Delegated care management for health plans

Care management that does the work, and proves it.

Real-time clinical data, every member worked every day, and proof on every closed gap. Send your population. We'll show you the upside before you sign.

Type 2 NPI providerURAC accreditedTEFCA approvedHIPAA covered entity
Maria, 67Maria, 67
A1C 8.9 foundEye exam bookedGap closed
Walt, 76Walt, 76
Admitted 2:14 AMFollow-up on day 3Home at day 30
Ruth, 71Ruth, 71
Refill 9 days lateDelivery set upBack on track
ADT alertsCommonWellCarequalityTEFCASurescriptsLab resultsCMS-HCC V28LACE readmission riskHEDIS® supplemental dataStar RatingsFHIR R4 US CoreDa Vinci PDexHL7 v2 ADTBulk FHIRMCPCMS-0057-FADT alertsCommonWellCarequalityTEFCASurescriptsLab resultsCMS-HCC V28LACE readmission riskHEDIS® supplemental dataStar RatingsFHIR R4 US CoreDa Vinci PDexHL7 v2 ADTBulk FHIRMCPCMS-0057-F

Every member, every tier

Every member worked, from highest cost to rising risk.

Staffed care management reaches about 6% of a population. Atticus works all of it, at the same $10. It also brings in the family and community your members already trust.

Highest cost

Followed home, every time

For the few members who drive most of the spend, Atticus hears of each admission as it happens. It tells every doctor on the care team and works all 30 days after discharge.

Rising risk

Caught before it costs you

An A1C creeping up. A refill gone late. Blood pressure climbing. Atticus steps in months before these members become your costliest.

Everyone else

Kept well, and kept with you

Every other member gets prevention, screenings and a family that knows what comes next. They stay well, and they stay with you.

Engagement lives at home. Atticus brings in the family and the community, the people your members already listen to.

Real-time clinical monitoring

Care that never waits for a claim. 

Know about an admission in minutes, weeks before the claim. Every lab, fill and device reading sets the next step in motion.

Live member feedRight now

Walt, 76 · Admitted overnightADT · Admit Family told, medicines sent to the ER
Maria, 67 · A1C 8.9, up from 7.6Lab Eye exam and A1C plan started
Ruth, 71 · Statin 9 days lateSurescripts Lower-cost fill delivered
Walt, 76 · Home, 2 new medicinesADT · Discharge 7-day follow-up and ride booked
Leon, 62 · BP 152/96, three daysHome cuff Sent to his doctor for review
Peggy, 71 · Mammogram report inTEFCA Gap closed, proof to your HEDIS file
Walt, 76 · Admitted overnightADT · Admit Family told, medicines sent to the ER
Maria, 67 · A1C 8.9, up from 7.6Lab Eye exam and A1C plan started
Ruth, 71 · Statin 9 days lateSurescripts Lower-cost fill delivered
Walt, 76 · Home, 2 new medicinesADT · Discharge 7-day follow-up and ride booked
Leon, 62 · BP 152/96, three daysHome cuff Sent to his doctor for review
Peggy, 71 · Mammogram report inTEFCA Gap closed, proof to your HEDIS file

Every admission

acted on within hours

10+ years of history

typical for each member, from day one

Every fill and lab

the moment it posts

50+ care programs

rescored every single day

Transitions of care

At 2:14 AM, everyone who needs to know does. 

The moment a member is admitted, Atticus moves. The family and every doctor on the care team know by morning. All 30 days after are worked.

A father and daughter at home after his hospital stay
  1. 2:14 AM

    Admission alert. Family told the same night.

  2. Day 0

    Nurse reconciles medicines. LACE 12, high.

  3. Day 3

    Follow-up kept. Ride booked by Atticus.

  4. Day 7

    Check-in answered. New refill delivered.

  5. Day 30

    Home. Next visit on the calendar.

17 in 100

Medicare stays lead to another stay within 30 days.

AHRQ, HCUP 2020

25% fewer

readmissions at 90 days when caregivers were brought in.

Rodakowski et al., 15 trials, 2017

49% vs 23%

of ER follow-ups kept with an automated scheduling call, versus written instructions alone.

Bauer et al., 2021

One text. Atticus does the rest. 

Visits booked, refills filled, rides arranged, doctors updated. You watch every measure move.

Can you book Dad's follow-up with Dr. Raman, refill his water pill and set up a ride?

Transitions of care

Books the follow-up by phone

✓ Follow-up kept

Medication

Orders a lower-cost fill

✓ Adherence

Social needs

Books an Uber Health ride

✓ Visit kept

Engagement

Puts it on Ana's calendar

✓ Family engaged

Care planning

Sends the update to her doctor

✓ Care coordinated

HEDIS and Star Ratings

Gaps close with the record attached. 

Every HEDIS measure, for every member, refreshed nightly. Each closed gap arrives with its proof, ready for your supplemental data.

Maria at home

Maria's measures · 2026

4 of 5 done
MeasureStatusEvidence
Diabetic eye examClosedExam note, Oct 16
A1C testClosedLab result, Oct 14
Statin adherenceOn trackPDC 92%, Surescripts
Follow-up after ED visitClosedVisit on day 3
Breast cancer screeningBookedMammogram, Nov 4

Risk adjustment

Find the risk claims miss. 

CMS-HCC V28 scores from the full clinical record, with every recapture suspect and its evidence, in front of your coders before the claim.

Frank, 74

Medicare Advantage

CMS-HCC V28 risk score

0.00

Up from 1.31 on claims alone

Recapture suspects

3 for coder review
  • Heart failureEcho report, Nov 2025TEFCA
  • Diabetes with kidney complicationseGFR 52 and A1C 8.9Lab
  • Major depressionPHQ-9 of 15, Sep 2026Assessment

Readmission risk (LACE)

0

High. Sets his transition plan.

Impactability

Rising

Ranks who to reach first.

Scored to match CMS's own risk software, exactly.

Atticus Connect

Your systems, fed in real time. 

The full clinical record flows into your care management, UM, risk and quality teams the moment anything changes. No integration project. Ready for CMS-0057-F.

Care management, live

Alerts, tasks, care plans and closed gaps land in the platform your team already uses.

Risk before the claim

Every condition the claims missed, with its evidence, ready for your coders.

Your AI, fully fed

Point your own AI tools at the complete clinical record, securely.

FHIRHL7 ADTBulk exportFlat filesCMS-0057-F ready
Atticus clinical recordEvery member, every source, live
  • Care management platformWalt's discharge plan syncedSynced
  • Utilization managementClinical notes attached to reviewSynced
  • Risk adjustment3 new suspects for your codersSynced
  • Quality and HEDISEye exam gap closed, proof attachedSynced
  • Your AI toolsFull record availableSynced

Price

Every program, every member, $10 a month. 

States pay a median $164 a member a month for care management. Atticus is $10, with every program, the live dashboard and full reporting included.

Atticus Health$10
South Dakota$35
North Carolina$49
Median of 23 states$164
New York$202
California$350
Maine$558

Published Medicaid care-management rates, 23 states.

$0 servers or installation
$0 integration project
$0 per-seat licenses

A service, not software

Live in 24 hours. No go-live. 

Send the roster. Within 24 hours, Atticus is working every member on it.

Implementation

None

You send the roster. Outreach starts.

Integration project

None

We run on our side. Connect later.

Training

None

Members already know how to text.

New workflow

None

Your team keeps its tools.

What you control

Your program, your rules. Nothing to build.

There is no configuration project. The right programs switch on for each member by themselves. Your team decides the rest.

Members

Which segments, lines of business or regions Atticus works first.

Brand

Atticus by name, or care management under your own brand.

Escalation

Who gets what needs a person: your care managers, your UM team or the member's own doctor. All inside the platform you already use.

Reporting

Measures, cadence and format, from a live dashboard to an API feed into your analytics.

Ways to start

Start where the cost is. Widen when it pays.

Every path opens with a free analysis of your population. Atticus goes live within 24 hours of the roster.

01

Start with one segment

Your highest-cost members, one line of business or one region. See the results before you widen.

02

Add Atticus to what you run

Keep your care managers and your platform. Atticus works every member and sends alerts and tasks into your team's own tools.

03

Send the whole population

Every member worked for $10 a month, from highest cost to rising risk.

Built to be delegated to

URAC accredited in care management and AI. 

URAC Accredited seal

URAC Case Management 7.0

Accredited

URAC AI in Healthcare 1.0 · Developer and User

Accredited

Type 2 NPI care management provider

Licensed clinical oversight on every program, with every step sent back to the member's own doctors.

TEFCA approved

Complete records from every national network, for every member.

Built for HEDIS and CMS

Every measure to NCQA HEDIS® specs, every program to CMS requirements.

HIPAA covered entity

Your members' data protected and walled off from every other plan.

Audit-ready on day one

Every action, its reason and its proof, ready for any audit.

Doctors in the loop

Every admission sent straight to every doctor's inbox.

Give us the population. We'll show you what's in it.

Before you sign, a free analysis shows where every Star measure stands, and what Atticus will move for your members.

Your care managers

Your care managers

Their doctors

Their doctors

Members at home

Members at home