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Who We Serve

For organizations accountable for care and cost.

Pick your organization to see the measure you answer for and how AI agents and your team improve it.

A nurse talking with an older woman in a clinic exam room

Quality gap closed with its source

01Health Plans

Raise your Star Ratings
and get risk right for every member.

Fold connects member data to discharge follow-up, gap closure and risk and utilization reviews. AI agents prepare the work, and your clinicians and reviewers decide.

Measured onStar RatingsRisk adjustmentMLR and medical cost

Who signs off

  • M. SantosQuality evidence
  • A. Brooks, CRCCoding review

Start with

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Care coordinators at shared desks in a medical services office

Practice call capacity rebalanced

02MSOs, ACOs, IPAs and medical groups

Outperform your risk contract.

Fold connects your practices and their EHRs in one place. AI agents prepare discharge follow-up and wellness visits, and your team finishes them.

Measured onShared savingsQuality incentivesAccurate risk scores

Who signs off

  • J. Reyes, RNTransitions
  • M. SantosCare coordination

Start with

See Provider Networks
A nurse checking an older woman’s blood pressure on her sofa at home

Discharge follow-up for TCM

03Health Systems

Manage readmission risk
and episode cost.

Utilization review and follow-up planning start at admission. After a nurse approves, Fold writes the contact note back to your EHR.

Measured onReadmissionsEpisode costEligible TCM revenue

Who signs off

  • J. Reyes, RNTCM contact
  • Dr. R. HayesFollow-up visit

Start with

See Health Systems

Each leader starts from the number they answer for.

Find your role and the page that answers your question.

  • CFO, health plan

    Where can medical cost move this year?

    Discharges, rising-risk members and utilization reviews, each with an owner.

    Medical cost

  • CEO or COO, MSO

    Which practices put shared savings at risk?

    Each measure against target by practice, with the members behind every open gap.

    Provider Networks

  • VP Quality and Stars

    Which gaps close before year end?

    Outside evidence matched to the open gap, source attached.

    Care Gap Closure

  • Director of care management

    Was every discharge reached in time?

    Each eligible discharge gets an owner and a contact deadline.

    Care Management

  • CMIO or CIO

    How does Fold fit our EHR and governance?

    In your EHR or through APIs, with every action logged.

    Deployment options

Not sure which page fits?

We are an IPA or a medical group. Which page fits?

Provider Networks, whether you run one practice group or operations for many.

We run a health plan and a medical group. Where do we start?

Health Plans for quality, risk and member outreach. Provider Networks for the work in your practices.

We are an ACO in MSSP. Where do we start?

Start with discharge follow-up and wellness visits across your practices. See Provider Networks.

Do we have to replace our EHR?

No. Fold runs inside supported EHRs, under your brand, or through APIs. Compare options.

Can we start with one workflow?

Yes. Start with the workflow that matters most, then add the next one on the same platform.

Who decides when an AI agent acts?

Your clinical and operations leads set the permissions, and a named clinical lead approves each version. A named person makes every clinical decision.

Start with the workflow
your contract pays on.

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