data. Not Central Florida ACO patient data.

Before and after

What changed

What changed at Central Florida ACO

Workflow

Before

With Zynix

Data

Separate claims, clinical and ADT feeds.

One patient record across participating practices.

Outreach

Practice by practice, as time allowed.

Central outreach for follow-up, gaps and wellness visits.

Rising risk

Seen in retrospective reports.

Flagged for care managers to act on.

Related

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Built for

ACOs TCM, AWVs, HCC and quality gaps →

Products

Data foundation Claims, EHR, ADT and labs, unified →

All AI agents How agents work with your care team →

Talk to us about a program like this

We’ll show the workflows Central Florida ACO uses, on sample data, and what it would take to run them in your organization.

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