The Astrello platform

Care management,
reimagined just for you.

One platform that unifies leadership, practice teams, and care coordinators — turning data into action, and action into shared savings. Every module runs on the same population, so insight never has to leave the chart.

Book your free demo Explore the modules
Care Compass / Network command center Live
Network overview Demo network · de-identified sample data
Attributed lives
55,126
+1,204 QoQ
Shared savings
$60.4M
8.1% rate
Quality score
90%
+4 pts YoY
Avg RAF
1.112
+0.029
Shared savings · trailing 4 quarters$60.4M
Q2
Q3
Q4
Q1
Gaps in care · 50,618 open
Breast Cancer Screening72%
Controlling Blood Pressure64%
Diabetes Management58%
Depression Screening41%
AI insight
The networks behind value-based care trust Astrello
Care product features

Our platform, built for proactive, preventive care.

From network leadership down to the bedside, every module is connected to the same data and the same goal — surface what matters and act on it before it costs you.

01

Executive & network dashboard

Real-time visibility into performance, quality, and shared savings across the entire organization — from one screen, not ten reports.

Projected savings & RAF score tracking
Practice-level performance comparison and benchmarking
Quality gap-closure rates, network-wide
Daily compliance review & drill-down alerts
Care Compass / Executive dashboard Live
Projected savings
$60.4M
Avg RAF
1.112
Compliance
98.2%
Practice performance · ranked115 practices
Sunset Ridge
94
Harbor Medical
88
Gulf Coast IM
71
Bayside Family
52
AI insight
02

Patient management

A unified patient view that surfaces the right action for every attributed life — AWV scheduling, rising-risk stratification, and attribution protection in one place.

Pre-carved Annual Wellness Visit outreach & scheduling
Rising-risk patient stratification and identification
Attribution risk monitoring & panel protection
Secure, HIPAA-compliant care team messaging
Care Compass / Patient panel Live
Patient managementSunset Ridge Health · 64
AI insight
03

Transitional care management

Close the post-discharge window before readmissions become penalties. ADT-driven alerts trigger the moment a patient is discharged — automatically assigning the workflow.

ADT-driven real-time 30-day post-discharge tracking
Automated TCM workflow assignment per patient
Time-remaining countdown clock per discharge event
Real-time admit / discharge / transfer feed integration
Care Compass / Transitions of care Live ADT
9DAYS
Doe, John — discharged Jun 12
30-day TCM window · contact due in 1 day
Assigned
Live ADT feedLast event 4 min ago
AI insight
Powerful features

Tools that help care teams act before risks escalate.

Quality & Reporting

Stay ahead of MSSP and commercial program requirements with always-current quality data. Pre-built and custom report cards, benchmarked against national averages.

Diabetes HbA1c control91% · top decile
Colorectal screening68% · vs 71% nat'l

HCC Recapture

Recover risk-adjustment revenue by surfacing every dropped HCC code before year-end. AI face sheets bring recapture opportunities directly to the point of care.

CKD stage 4 · N18.4Dropped
Diabetes w/ CKD · E11.22Recaptured
Recoverable RAF · panel+0.18

AI Document & UR Bots

Eliminate manual utilization-review bottlenecks. AI reviews plans of care, automates 485 home-health workflows, and generates patient letters from clinical context.

Plan of care reviewed · 485 generated
Discharge letter drafted from chart
Reviewing UR queue · 12 pending
Predictive intelligence

Intelligence built into every workflow.

Purpose-built clinical models run quietly underneath the platform — scoring risk, flagging suspects, and catching anomalies so your team acts on the right patient first.

0.87 AUC

Readmission Risk Model

Flags the patients most likely to bounce back within 30 days, ranked by modifiable risk.

0.84 AUC

Mortality & Hospice Model

Identifies patients who would benefit from palliative or hospice conversations earlier.

3,412 found

Suspect HCC Engine

Surfaces likely-but-undocumented conditions for clinical confirmation and recapture.

Real-time

DME Fraud Detection

Catches anomalous durable-medical-equipment billing against the panel as it happens.

Care Compass / Risk model output Scoring
Readmission risk · top cohortHigh
92
Reynolds, Carol · 30-day risk
CHF · 2 prior admits · no PCP follow-up
Outreach
88
Nguyen, David · 30-day risk
COPD · polypharmacy · SDOH flag
Outreach
AI insight
Security & compliance

Industry-grade security, built in from day one.

Every workflow runs on infrastructure that meets the standards value-based care organizations are held to — with PHI safeguarded end to end.

HIPAA-compliant

Protected health information safeguarded across every workflow, with BAAs available for all customers.

NCQA / HEDIS aligned

Quality measurement aligned to NCQA HEDIS standards.

Encrypted everywhere

AES-256 encryption at rest and TLS 1.2+ in transit for all data.

HIPAA-eligible cloud infrastructure

Hosted on HIPAA-eligible services with audited cloud-provider controls.

SOC 2 Type II and HITRUST CSF audits in progress.
Questions, answered

Frequently asked questions.

We ingest ADT feeds, claims, and clinical data through standard HL7 and FHIR interfaces, plus flat-file exchange where needed. Most networks see their first populated dashboards within weeks, not quarters.
MSSP, ACO REACH, Enhanced, Medicare Advantage, commercial, and self-funded employer arrangements all run on the same command center — no separate instance per contract.
Yes. AWV scheduling, HCC recapture, utilization-review redirects, and provider letters all happen in-platform and write back to the chart — so insight never has to leave the workflow.
A typical network is operational within weeks. We map your data sources, validate attribution against your roster, and configure workflows alongside your team — not a year-long IT project.
HIPAA-compliant controls are built in, with PHI encrypted in transit and at rest and access governed by role-based permissions across every module. SOC 2 Type II and HITRUST CSF audits are in progress.
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Ready to see what Astrello can do for your ACO?

Join leading ACOs and independent physician groups already using Astrello to drive shared savings and better patient outcomes.

MR KP IB + Joined by 5,000+ physicians across 26 states
See it on your data
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