Essence activates your patients to complete the guideline-based care they’re due, driving incremental visits and stronger long-term outcomes across your whole population.
What we do
Essence builds guideline-based programs that activate your patients to come in for the care they’re due. We identify the clinical cohorts your data flags, reach them through your own network in your voice, and measure every encounter directly in your claims and clinical data.
Identify
Targeted clinical cohorts, from guideline-based criteria applied to your own data.
Reach
In your voice, through your existing channels.
Close
Outreach nudges patients to book the screening, vaccine, or follow-up they’re due for.
Measure
Measured in your own claims and clinical data.
Governance
Essence designs the eligibility criteria from established clinical guidelines, then tailors the program in coordination with you and your data partner, who applies it to your data inside your environment.
The criteria and campaign come from Essence. Your data partner applies them to your data, and Essence never holds or views it.
The return
The same activation pays off whether you’re value-based or fee-for-service, and every outcome is measured directly in your own claims and clinical data against a matched control.
Value-Based Care
Closing guideline-based gaps lifts the Star and HEDIS rates behind your bonuses.
Patients back in for care get documented again, so payment reflects true clinical risk.
Earlier intervention keeps conditions from becoming avoidable admissions.
Fee-for-Service
The visits, screenings, and procedures your patients were due, completed and countable in your own claims.
Each completed visit brings the labs, imaging, referrals, and procedures that come with it.
Patients stay with your system, and documented quality strengthens every payer conversation.
What it costs you
Closing guideline-based care gaps is a shared win. Your patients get the care they’re due, and your system improves its quality performance and captures the value of those encounters, with no cost, no new staff, and no technology lift.
In practice
Each figure is the lift among activated patients versus a matched control: the completed vaccines, screenings, and visits, read directly in the partner’s own data. Partner and sponsor names withheld.
Vaccine · adult immunization
higher vaccination rate vs. a matched control
1.15M reached · large regional & national health system
Cancer screening · breast
higher screening-completion rate vs. a matched control
150K+ reached · regional & national health systems · interim
Chronic care · type 2 diabetes
higher treatment-optimization rate vs. a matched control
50,000 activated · large regional health system
Results from the Essence use-case library and interim partner reporting. Partner and sponsor names withheld.
We design guideline-based outreach that closes care gaps, coordinate it through your network, and measure the results in your own data. You run it. We never see the patient data.
No. Your data manager applies the eligibility criteria to your own data and authorizes every send. Essence never holds or views patient-level data.
It goes out in your voice, from your patients’ own care team. Never a brand message, unless a patient already holds that prescription.
Nothing to your bottom line. No fees, no new staff, and no technology lift.
By direct measurement in your own claims and clinical data, from documented medical activity. Not attribution models, not engagement metrics.
Yes. On value-based contracts it moves your quality measures and risk adjustment. On fee-for-service, the same activation recovers net-new, billable visits and the downstream that follows. Both are measured in your own claims.
No. Programs run in production, at full scale from the first send.
We map the guideline-based gaps across your Medicare and commercial populations and pick the first measure to move. No data changes hands to start the conversation.
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