4 revenue engines.
One decision layer.

The Annual Wellness Visit is the highest-volume Medicare revenue opportunity in primary care — and the most consistently missed. Most practices capture less than 40% of their eligible panel. Alema identifies every Medicare patient overdue for their AWV and automates the entire outreach and scheduling process.

• Medicare pays ~$150 per AWV — recurring annually for every eligible patient
• A panel of 500 Medicare patients with 60% completion gap = $54,000 in recoverable annual revenue
• AWVs are the foundation of preventive care — they catch chronic conditions early and improve patient retention
• No AWV = no annual comprehensive assessment = missed downstream revenue across multiple engines

• Patients who complete annual wellness visits have better chronic disease management outcomes
• The AWV is often the only time a physician reviews a patient's full medication list and advance directives
• Early detection of cognitive decline, depression, and functional limitations happens at the AWV

• Scans your Medicare panel daily for patients 305+ days since last AWV
• Sends automated SMS outreach — no staff involvement required
• Tracks scheduling, appointment completion, and billing status
• Writes completed AWV back to your EHR's encounter record
• Logs revenue to your Realized Revenue dashboard automatically

Transitional Care Management is the most time-sensitive revenue opportunity in primary care. When a patient is discharged from a hospital or skilled nursing facility, CMS requires contact within 2 business days and a follow-up visit within 7 or 14 days to bill TCM. Miss the window — miss the revenue. Alema monitors your EHR's ADT feed in real time and fires alerts the moment a discharge is detected.

• ~$200 per episode for moderate complexity (99495) — higher for high complexity (99496)
• Most practices capture less than 40% of eligible TCM episodes due to missed discharge alerts
• The 2-day contact window is non-negotiable — Alema fires the alert within hours of discharge
• TCM is fully automated — Alema contacts the patient, tracks the window, and logs the result

• Post-discharge follow-up reduces hospital readmission rates by up to 20%
• Patients discharged without follow-up are 3x more likely to be readmitted within 30 days
• TCM visits catch medication errors, missed referrals, and incomplete discharge instructions

• Monitors your EHR's ADT feed for hospital and SNF discharge events in real time
• Fires immediate alert — flags 2-day contact window and 7/14-day visit deadline
• Sends automated SMS to patient within the contact window
• Tracks visit completion and billing eligibility
• Logs captured TCM revenue to Realized Revenue dashboard

When a patient no-shows, the slot is gone — but the revenue isn't if you reach out fast. Alema fires a recovery SMS automatically two hours after a missed appointment, before the patient has a chance to forget the practice exists. Most no-shows are recoverable. Most practices never try.

• The average primary care practice loses 15-25% of scheduled revenue to no-shows
• Recovery SMS sent within hours converts at significantly higher rates than next-day calls
• Front desk staff are too busy with check-ins to chase no-shows during business hours
• Auto-outreach handles the awkward part — patients reply to a friendly SMS more readily than a phone call

• Patients who no-show often had a real reason — and appreciate a low-friction way to reschedule
• Faster rescheduling means fewer gaps in continuity of care
• Reduces the shame spiral of missed appointments leading to disengagement

• Detects no-show status from EHR appointment status updates
• Sends recovery SMS 2 hours after the missed appointment
• Resends once after 3 days if no response, then closes the loop
• Tracks rebookings and attributes recovered revenue automatically
• Logs captured recovery revenue to Realized Revenue dashboard

The average primary care panel has hundreds of patients who haven't been seen in 18+ months. They're still on the books, still likely covered, and many are one SMS away from rebooking. Alema identifies every inactive patient, scores reactivation likelihood by payer and history, and sends low-friction SMS outreach in sequence — completely hands-off for staff.

• Reactivating 5% of an inactive 500-patient cohort = ~$3,750 in immediate visits plus downstream chronic care
• Most practices have no system for re-engaging patients who quietly drift away
• Inactive patient outreach was historically too time-consuming to be cost-effective — automation changes the math
• Reactivated patients become long-tail recurring revenue, not one-time visits

• Many inactive patients drifted away due to life events, not dissatisfaction — they appreciate the nudge
• Catching missed annual exams and screenings improves long-term outcomes
• Re-engaging patients before they develop avoidable conditions reduces downstream costs for them and the system

• Identifies every patient with no encounter in the past 18+ months
• Sends initial reactivation SMS in low-volume batches to avoid scheduling overload
• Resends once after 7 days if no response, then marks opted-out after 2 ignored attempts
• Tracks rebookings and attributes reactivation revenue automatically
• Logs captured reactivation revenue to Realized Revenue dashboard