Clinical Decision Support · Multi-Specialty Health Systems

Subclinical metabolic
dysfunction is your system's
largest unmanaged financial risk.

$4.15M
Unrealized FFS Revenue
Unbilled preventive workups for a 25,000-patient subclinical cohort
Advanced metabolic assessment · Medical nutrition therapy · Lifestyle intervention
+
$12.5M
ACO Shared-Savings Exposure
When 5% of the unflagged cohort transitions to acute metabolic disease
1,250 patients × ~$10,000 avg. avoidable cost per patient
=
$15–17M
Annual Exposure
Conservative estimate for a 100,000-life multi-specialty system
Addressable in full through a single documentation infrastructure

Iva is a clinical decision support platform that identifies subclinical metabolic populations within existing EHR data, establishes ICD-10-anchored medical necessity, and automates HCC documentation — enabling health systems to accurately capture risk-adjusted reimbursement and reduce preventable total cost of care.

✦ The Structural Problem

The clinical coding system is designed to recognize disease. It is not designed to recognize dysfunction.

There is an estimated 10-year interval — the Silent Decade — between the point at which subclinical metabolic dysfunction becomes measurable and the point at which it satisfies the diagnostic threshold for a billable disease code. For systems operating under value-based care contracts, this interval represents a structural documentation gap that actively suppresses RAF scores and distorts actuarial risk assumptions.

The Silent Decade

The clinical window where intervention is most effective is the administrative window where documentation infrastructure does not exist.

Subclinical metabolic dysfunction — physiologically active, clinically measurable, and progressing — generates no ICD-10 code, produces no RAF contribution, and triggers no reimbursement pathway under standard EHR workflows. The system absorbs actuarial risk without corresponding resources.

01
Measurable Signal
Borderline glucose, elevated liver enzymes, abnormal weight gain — clinically present, administratively invisible
02
The Silent Decade
~10 years of escalating risk with no ICD-10 anchor, no HCC contribution, no reimbursement
03
Revenue Leakage
Proactive workups unbilled. Value-based benchmarks reflect a population less complex than clinical reality
04
Chronic Disease Onset
Type 2 diabetes, MASLD, CAD — codeable now, but the prevention window has closed and cost burden has transferred

Patients in the Silent Decade generate low-margin E/M codes while accumulating the clinical complexity that will materialize as high-cost acute events within your ACO's performance period.

Gap 1

Absent ICD-10 Documentation

Subclinical metabolic dysfunction, pre-diagnostic hepatic disease, and impaired glucose regulation lack recognized billing codes. Without an ICD-10 anchor, no reimbursement pathway exists for the workup or intervention — regardless of the clinical evidence supporting it.

Gap 2

Suppressed RAF Scores

When subclinical complexity goes undocumented, risk-adjusted payment rates reflect a population less clinically complex than it actually is. In capitated and shared-savings arrangements, the system bears actuarial exposure that its documentation does not support.

Gap 3

Uncompensated Preventive Care

Without a structured medical necessity framework for early metabolic intervention, proactive clinical care operates as an uncompensated cost center — delivered without a billing pathway even when it directly prevents high-cost downstream events.

✦ The HCC Documentation Gap

The same patient carries two different risk profiles — depending on which data layer is examined.

The EHR captures what meets diagnostic threshold. Iva captures what precedes it. The interval between those two records is where reimbursement is lost and financial risk accumulates undetected.

What the EHR Documents — Terminal Coding
Type 2 Diabetes Mellitus E11.x
Metabolic Dysfunction-Associated Steatotic Liver Disease K76.0
Chronic Ischemic Heart Disease I25.x
Essential Hypertension I10.x

Late-stage. Fully codeable. By the time these codes enter the EHR, the downstream cost burden has already transferred to the system.

What Iva Identifies — Upstream Clinical Precursors
Abnormal Glucose MetabolismBorderline HbA1c; fasting glucose dysregulation below T2DM threshold Precursor
Elevated Hepatic EnzymesAST/ALT trending above reference range without formal diagnosis Precursor
Impaired Lipid OxidationAbnormal RER indicating metabolic substrate inflexibility Precursor
Pathological Weight GainProgressive visceral adiposity; adverse BMI trajectory Precursor
Elevated CO₂ / BUN:Creatinine RatioEarly indicators of metabolic stress and incipient renal strain Precursor

Physiologically present. Clinically measurable. Reimbursable with an appropriate ICD-10 anchor and defensible medical necessity framework — both generated automatically by Iva.

Iva establishes a clinical classification, an ICD-10 anchor, and a structured reimbursement pathway for subclinical dysfunction — translating upstream physiological signals into payer-accepted documentation of medical necessity before those signals progress into the chronic disease codes that carry the most significant financial consequences under value-based contracts.

✦ Financial Impact Analysis

The measurable cost of an unmanaged subclinical population.

For a multi-specialty system with 100,000 attributed lives, the absence of subclinical documentation infrastructure creates two concurrent and compounding financial exposures — one in fee-for-service reimbursement, one in value-based contract performance.

Exposure 1 of 2 · Fee-for-Service

Unrealized Preventive Care Revenue

Subclinical patients generate standard, low-margin E/M codes during routine encounters because standard panels fall within reference ranges. Without a medical necessity framework, clinically indicated workups remain unbilled — and the system absorbs their cost with no corresponding reimbursement.

Billable Service Pathway Avg. Rate Est. Revenue
Advanced Metabolic AssessmentDEXA body composition, RMR/RER, VO₂ Max $150–$250 ~$1M/yr
Medical Nutrition TherapyRecurring rising-risk monitoring (4×/yr) $120/session ~$2.4M/yr
Therapeutic Lifestyle InterventionStructured physiological care management $150/program ~$750K/yr
Unrealized FFS Revenue ~$4.15M/yr

Modeled on 20% annual utilization of a 25,000-patient subclinical cohort within a 100,000-life attributed population.

Exposure 2 of 2 · Value-Based Care

ACO Contract Performance Erosion

Under MSSP and commercial ACO arrangements, systems are assessed on Total Cost of Care and penalized when patients deteriorate into high-cost acute disease states. Subclinical patients who are not identified and managed in advance represent a predictable source of ACO performance risk.

Cost Profile of Late-Stage Intervention

Once a patient reaches a codeable chronic disease threshold, annual care management costs increase materially — encompassing specialty referrals, advanced imaging, pharmaceutical management, and unplanned ED utilization.

Actuarial Basis

If 5% of an unmanaged 25,000-patient subclinical cohort (1,250 patients) transitions to acute metabolic disease within a performance year, the system incurs an estimated $8,000–$12,000 in avoidable spend per patient.

Shared Savings Impact

1,250 patients × $10,000 avg. avoidable cost per patient

= $12.5M counting against ACO performance benchmarks

Aggregate Annual Exposure — 100,000-Life System

On a conservative basis, a multi-specialty system managing subclinical metabolic patients reactively rather than prospectively foregoes $15–17 million annually — distributed across unrealized preventive care reimbursement and lost value-based performance savings. Iva addresses both exposures within a single documentation infrastructure.

$15–17M
estimated annual exposure · per 100k attributed lives
✦ How Iva Works

One clinical decision intelligence tool. Two revenue outcomes.

Iva is a single documentation infrastructure layer that operates within existing EHR workflows to identify subclinical patients, support clinical decision-making, and generate compliant HCC documentation automatically — closing the gap between measurable dysfunction and payer-recognized medical necessity.

01
Risk Identification

Subclinical Population Detection

Identifies the subclinical population within existing EHR data — patients whose individual lab values fall within reference ranges but whose aggregated clinical record indicates active metabolic dysfunction and escalating disease risk.

  • Analyzes existing Epic chart data to identify subclinical patterns distributed across unrelated visit types
  • Aggregates borderline indicators — elevated hepatic enzymes, abnormal glucose trends, pathological BMI trajectories — into structured rising-risk profiles
  • Stratifies patients by transition probability to prioritize care management resources
02
CDSS Logic

Clinical Decision Support

Delivers structured Metabolic Narratives into Epic — providing care teams with an evidence-grounded clinical assessment of each patient's physiological risk profile and a standardized, protocol-driven intervention pathway.

  • Generates structured Metabolic Narratives identifying root-cause physiological contributors for each identified patient
  • Delivers standardized, evidence-based care protocols deployable by the full collaborative care team
  • Reduces cognitive burden on clinicians managing early-stage chronic disease presentations
03
Automated Claims & Coding

HCC Documentation & RCM

Functions as a translation layer between early-stage clinical findings and the billing system — establishing ICD-10 anchors for subclinical states and constructing the audit-ready documentation trail required for payer acceptance and HCC risk adjustment.

  • Maps physiological findings to ICD-10 anchors with a complete, traceable documentation record
  • Constructs payer-defensible evidence supporting medical necessity for early metabolic intervention
  • Updates system-wide RAF scores to reflect the accurate clinical complexity of the attributed population
Outcome 1 · Fee-for-Service

Establish Reimbursable Preventive Care Pathways

By generating ICD-10-anchored documentation of medical necessity for subclinical metabolic assessment, Iva converts clinically indicated preventive workups into structured, payer-aligned billing events.

  • Advanced metabolic assessment qualifies as a reimbursable billable event
  • Medical nutrition therapy and remote monitoring sessions coded and submitted
  • Therapeutic lifestyle interventions transition to billable care pathways
  • Prevention is repositioned as a revenue-generating line of business
Outcome 2 · Value-Based Care

Defend ACO Performance and Shared Savings

Iva identifies patients at highest transition risk before they generate the high-cost acute events that erode shared savings and compromise ACO benchmarks.

  • Subclinical complexity accurately reflected in RAF scores prior to contract negotiations
  • High-transition-probability patients intercepted before acute events and unplanned ED utilization
  • Total Cost of Care reduced through low-cost upstream intervention
  • Documented outcomes provide an auditable record supporting shared savings claims
✦ Technical & Regulatory Standards

Infrastructure designed for enterprise clinical environments.

SMART on FHIR
Secure EHR integration via open standard
HIPAA Compliant
Full PHI protection · audit-ready architecture
Ontology Grounded
SNOMED · LOINC · ICD-10 · FHIR R4
IMO API Integrated
Industry-standard clinical terminology mapping
✦ Pricing

Structured around the value delivered to your population.

Iva is priced on a per-member-per-month basis, scaling proportionally with your attributed population. The cost of the platform grows in direct proportion to the reimbursement and risk-reduction value it generates.

Unified Platform Subscription

PMPM per member · per month

Complete access to Iva's clinical decision intelligence infrastructure — risk identification, CDSS logic, and automated claims coding — across your full enrolled population.

  • Automated subclinical risk identification across the full attributed population
  • Structured Metabolic Narratives and care protocols delivered in Epic
  • Automated ICD-10 anchoring and HCC documentation generation
  • RAF score monitoring and VBC contract performance optimization
  • Payer-defensible medical necessity documentation layer
  • Continuous compliance updates · SNOMED / LOINC / ICD-10 terminology maintenance

Pricing is structured around attributed population size. Contact us for a tailored assessment →

✦ Request Access

Capture invisible populations
and unlock new revenue.

Submit your contact information to schedule a demonstration. We will show you the estimated size of the subclinical population within your current attributed lives, and the projected revenue and risk-reduction impact of closing your system's HCC documentation gap.

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