For MSOs, ACOs and IPAs
Fold runs as one layer across every practice and EHR in your network. AI agents prepare the quality, risk adjustment and care management work, and your central team completes it.
Medical groups and FQHCs
AI agents prepare outreach, wellness visits and chart work. Staff finish it instead of assembling it, and patients stay with their practice.
Every practice, in one network view
Four EHRs and their spreadsheets become one network view. Practice B trails on BP control, so Robert Washington’s recheck goes to Jordan Reyes, RN.
Network quality by practice
AI agents do the routine outreach. Your team makes the decisions.
Each quarter, your team reviews the MSSP assignment changes before Fold routes them to each practice’s EHR.
MSSP quarterly assignment review
Each practice runs its own staff and EHR, and that is where contract performance slips.
With FoldADT, claims, labs and notes in one record.
V28 is fully phased in and RADV audits reach every eligible Medicare Advantage contract.
With FoldSource evidence on every closed item.
With FoldAI agents prepare the steps. Named staff decide.
One view shows claim lag, IBNR and progress to target for every contract, with the date each report runs through. New reports start from a template.
Claim lag
Claims received, by months after the date of service
IBNR
Reported claims and the estimate not yet reported, by month of service
ReportedEstimated, not yet reported
Progress to target
Medical cost against target, by contract, this period
Spent so farTarget
All programs
Data through Sep 30 · every report shows the period it is built on
Each employer gets the same care priced two ways: at market and at your cost. The gap, by category, is what they saved.
Their own login. Sponsors check it any time, not only at renewal.
A regional school district412 members · Jan to Oct 2026
Saved against market prices41%
Same care at market prices
100%
Primary care visitsAt your price, not market
−13%
Labs and imagingDone in house or at contract rates
−9%
PrescriptionsDispensed at cost
−7%
ER and urgent care avoidedHandled by the practice instead
−8%
Care by text, chat and callInstead of a visit
−4%
What it cost here
59%
Priced with your own cost templates. Shown as a share of market cost.
AI agents prepare Robert’s discharge as one case. Jordan Reyes, RN calls him the next day, and Robert keeps his day 7 visit.
One discharge, from alert to day 7 visit
Contact owner Jordan Reyes, RNContact made by Jordan Reyes, RNContact within 2 business days
Case study · A California MSO
Care gaps completed in Fold, then closed by the quality measure engine, same period. Two measures excluded; see the case study.
Get the case studyMany AI tools do one step and hand the rest back to your team. Fold finishes the workflow within your protocols, including the booking and the chart write back. Your clinicians sign.
No. Each EHR stays the system of record. Fold shows prepared work inside the EHR where the connection allows, or in a Fold view limited to that practice.
Through HL7 v2, FHIR R4, C-CDA and flat files. We confirm the connection for each practice before launch.
AI agents act within the protocols your leads approve. Named clinicians and coders on your team make clinical and coding decisions, and Fold logs every action.
A workflow owner, a clinical lead and an IT contact. We review finished work against your baseline each week.
Case studies
Provider networks
Primary care