At a glance

AttributeDetail
What it isA risk analyzer and next best action AI agent for health care teams
What it doesExplains why a patient is at risk, then recommends the intervention
Sits on top ofMosai and other risk scoring platforms
Reads fromEMR, claims, scheduling, assessments, labs, remote monitoring devices
Risk categoriesClinical, utilization, behavioural, social, financial
SignalsMultiple; each traced back to a source data point
OutputStructured PDF with risk drivers and a prioritized action plan
DeliveryEmail, in-app notification, care coordinator and clinical team routing
Time to actionSeconds after the risk flag fires
ComplianceHIPAA compliant, PHI stays inside your environment

The problem

A risk score tells you a patient is in trouble. It does not tell you why.

Your risk platform does its job. But that score doesn’t save anyone. Clinicians still must hunt through systems to figure out what changed and what to do, and with thousands of patients, that never happens for most of them. By the time someone connects the dots, the predicted admission has already happened. 

The gap between a signal and a clinical decision is where patients deteriorate. 

How it works

The five-step process of the Risk analyzer and next best action agent

The agent runs five steps end to end: from risk flag to a care team notification, the full sequence completes in seconds.

#1
Data in

Patient data is pulled from every connected source: EMR, claims, scheduling, assessments, labs, and remote monitoring devices.

#2
AI analysis

The risk analyzer reads signals across five risk categories at once: clinical, utilization, behavioural, social, and financial.

#3
Risk determination

The agent smartly routes the patient based on the risk level it determines: high, or low to medium.

#4
Action performed

a. For high-risk patients
The agent generates a structured PDF containing ranked risk drivers and a next best action plan for immediate intervention.
b. Low and medium-risk patients
The agent produces a structured monitoring summary with a preventive action plan to avoid further escalation.

#5
Action delivered

The care team is notified instantly about the plan by email, in-app notification, and direct routing to the care coordinator and clinical team.

infograph

From signal to action

What the agent recommends, and why

Clinical triggerRecommended next best action
Worsening dyspnea combined with missed skilled nursing visitsEscalate RN visit frequency and notify the physician
Possible fluid overloadNotify physician for same-day review
Therapy intolerancePhysical therapy reassessment
Medication dosage mismatch or allergy conflictPharmacist medication review

HHVBP impact

This agent touches measures worth up to 63% of your HHVBP score

Improves preventable hospitalization, discharge to community, medication management, etc. enhancing scores and chances of reimbursements. 

Security and compliance

PHI never leaves your environment or your cloud tenancy

Role-based access aligned to your existing clinical permissions

Complete audit trail for every risk driver and recommendation generated

HIPAA-compliant agent recommends. A licensed clinician decides. Clinical authority does not move.

See the next best action AI agent run on your patient data

Every hour a care team spends assembling a patient picture by hand is an hour they are not intervening. The risk analyzer andnext best action AI agent gives that hour back and makes sure the right action reaches the right patient before the window closes.

Book a 20-minute demo on your data