Identify High-Risk Members Earlier. Intervene More Effectively.
Zabrizon's AI care management platform stratifies your member population by clinical and social risk, automates care plan generation, and equips care coordinators with real-time dashboards to reduce avoidable admissions and ER visits.
Why Care Management Programmes Don't Scale
Manual care management processes cap the number of members that can be meaningfully supported — while the highest-risk members still fall through the cracks.
Reactive Identification of High-Risk Members
Without predictive risk models, care managers typically learn about high-risk members after an ER visit or hospitalisation — too late to prevent it.
Care Coordinator Capacity Constraints
Manual care coordination workflows limit each coordinator to 80–120 active cases, leaving high-risk members un-enrolled in programmes that could help them.
Fragmented Member Health Data
Claims, pharmacy, lab, and social determinants data live in separate systems — making it impossible to form a complete picture of member health status.
Underperforming HEDIS & Star Measures
Care management programmes that can't demonstrate quality measure improvement fail to justify their cost — and erode Star Ratings over time.
AI Care Management Capabilities
From risk stratification through care plan execution and outcomes measurement.
Predictive Risk Stratification
ML models combine clinical, pharmacy, lab, and SDOH data to score every member for 12-month hospitalisation risk, condition severity, and care gap burden.
Explore solutionAutomated Care Plan Generation
AI generates personalised care plans based on member risk profile, evidence-based guidelines, and payer programme criteria — reducing care plan creation time by 75%.
Explore solutionReal-Time Care Coordinator Dashboard
Unified member view combining clinical, claims, and engagement data with AI-prioritised work queues and next-best-action recommendations.
Explore solutionSDOH Screening & Navigation
Automated social determinants screening with community resource matching to address housing instability, food insecurity, and transportation barriers.
Explore solutionTransitions of Care Automation
Real-time ADT alerts trigger automated post-discharge outreach and care coordinator assignment for high-risk members leaving the hospital.
Explore solutionProgramme Outcomes Analytics
Measure the clinical and financial impact of care management programmes with pre-post analysis, matched cohort comparisons, and HEDIS measure tracking.
Explore solutionCare Management Compliance
Supports NCQA Case Management accreditation and CMS Star Ratings quality measures.
Ready to Transform Your Care Management Programme?
Talk to a care management specialist and get a population health assessment for your plan.