Five Workflow Clouds. One AI-Enriched Data Platform.
Every cloud's output feeds the next. Practice prep builds smart agendas. Care teams close gaps and capture risk. Outreach activates patients at scale. Analytics prove what actually moved the needle — and the cycle compounds.
AI-Enriched Data Platform
Every workflow starts with the right data
Kairon ingests, normalizes, and links claims, clinical records, ADT feeds, labs, pharmacy data, and qualitative sources — meeting transcripts, field notes, CRM logs — into a single patient-to-practice model. Raw and transformed datasets are available immediately for your own analytics. The platform is payer-agnostic: BCDA, CCLF, commercial, Medicaid — same pipeline, same model.
Five Workflow Clouds.
One Flywheel.
Every cloud's output feeds the next. Practice insights build smart agendas. Agendas surface care gaps. Care teams close them. Outreach activates patients at scale. Analytics measure what moved. And the cycle compounds — what works at one practice becomes visible across your entire portfolio.
Practice Intelligence
CRM + Performance Command Center
See where to focus
For Practice Transformation Managers, Executive Directors, Medical Directors
Your field teams spend hours preparing for practice meetings — pulling metrics, reviewing notes, building agendas. Kairon does it in seconds. Auto-generated scorecards combine every metric and its underlying patient data. Smart agendas incorporate what happened last meeting so your teams stop asking the same questions every quarter.
After each meeting, Kairon records the conversation, extracts performance blockers by initiative, and aggregates them across your entire portfolio. You don't just see what's happening at one practice — you see the top 5 reasons AWVs aren't getting done across all of them.
Explore Practice Intelligence →Scorecards in seconds
Auto-generated practice profiles with metrics, trends, and patient-level drill-down
Smart agendas
AI-built meeting prep that carries forward blockers, action items, and unresolved issues
Portfolio-wide blocker analysis
See the top barriers to performance across every practice, not just one
Engagement scoring
Composite tracking of participation, sentiment, and readiness to change
Care Operations
Care Management + Risk & Quality
Coordinate care, close gaps
For Care Managers, Pharmacists, Health Coaches, Medical Coders, Quality Specialists
One unified worklist for every clinical and coding workflow. Transitions of Care triggers from ADT alerts with 48-hour and 7-day follow-up windows. Longitudinal care management runs acuity-tiered caseloads. Chronic disease management supports pharmacist-led, condition-specific protocols. Each program is configuration — not code — running on the same state machine with its own escalation rules.
For risk and quality, structured review workflows handle HCC suspect capture, recapture, and resubmissions through a multi-level QA pipeline. Care gap closure tracks Stars measures, medication adherence, and screenings with nightly sync from claims.
Explore Care Operations →
NCQA Prevalidated for Population Health Management. Clients using Kairon's Care Operations Module receive automatic credit on Data Integration and Case Management Systems during NCQA accreditation surveys.
Unified clinical worklist
TOC, care management, and chronic disease programs in one place with built-in telehealth and AI care plans
HCC coding workflows
Suspect review, recapture, and resubmissions with multi-tier QA — offshore to onshore to confirmation
Care gap closure
Stars measures and quality gaps synced nightly from claims, routed by practice access level
Programs as configuration
Same engine runs every workflow — add new programs without writing code
Patient Activation
AI Voice Outreach + Staff Calling
Put an AI voice agent on the list
For Outreach Leaders, Operations Leaders, Outreach Coordinators
An AI voice agent calls patients from any Kairon worklist as a campaign, following a script your team writes, with a cap on attempts per patient. Each connected call is transcribed, and a structured summary records the outcome and any callback the patient asks for. A random share of the list can be held back from calls, so campaign reporting compares appointment rates for called patients with patients who weren’t called.
Underneath, care managers and outreach coordinators call patients from the worklist in their browser, each from a local number assigned to them. Patients can call that number back, missed calls go to a voicemail inbox, and staff mark each attempt reached, voicemail, no answer, wrong number or refused. Video visits start from the same screen, and the patient joins from a link.
Explore Patient Activation →AI voice agent
Available now. Calls a worklist as a campaign and transcribes each connected call
Randomized holdback
A random share of each campaign held back from calls, for comparison
Calling from the worklist
Browser calling from a local number, with callbacks, voicemail and recording
Attempt outcomes
Each attempt marked with its outcome, the next one set in one click, do-not-contact numbers blocked
Portfolio Management
Network Performance + Growth
Know what moves your numbers
For ACO Leadership, Finance and Analytics, Network Development
An ACO earns shared savings when spending comes in under its benchmark, so Portfolio Management starts with cost. The Leverage Index compares each practice’s cost trend with the national trend, after crediting its change in risk, and scales it by attributed patients. Cost attribution splits a change in cost per person-year into leavers, joiners and the patients who stayed, by practice, facility or provider.
Attribution health shows who stayed, who is new or returning and why patients left. For growth, Kairon ranks the practices in your territory by Medicare panel size, writes a conversation guide on each target and matches your Salesforce accounts and leads to the same practices.
Explore Portfolio Management →Leverage Index
Each practice’s cost trend against the national trend, after crediting its change in risk
Cost attribution
Cost change split into leavers, joiners and stayers, down to the patient
Attribution health
Who stayed, who is new or returning, and why patients left
Network growth
Targets, conversation guides, Salesforce matching and pipeline reports
Impact Analytics
Performance Measurement + Causal Inference
Measure what works
For ACO Leadership, Medical Directors, Operations Managers
Portfolio-level performance tracking across clinical, operational, and financial domains. Every metric is config-based — no SQL required — with entity-level assignment so each practice and contract sees its own targets and glide paths. Dashboards load in under 500 milliseconds because metrics are pre-aggregated, not queried on the fly.
This isn't a reporting silo. The metrics driving your dashboards are the same data powering worklists, outreach campaigns, and practice scorecards. One source of truth. And for the hard questions — "Did our TCM program actually reduce readmissions?" — built-in regression analysis, cohort matching, and difference-in-differences give you publishable causal evidence, not just trend lines.
Explore Impact Analytics →Sub-500ms dashboards
Pre-aggregated metrics with drill-down from portfolio to practice to patient
Year-end predictions
AI-driven forecasting with automated alerts for off-track contracts
Config-based metrics
Add new measures without engineering — define logic, assign entities, set targets
Causal impact studies
Regression, propensity matching, and diff-in-diff to prove what actually moved the needle
Use Cases
See how ACOs, health systems, and MSOs use the five workflow clouds to close care gaps, cut costs, and prove ROI.