CASE STUDY

Optimizing AWV Utilization in ACOs with AI

How data-driven insights and AI-powered workflows can close Annual Wellness Visit gaps, reduce preventable ER visits, and lower Total Cost of Care across Accountable Care Organizations.

Key Findings

Based on analysis of over 172,000 patient records across ACO populations

34.1%

AWV completion rate nationally, dropping to 26.9% in recent quarters

65%

AWV completion in two-sided risk ACOs vs. 42% in non-ACO Medicare

172K+

Patient records analyzed to identify AWV utilization patterns and gaps

12%

Reduction in ER utilization among chronically ill members with focused AWV outreach

What You'll Learn

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What You'll Learn

AWV Utilization Gaps

Why AWV completion rates remain low and which patient populations are most at risk of falling through the cracks.

AI-Driven Outreach Workflows

How autonomous AI agents can identify, prioritize, and schedule patients for AWVs at scale across your ACO population.

Coding & Billing Matrix

Complete HCPCS coding reference for G0438, G0439, and 99397 with diagnosis mapping and reimbursement guidance.

Cost Reduction Impact

Quantified financial impact of improved AWV compliance on ER diversion, readmission reduction, and Total Cost of Care.

Download the Full Whitepaper

Get the complete analysis with coding matrices, AI workflow diagrams, and implementation roadmap. Fill out the form below to access the full case study.

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