Case Study: Upperline Health improves value-based care and clinician workflows with Navina

Navina’s AI-powered value-based care platform drives success for Upperline Health – the nation’s first specialty-led ACO REACH

Upperline Health, a specialty value-based care provider, faced the challenge of managing fragmented patient data across various systems, which led to inefficient workflows and the risk of missing critical clinical information for value-based care success. Seeking to enhance clinical workflows and improve risk adjustment accuracy, they partnered with vendor Navina to implement its AI-powered platform, which integrates with their EHR.

Navina's solution used AI to process data from multiple sources, creating concise clinical summaries and surfacing evidence-based diagnosis recommendations at the point of care. The implementation resulted in a 97% clinician adoption rate, surfaced 41% more conditions than previously identified, eased the transition to a new CMS model, and improved both value-based performance and physician satisfaction.

Upperline

Joseph Hafner

VP Risk Adjustment