Medicare patients are your biggest VBC opportunity
Geriatric patients carry the highest HCC burden, the most care gaps per patient, and the greatest financial risk in value-based contracts. They also benefit the most from proactive, coordinated care. The Annual Wellness Visit is the single highest-value encounter in Medicare — it closes care gaps, captures HCC codes, identifies fall risk and cognitive decline, and reconciles medications. But only 50% of eligible Medicare beneficiaries receive one.
Glance identifies every AWV-eligible patient, prepares pre-visit documentation, tracks HCC recapture, monitors polypharmacy risk, and provides the financial analytics to maximize your Medicare VBC performance.
Schedule a Demo See FeaturesBuilt for Medicare-focused geriatric practice
Every feature addresses the core challenge of geriatrics in VBC: these patients have the most to gain from proactive care and the most to lose when gaps accumulate.
AWV Scheduling & Preparation
Identify every Medicare patient who has not had an Annual Wellness Visit this year. Sort by number of open HCC gaps (so the patients with the most to gain get scheduled first). Pre-visit prep includes health risk assessment, advance directive status, depression screening (PHQ-2/9), functional status, and fall risk assessment — all pre-populated for the visit.
HCC Coding for Complex Medicare
Your geriatric patients carry the most HCC codes in your practice. CHF, COPD, diabetes, CKD, vascular disease, dementia, depression — each must be recaptured annually. Glance surfaces suspected conditions from claims, identifies RAF score drops suggesting missed recapture, and generates pre-visit HCC review sheets for every AWV and chronic care visit.
Polypharmacy & Medication Review
Flag patients on 10+ medications for comprehensive medication review. Identify high-risk medications for the elderly (Beers Criteria drugs), duplicate therapies, and potential interactions. Track medication adherence across all drug classes. Medication reconciliation data feeds directly into AWV documentation.
Fall Risk & Functional Status
Track fall risk assessments, identify patients with recent fall-related ED visits or hospitalizations (from claims data), and flag patients on medications that increase fall risk (benzodiazepines, sedative-hypnotics, anticholinergics). Functional status trending over time to identify patients with declining independence who may need increased support.
Medicare Financial Analytics
Track shared savings performance against your Medicare ACO or MA contract targets. Model the revenue impact of increasing AWV completion from 50% to 80%. Project RAF score changes from HCC recapture. Benchmark PMPM costs against your Medicare population risk profile. See exactly where your VBC revenue stands.
