A physician-owned ACO and its primary care practices lacked the time and resources to proactively manage their sickest patients, the very population whose care most impacts shared-savings performance.

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Steadywell's AI voice agents now conduct regular check-ins with high-risk patients, surfacing clinical changes early, documenting goals-of-care conversations, and scheduling follow-ups based on clear clinical protocols. Care coordinators focus their time on patients with emerging needs rather than leaving voice mails or conducting social check-ins.

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The results were striking. Each coordinator effectively managed 3–5× more high-need patients. Acute admissions dropped 24%, bed days fell 28%, and no enrolled patients died in the hospital.  This led to reducing cost-of-care by $900 per engaged patient per month. Proactive outreach also drove patients into the office for timely visits, generating an average of $400 in incremental fee-for-service revenue per patient. And patients felt better about the care they recieved which was reflected in Steadywell's patient satisfaction Net Promotor Score of 86. The model improved quality, lowered total cost of care, created new revenue, while improving patient satisfaction and experience.

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