Our Solutions
BridgepointMD bridges the gap between primary care and specialists by equipping providers with the necessary solutions and strategies to thrive in today’s fee-for-service environment and prepare for the future of value-based care (VBC).
Our modular, tech-enabled solutions are designed to meet practices where they are. Coupled with strategic guidance from a seasoned team of healthcare operators, we offer a stair-step approach that supports both immediate operational improvement and long-term transformation.
Our foundational fee-for-service optimization solutions serve as a launchpad for value-based success. Through our partnership, physicians strengthen the capabilities needed to transition to advanced payment models, while continuing to generate revenue within existing fee-for-service frameworks.
Once practices are ready to advance their participation in value-based care, our growth-stage pay-for-quality solutions position them for success in two-sided risk arrangements
Fee-for-Service Optimization Solutions
-
CarepointMD Care Navigation Services
-
AccuCode AI-Powered Documentation & Coding
-
Practice Optimization Analytics
-
Quality Improvement
Pay-for-Quality Growth Solutions
-
WiseLink Data-Driven Referrals
-
EpiLytics Episodes-of-Care & Performance Analytics
Key features and benefits:
-
Monthly patient touchpoints that supplement routine office visits, enhancing continuity and care coordination
-
Emphasis on prevention over reactive care
-
Broader access to Chronic Care Management (CCM) beyond the top 5–10% high-risk patients
-
Support for Medicare and Medicare Advantage quality initiatives through consistent patient engagement
-
Turnkey solution with likely no upfront investment (EMR dependent) or staffing changes required
-
Scalable model that Improves patient outcomes and generates additional practice revenue
Care Navigation Services
CarepointMD is a turnkey, nurse-led care navigation solution that extends in-office care through monthly outreach to eligible Medicare and Medicare Advantage patients. By prioritizing proactive preventive care, we help practices improve outcomes and reduce total cost-of-care. CarepointMD aligns with CMS goals and expands the operational capacity of physician practices and supports independent providers in delivering proactive cares.
To learn more about common misconceptions surrounding care navigation and chronic care management, and how to avoid missed opportunities for both patients and providers, read our blog post -
Our AI-powered coding and documentation solution helps independent practices drive accurate and complete E/M coding to improve reimbursement accuracy, reduce administrative burden, support quality improvement efforts, and offset payer-derived down-coding.
By adopting AI-powered documentation tools, practices can better capture clinical complexity, drive financial performance, and reclaim time for patient care.
To learn more about common misconceptions around accurate and complete coding, explore our blog for practical insights and strategies -
Challenges in Current Documentation Practices:
-
Undercoding of E&M encounters, potentially leading to missed reimbursement and incomplete clinical context
-
Wide variation in coding practices within the same practice, resulting in inconsistent risk stratification and revenue capture
-
Delayed or rushed documentation contributes to physician burnout and increased administrative burden
-
Payer down-coding of submitted claims
AI-Powered Documentation & Coding
Benefits of Implementing an AI-Driven Solution:
-
Streamlined workflows
-
Improved accuracy and completeness of documentation for appropriately coded encounters
-
Generates actionable analytics on provider behavior to support quality and performance improvement
-
Creates a reliable audit trail to support codes in the event of payer disputes or denials
-
Reduces administrative strain and strengthens adherence to payer billing requirements
-
Supports appropriate reimbursement aligned with the care delivered
-
Reduces impact of payer-driven down-coding of claims
Practice Optimization Analytics
Every practice needs to turn siloed practice data into actionable, profit-building insights to thrive in the ever-changing marketplace. BridgepointMD partners with practices to generate integrated insights to drive growth, operational efficiency, reputation management, and revenue through data-informed decision-making and KPI tracking. We leverage real-time data and reporting to drive performance using AI and daily updates. Our analytic tools allow you to monitor and respond to important trends affecting your bottom line, including patterns in patient wait and access times, asset and space utilization, charges, revenue, staff management, and more. Additionally, we can help build, improve, and monitor your online market presence and patient experience. These reputation management tools provide an avenue to dominate local search results to proactively recruit new patients.
Key features and benefits include:
-
Improved practice performance
-
Daily KPI trend analysis
-
Appointment trends (including no-shows and cancellations)
-
Reputation management
-
Space utilization
Quality Improvement
Quality reporting is essential for measuring, benchmarking, and improving physician/practice performance regardless of payer. BridgepointMD partners with practices to provide strategic and operational support to enhance performance and streamline submissions of quality data across Medicare, Medicaid, commercial, and direct-to-employer contracts.
Most providers participate in the CMS Merit-based Incentive Payment System (MIPS) or the newer MIPS Value Pathways (MVP) Quality Payment Program. For over a decade, MIPS has emphasized primary care–oriented measures, which many providers felt did not accurately reflect the scope of their day-to-day practice. In 2024, CMS introduced MIPS Value Pathways, featuring specialty-specific measures and incorporating cost and performance improvement components. The selection of reporting measures and determination of which system to report under can be perplexing. Our solution can simplify the process.
MIPS/MVP Reporting Value:
-
Bridging the data asymmetry gap that disadvantage providers in payer negotiations
-
Supplying performance data to support realistic quality clauses
-
Informing episodic bundle capitation strategies
Support Includes:
-
Tailored analyses to identify optimal measures for reporting
-
Year-round guidance to drive continuous improvement and meetbenchmarks
-
Facilitating submission for accurate and timely reporting
-
CarepointMD (CCM) may fulfill performance improvement requirements for some MVPs
Data-Driven Referrals
WiseLink is a standardized data-driven referral workflow and robust analytics platform that integrates data-informed performance, quality, outcomes, and cost data to help providers improve referral patterns and support VBC payment models by directing patients to the highest-value, in-network specialists.
Most providers lack access to actionable data at the point of referral, often resulting in out-of-network referrals to low-quality or high-cost providers. For at-risk networks, this can negatively impact cost performance, patient outcomes, and overall patient experience. Additionally, inconsistent and manual referral workflows increase administrative burden and contribute to delays in care.
WiseLink partners with at-risk networks to streamline referral processes and align them with network utilization and performance strategies. Our platform offers timely, actionable insights to support more effective and efficient referrals.
ACO, payer, and employer network leaders can use WiseLink to identify and act on opportunities for clinical and financial improvement, and benefit from timely insights that help close clinical gaps to support population health and financial goals.
Opportunities for Clinical and Financial Improvement:
-
Data-driven algorithm to knowledgably direct referrals
-
Pinpointing patients and providers driving high costs
-
Mapping referral patterns and identifying out-of-network utilization by specialty, practice, and physician
-
Optimizing patient alignment and panel management
-
Informing strategic growth
-
Highlighting drivers of acute and high-cost utilization
-
Forecasting shared savings or losses
Performance Analytics / Episodes-of-Care
EpiLytics is a hybrid of clinical episode-of-care modeling combined with data analytics, performance metrics, and cost of care management. Participating in episodic care allows specialists to participate in value-based payment models beyond shared savings bonuses. Specialists can participate in episodic models (also referred to as bundled payments) through ACOs, employer contracts, or commercial payers.
BridgepointMD provides strategic and analytical support to help practices evaluate and pursue value-based opportunities. Our analyses offer insights into both fee-for-service and episodic care participation strategies, guiding practices towards the right mix to achieve their goals. EpiLytics generated technical, operational, performance, and financial analytics combined with our expertise brings the ability to design, measure and negotiate episode-based payment models. In addition to contractual advantages, episodic models enable practices to track and analyze performance across key indicators. These data can inform process improvements, strengthen payer negotiations, and support long-term practice optimization.
Key features and benefits:
-
Improved clinical outcomes and care consistency
-
Increased procedural throughput and revenue
-
Enhanced patient experience and satisfaction