Live workflow closure  ·  System of Action

Agentic AI for VBP Automation

Your tools find the work.
We do the work.

Smart Source / First Outcomes turns VBP work queues into completed workflows — automatically. Not a dashboard. Not analytics. Execution. Outreach, scheduling, referrals, prior auth, EMR write-back.

Request a VBP Automation Assessment See How It Works
  Live workflow activity
EMR HCC / RAF Payer Portals ⚡ AI Outreach Scheduling Write-back
Referral closed 3× faster
Care gap complete 5× workflow speed
Prior auth followed 24/7 access
120K
Patients Managed
5×
Faster Workflow Execution
3×
Faster Referral Closure
⅓
Cost vs. Manual Operations
24/7
Patient Access Automation

Hyperautomation with Artificial Intelligence

Automated AI tools measure quality value metrics to ensure shared savings bonuses, while digital employees perform supporting roles at lower costs.

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The Problem

The bottleneck is no longer insight.
It's execution.

Every healthcare organization already has EMRs, population health tools, HCC and RAF tools, quality systems, and call center infrastructure. Those tools create work queues. They don't complete them.

📞

Care coordinators still call patients manually

🔄

Referral teams still chase specialists and close loops by hand

⏱️

Prior auth teams still monitor payer portals manually

📋

Quality and UDS outreach teams still close gaps one by one

Smart Source / First Outcomes

We do not replace your systems.
We replace the manual labor around them.

Every tool you have — population health, HCC/RAF, quality analytics, UDS reporting, referral platforms — identifies the work. Smart Source / First Outcomes is the action layer that executes it: outreach, scheduling, referral closure, prior auth follow-up, and EMR write-back.

Outreach Scheduling Referral Closure Prior Auth EMR Write-back

⚡ Dashboards do not close gaps. Actions do.

5×
Faster execution
⅓
Cost of manual ops
24/7
Always running
How It Works

Record. Insight. Action.

Smart Source / First Outcomes connects the stack and completes the workflow. Your existing tools remain the source of truth. Smart Source / First Outcomes becomes the System of Action.

🗄️
Systems of Record
  • EMR
  • Claims
  • Scheduling
  • Referral Systems
  • Payer Portals
🔬
Systems of Insight
  • Population Health
  • HCC Tools
  • RAF Tools
  • Quality Analytics
  • UDS Reports
⚡
Smart Source / First Outcomes — System of Action
  • Outreach & Scheduling
  • Referral Closure
  • Prior Auth Follow-up
  • Care Gap & UDS Work
  • EMR Write-back
✅
Completed Work
  • Patient Reached
  • Visit Scheduled
  • Referral Closed
  • Care Gap Done
What We Automate

Every manual VBP task.
Automated.

We replace the labor performed today by care coordinators, referral coordinators, patient access teams, call centers, quality outreach teams, and administrative staff.

📲

Care Coordination

Post-discharge follow-up, chronic care outreach, preventive reminders, AWV scheduling support, high-risk patient engagement, and trusted contact workflows — with exception escalation to staff when needed.

Reduces coordinator burden
🔄

Closed-Loop Referral Coordination

Referral ordered → specialist matched → authorization tracked → patient scheduled → visit completed → consult note returned → PCP record updated. Every step. Automatically. Referral platforms track referrals. We close the loop.

Eliminates leakage
📅

Patient Access

Inbound scheduling, outbound outreach, appointment reminders, rescheduling, no-show recovery, call center overflow, multilingual communication, and patient routing — 24 hours a day, 7 days a week.

24/7 access automation
⏱️

Prior Authorization Follow-Up

Continuous payer portal monitoring, missing information follow-up, patient status updates, and stalled authorization escalation to staff. Every delayed authorization is a potential cost or access event. We eliminate that gap.

Protects margins
🔎

Care Gap & UDS Outreach

Quality gap outreach, UDS care gap workflows, HEDIS and Stars gap closure, preventive screening scheduling, completion documentation, and EMR write-back. Dashboards identify gaps. We close them.

Closes quality gaps
📄

HCC & RAF Workflow Support

Outreach, scheduling, reminders, and completion workflows downstream of your existing HCC and RAF tools. We are not the HCC engine. We are the action engine that makes HCC workflows reach completion.

Risk adjustment execution
Who We Serve

Every risk-bearing organization.
Every contract type.

Models define the contract. Organizations execute the work. Smart Source / First Outcomes automates the execution.

🏥

MSSP ACOs

AWV scheduling, care gap outreach, referral coordination, post-discharge follow-up, EMR write-back. BASIC and ENHANCED track support.

🤝

ACO REACH

High-needs engagement, equity workflows, access automation, escalation protocols. Advanced primary care model support.

⭐

Medicare Advantage

Stars gap activation, HCC and RAF workflow support, AWV scheduling, no-show recovery, member engagement at scale.

👨‍👩‍👧

Medicaid ACOs

Multilingual outreach, patient navigation, pediatric and maternal engagement, SDOH follow-up, behavioral health coordination.

🏢

Managed Medicaid

Hard-to-reach member outreach, behavioral health coordination, transportation-related workflows, missed visit recovery.

📝

Commercial Capitation

Referral completion, leakage prevention, prior auth follow-up, post-discharge workflows, margin protection. Every incomplete workflow is a potential cost event.

🔗

MSOs / IPAs / CINs

Centralized automation across distributed practices and attributed lives. Workflow execution at network scale without adding headcount.

🌐

Global Risk

Full patient journey automation. Shared savings, shared risk, chronic care engagement, access automation, prior auth management.

🏦

Health Systems & Provider Groups

Care coordination, referral closure, prior auth follow-up, and patient access automation across employed and affiliated networks.

The more risk you take, the more execution matters. Smart Source / First Outcomes automates the execution.

Integration

Integrates with your
existing systems.

Smart Source / First Outcomes does not replace your stack. It activates it. Your systems remain the source of truth.

EMR Population Health HCC Tools RAF Tools Quality Analytics UDS Reporting Referral Systems Scheduling Systems Payer Portals Call Center Systems Claims Data ADT Feeds HIE Data
01

Workflow Mapping

We map your existing workflows and identify automation opportunities across your contracts, programs, and patient population.

02

System Integration

Connect to your EMR, population health platform, UDS tools, referral system, and call center infrastructure.

03

Agent Configuration

Configure agentic AI workflows specific to your organization type, contract model, and patient population — including multilingual requirements.

04

Pilot Launch

Go live with your first automated workflow and measure impact within weeks — not months.

Weeks, not months. No consultants required.

Get Started

Turn work queues into
completed workflows.

Smart Source / First Outcomes connects your existing healthcare systems into one Agentic AI System of Action — for ACOs, FQHCs, Medicare Advantage plans, Managed Medicaid organizations, and every risk-bearing organization in between.

Request a VBP Automation Assessment See How It Works
Common Questions

Questions healthcare leaders
ask most often

Everything you need to know about how Smart Source / First Outcomes works and what sets it apart.

Smart Source / First Outcomes is the Agentic AI System of Action for VBP Automation. It integrates with EMRs, population health platforms, HCC and RAF tools, quality systems, UDS reporting workflows, referral platforms, payer portals, scheduling systems, and call center infrastructure to automate the manual workflows required for MSSP ACOs, ACO REACH, Medicare Advantage, Medicaid ACOs, Managed Medicaid, FQHCs, Community Health Centers, MSOs, IPAs, CINs, commercial capitation, and global risk organizations. Smart Source / First Outcomes does not replace systems of record or systems of insight — it executes the work those systems generate.

Yes — FQHCs and Community Health Centers are a key Smart Source / First Outcomes customer segment. These are risk-bearing healthcare organizations that participate in Medicaid, Medicare, managed care, ACO arrangements, value-based payment programs, and grant-funded community health programs simultaneously. Smart Source / First Outcomes automates the full operational workflow stack for FQHCs: patient outreach, appointment scheduling, no-show recovery, UDS care gap outreach, enabling-service follow-up, multilingual engagement, closed-loop referral coordination, prior auth follow-up, post-discharge follow-up, EMR documentation, and write-back — with exception escalation to staff when human judgment is required.

Population health platforms, HCC tools, RAF tools, and UDS reporting systems are systems of insight — they identify gaps, risks, and opportunities and produce a list. Smart Source / First Outcomes is what happens next. It takes those lists and acts on them: scheduling appointments, sending multilingual outreach, closing referrals, tracking prior authorizations, and writing results back to the EMR. Your existing tools remain the source of truth. Smart Source / First Outcomes is the action layer.

Smart Source / First Outcomes automates the complete referral workflow: referral ordered → specialist matched → authorization followed → patient scheduled → visit completed → consult note returned → PCP record updated. Referral platforms track referrals. Smart Source / First Outcomes closes the loop — eliminating leakage, reducing coordinator burden, and ensuring every referral reaches completion, not just the inbox.

Smart Source / First Outcomes monitors payer portals for authorization status continuously, follows up on missing information, notifies patients of updates, and escalates stalled authorizations to the appropriate staff member — automatically. In capitated, global risk, and FQHC arrangements, every delayed or missed authorization is a potential cost or access event. Smart Source / First Outcomes eliminates that gap without adding headcount.

Smart Source / First Outcomes automates post-discharge follow-up, chronic care outreach, preventive care reminders, specialist consult follow-up, no-show recovery, referral completion follow-up, prior auth status follow-up, UDS care gap follow-up, SDOH-related outreach, maternal health follow-up, pediatric reminders, behavioral health coordination, enabling-service follow-up, and trusted contact workflows — each running automatically, with staff escalation only when human judgment is required.

Smart Source / First Outcomes supports every major risk-bearing organization and contract model: MSSP BASIC and ENHANCED tracks, ACO REACH, Medicare Advantage, Medicaid ACOs, Managed Medicaid, Commercial Capitation, Global Risk, and Shared Savings — as well as FQHCs, FQHC Look-Alikes, Community Health Centers, MSOs, IPAs, CINs, provider groups, health systems, and risk-bearing provider networks. Models define the contract. Organizations execute the work. Smart Source / First Outcomes automates the execution.

Organizations using Smart Source / First Outcomes manage 120,000 patients with agentic AI, execute workflows up to 5x faster than manual operations, close referrals 3x faster, reduce care operations costs to one-third of manual approaches, and achieve 24/7 automated patient access — with reduced call center burden, reduced coordinator burden, and multilingual patient engagement, all without proportional headcount increases.

Smart Source / First Outcomes connects to EMRs, population health platforms, HCC and RAF tools, quality analytics systems, UDS reporting workflows, referral management systems, scheduling systems, payer portals, call center infrastructure, claims data, ADT feeds, and HIE data. Your existing systems stay in place and remain the source of truth. Deployment takes weeks, not months, with no consultants required.

Implementation follows four steps — workflow mapping, system integration, agent configuration, and pilot launch — and is measured in weeks, not months. No consultants are required. Smart Source / First Outcomes deploys alongside your existing infrastructure. Your systems stay. The manual work disappears.
About Smart Source / First Outcomes

Smart Source / First Outcomes is the Agentic AI System of Action for VBP Automation.

Unlike dashboards, analytics tools, or call center outsourcing, Smart Source / First Outcomes executes work rather than displaying it. Your tools identify the gaps. Smart Source / First Outcomes closes them. It does not replace your existing systems — it replaces the manual labor around them.

120K
Patients managed with agentic AI
5×
Faster workflow execution vs. manual
3×
Faster referral closure
⅓
Cost of manual operations

24/7 Patient access automation

What We Automate

Smart Source / First Outcomes automates the workflows performed today by care coordinators, referral coordinators, patient access teams, call centers, quality outreach teams, and administrative staff — including patient outreach and scheduling, closed-loop referral coordination, prior authorization follow-up, post-discharge and chronic care follow-up, care gap and UDS outreach, HCC and RAF workflow support, multilingual and enabling-service follow-up, and EMR write-back. Every workflow runs end-to-end with exception escalation to staff only when genuinely required.

Organizations We Serve

FQHCs, FQHC Look-Alikes, and Community Health Centers are a key Smart Source / First Outcomes customer segment — risk-bearing organizations that participate in Medicaid, Medicare, managed care, ACO, value-based payment, and grant-funded programs simultaneously. Smart Source / First Outcomes also serves MSOs, IPAs, CINs, provider groups, health systems, ACOs, Medicare Advantage organizations, Managed Medicaid organizations, and risk-bearing provider networks.

FQHCsFQHC Look-AlikesCommunity Health Centers MSOs / IPAs / CINsACOsHealth Systems Medicare Advantage PlansManaged Medicaid Orgs Risk-Bearing Provider Networks
Contract Models Supported
MSSP BASIC TrackMSSP ENHANCED Track ACO REACHMedicare Advantage Medicaid ACOsManaged Medicaid Commercial CapitationGlobal Risk Shared SavingsShared Risk Advanced Primary CareGrant-Funded Community Health
System Integrations
EMRPopulation Health HCC ToolsRAF Tools Quality AnalyticsUDS Reporting Referral SystemsScheduling Systems Payer PortalsCall Center Systems Claims DataADT Feeds HIE Data