ACO Value-Based Care Performance Platform

Turn ACO Member Engagement Into Quality Performance, Gap Closure, and Shared Savings

Popweave gives accountable care organizations a practical operating layer for attributed member engagement, preventive care activation, care gap closure, provider outreach, quality tracking, and measurable savings opportunities.

ACO Executive Impact Snapshot

$5.7M Estimated Savings Opportunities Identified
3,401 Care Gaps Closed YTD
68% Attributed Member Engagement Rate
22% Potential Avoidable Utilization Reduction

ACO Performance Command Dashboard

A leadership-ready view of attributed members, engagement, quality progress, utilization risk, care gap closure, and value-based performance opportunities.

12,418

Attributed Members

3,401

Care Gaps Closed YTD

$3.4M

Estimated Surplus YTD

91%

Preventive Campaign Visibility

390

Post-ED Follow-Ups Flagged

Shared Savings & Quality ROI Engine

Popweave helps ACO teams identify the actions most likely to improve quality, reduce avoidable utilization, support contract performance, and strengthen shared savings outcomes.

Value-Based Opportunity Operational Action Impact Signal Estimated Value
Preventive Gap Closure AWV, screenings, labs, depression screening Quality Lift $1.2M
Post-ED Follow-Up Outreach after emergency department visits Utilization Reduction $840K
Diabetes Monitoring A1c, eye exam, kidney health, medication engagement Risk Control $970K
High-Risk Member Activation Personalized nudges, provider routing, care reminders Rising Risk $1.1M
PCP Attribution Cleanup Missing PCP, stale attribution, provider matching Reporting Readiness $420K
Medication & Chronic Care Engagement Outreach around adherence and condition pathways Care Continuity $760K

Estimated Additional Opportunity

$5.7M

Potential value from gap closure, utilization reduction, attribution improvement, member engagement, and quality performance support.

  • Improve quality measure performance
  • Increase attributed member engagement
  • Identify avoidable utilization risks
  • Support shared savings performance
  • Strengthen audit and reporting readiness

What Popweave Helps ACOs Actually Do

This is not just a reporting dashboard. It is an engagement, activation, and operating layer for value-based care execution.

Care Gap Closure Campaigns

Launch targeted outreach for AWVs, colorectal screenings, diabetes exams, depression screening, labs, and preventive workflows.

Member Engagement

Activate attributed members with digital nudges, education, reminders, goals, and personalized care guidance.

Provider Alignment

Help members reconnect with PCPs, close attribution gaps, and follow through on recommended care actions.

Quality Measure Tracking

Track eligible populations, open gaps, closed gaps, campaign progress, and measure-level performance signals.

Risk & Utilization Signals

Surface post-ED follow-ups, rising-risk populations, chronic condition gaps, and avoidable utilization patterns.

Reporting & Audit Support

Support leadership reporting, CSV/PDF exports, campaign audit history, outreach visibility, and operational readiness.

High-Impact ACO Performance Opportunities

Focus attention where ACO performance teams can create the most practical value: gap closure, attribution accuracy, risk activation, and utilization reduction.

Gap Closure

Annual Wellness Visits

Identify eligible members, launch outreach, track completion, and support bundled preventive workflows.

3,042 eligible members
Chronic Care

Diabetes Quality Measures

Support eye exams, lab completion, kidney health checks, and chronic condition engagement.

1,892 active measure members
Utilization

Post-ED Follow-Up

Flag members needing follow-up after emergency department use and reduce downstream risk.

390 follow-ups flagged
Attribution

PCP Attribution Cleanup

Surface missing or stale attribution and support better member-provider connection workflows.

143 records need cleanup

ACO Engagement + Performance Intelligence

Popweave brings together member engagement, provider alignment, quality measure workflows, outreach campaigns, value-based reporting, and ROI visibility into one ACO execution experience.

  • Attributed member activation and outreach
  • Care gap tracking and closure campaigns
  • Quality performance monitoring
  • PCP attribution and provider alignment
  • Risk and utilization opportunity detection
  • Leadership, partner, and audit-ready exports
812 Members reminded for diabetes monitoring labs
220 Members eligible for bundled preventive workflows
7.2 Average campaign completion days
152 Savings opportunities identified

Value for Every ACO Stakeholder

Built for the teams accountable for engagement, performance, reporting, quality, and shared savings.

ACO Leadership

  • Shared savings visibility
  • Performance opportunity tracking
  • Quality progress dashboards
  • Executive reporting support

Quality Teams

  • Care gap campaigns
  • Measure-level progress
  • Preventive workflow tracking
  • Audit-friendly history

Care Teams

  • Member follow-up signals
  • Chronic care reminders
  • Post-ED outreach
  • Provider reconnection support

Members

  • Personalized care guidance
  • Preventive reminders
  • Health education
  • Easier navigation to care

Help Your ACO Close More Gaps, Engage More Members, and Capture More Value

Popweave gives ACOs a practical engagement and performance layer for attributed populations, quality campaigns, care coordination, reporting readiness, and shared savings execution.