Health Systems
Essence closes guideline-based care gaps and recovers the visits behind them, across your whole population, measured directly in your own claims. At no cost to you.
What we do
We turn open care gaps into meaningful encounters.
Essence builds guideline-based programs that activate your patients to come in for the care they’re due. We identify the clinical cohorts your data flags, reach them through your own network in your voice, and measure every encounter directly in your claims and clinical data.
Identify
Build the patient cohort
Targeted clinical cohorts, from guideline-based criteria applied to your own data.
Reach
Deliver the outreach
In your voice, through your existing channels.
Close
Schedule the appointment
Outreach nudges patients to book the screening, vaccine, or follow-up they’re due for.
Measure
Measure the outcome
Measured in your own claims and clinical data.
Governance
You hold the data. You authorize every send.
Essence designs the eligibility criteria from established clinical guidelines, then tailors the program in coordination with you and your data partner, who applies it to your data inside your environment.
Guideline-driven, built with you
The criteria and campaign come from Essence. Your data partner applies them to your data, and Essence never holds or views it.
The return
One activation, two ways it benefits you.
The same activation pays off whether you’re value-based or fee-for-service, and every outcome is measured directly in your own claims and clinical data against a matched control.
Value-Based Care
Move your measures
Closing guideline-based gaps lifts the Star and HEDIS rates behind your bonuses.
Sharper risk adjustment
Patients back in for care get documented again, so payment reflects true clinical risk.
Fewer avoidable admissions
Earlier intervention keeps conditions from becoming avoidable admissions.
Fee-for-Service
Recovered, billable visits
The visits, screenings, and procedures your patients were due, completed and countable in your own claims.
The downstream that follows
Each completed visit brings the labs, imaging, referrals, and procedures that come with it.
Retention & payer standing
Patients stay with your system, and documented quality strengthens every payer conversation.
What it costs you
No cost to your bottom line.
Closing guideline-based care gaps is a shared win. Your patients get the care they’re due, and your system improves its quality performance and captures the value of those encounters, with no cost, no new staff, and no technology lift.
In practice
Real programs, measured against matched controls.
Each figure is the lift among activated patients versus a matched control: the completed vaccines, screenings, and visits, read directly in the partner’s own data. Partner and sponsor names withheld.
Vaccine · adult immunization
higher vaccination rate vs. a matched control
1.15M reached · large regional & national health system
Cancer screening · breast
higher screening-completion rate vs. a matched control
150K+ reached · regional & national health systems · interim
Chronic care · type 2 diabetes
higher treatment-optimization rate vs. a matched control
50,000 activated · large regional health system
Results from the Essence use-case library and interim partner reporting. Partner and sponsor names withheld.
Essence, in plain terms.
What does Essence do?
We design guideline-based outreach that closes care gaps, coordinate it through your network, and measure the results in your own data. You run it. We never see the patient data.
Do you ever see our patient data?
No. Your data manager applies the eligibility criteria to your own data and authorizes every send. Essence never holds or views patient-level data.
Whose voice does the outreach come from?
It goes out in your voice, from your patients’ own care team. Never a brand message, unless a patient already holds that prescription.
What does it cost us?
Nothing to your bottom line. No fees, no new staff, and no technology lift.
How do you measure results?
By direct measurement in your own claims and clinical data, from documented medical activity. Not attribution models, not engagement metrics.
Does this work for fee-for-service, not just value-based care?
Yes. On value-based contracts it moves your quality measures and risk adjustment. On fee-for-service, the same activation recovers net-new, billable visits and the downstream that follows. Both are measured in your own claims.
Is this a pilot?
No. Programs run in production, at full scale from the first send.
See your care-gap opportunity.
We map the guideline-based gaps across your Medicare and commercial populations and pick the first measure to move. No data changes hands to start the conversation.
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