For medical providers, institutions & ACOs
Transforming practices for better quality, better outcomes, and better financial performance.
Value-based care isn’t coming. It’s here. And the practices that thrive will be the ones whose operations, data, and care teams are aligned to it.
Connecting Data. Transforming Care Delivery.
The landscape
Value-based care isn’t coming. It’s here.
Quality
Quality under pressure
HEDIS and Star measures directly drive bonuses, withholds, and network standing — yet care gaps stay open because workflows never close them.
Risk
Risk capture left behind
Incomplete HCC documentation and coding means RAF scores that understate patient complexity — and revenue that understates the work you do.
Utilization
Utilization draining margins
Avoidable ED visits and readmissions penalize both outcomes and shared-savings performance, visit after visit.
Data
Data without direction
Quality metrics, compliance requirements, and operational data sit untouched — not because no one cares, but because no one translated it into action.
What we do
Four service pillars. One connected strategy.
Practice Transformation & Quality Improvement
HEDIS and Star measures, care gap closure, AWV campaigns and care team redesign.
Learn moreRisk Adjustment & Coding Optimization
CMS-HCC V28 risk capture: prospective review, retrospective audits and provider education.
Learn moreCDI Review & Coding
Clinical documentation integrity reviews, coding accuracy audits and query workflows.
Learn moreComplex Care & High-Utilizer Management
Post-discharge outreach, TCM, readmission and avoidable ED reduction.
Learn moreACO & Value-Based Performance Enablement
Tie quality, risk and utilization work to Stars, withholds and shared savings.
Learn moreEHR Enhancement & Optimization
Templates, macros, alerts, order sets, education and registry reports that capture the work.
Learn more
CMS program design
Programs designed, launched and run inside your practice
- Advanced Primary Care Management (APCM)G0556–G0558 monthly care management, levels by complexity.
- Chronic & Principal Care Management (CCM / PCM)Care plans, monthly time-based care management and documentation.
- Transitional Care Management (TCM)Two-business-day contact and 7/14-day face-to-face after discharge.
- Annual Wellness Visits (AWV)Visit design, campaigns and the risk and quality capture an AWV enables.
- Remote Monitoring (RPM, RTM + CGM)Device programs for hypertension, heart failure and diabetes.
- Behavioral Health Integration (BHI / CoCM)Screening, warm handoffs and collaborative care billing.
- MIPS & Quality Payment ProgramMeasure selection, data completeness and submission readiness.
- ACO Programs (MSSP, ACO REACH, LEAD)Quality reporting, benchmarks and participant readiness.
- Nursing Home & Post-Acute QualityFive-Star quality measures, QRP, SNF VBP and hospitalization reduction.
Our framework
Access. Design. Execute. Monitor.
- Access
Connect and diagnose through data
We build shared insight from your quality, risk, and utilization data — and target the highest-impact gaps first.
Gate: Signed baseline
- Design
Align people, then redesign workflows
Structured, trust-building conversations with your practice reveal operational breakdowns and guide targeted redesign.
Gate: Signed build plan
- Execute
Pilot, shadow, and hardwire reliability
We drive workflow redesign with your team — then pilot and shadow it in real conditions to validate feasibility and strengthen adoption.
Gate: Release acceptance
- Monitor
Measure, report, and loop back
KPI tracking and provider-level reporting close the loop — feeding results back into the data for sustained improvement.
Gate: Renewal or handoff
↻ A continuous loop: Data → Conversations → Workflow Assessment → Redesign → Pilot → Reliability → back to Data. The gate between phases is a signed artifact, not a status meeting — nothing is built until the baseline is signed.
How you benefit
One engagement. Three kinds of return.
Clinical
- Care gaps closed across preventive, chronic & behavioral health
- Better diabetes, blood pressure & screening performance
- Coordinated support for complex, high-need patients
- Fewer avoidable ED visits and readmissions
Operational
- Workflows redesigned around how your team actually works
- Care team roles optimized — everyone at top of license
- Population health technology configured and actually used
- Documentation and audit completion strengthened
Financial
- Star Rating bonus uplift & quality withhold recovery
- Risk adjustment revenue that reflects true complexity
- Billable CCM / AWV / TCM services captured
- Utilization savings that protect shared savings
Our story · Clinician-led
It started with what we couldn’t ignore.
Providers stretched too thin. Workflows creating more confusion than care. Quality metrics, compliance requirements, and operational data sitting untouched — not because no one cared, but because no one had translated it into action.
So we asked a simple but powerful question: what if someone helped practices see what they couldn’t see alone? We learned to read data the way clinicians read vital signs, then stepped into struggling programs and rebuilt them from the inside out.
About Nelangie CaresHospitalizations down
Outcomes up
Deficits reversed
Behind every number that moved — a patient who received better care because of it.
Results at a glance
Numbers from the work, not from a brochure
25%
PMPM improvement and 25% MLR reduction under ACO/MSSP and value-based contracts
Multi-site provider network
40%
Reduction in hospitalizations and readmissions after CCM and RPM redesign
30+ provider medical group
10–15%
Quality-measure improvement across a 26-practice portfolio, plus +15% operational efficiency
Public-health transformation program
+30%
Program revenue and 30% fewer readmissions from a from-zero CCM, RPM and preventive launch
Care-management company
15%
Fewer EDPS rejects through submission oversight and process documentation
Payer operations
40%
Reduction in care gaps and 10% fewer readmissions for a high-risk population
Care transitions
20
Person care-coordination team hired, trained and led; +20% care-management revenue
CCM and RPM operations
12%
Fewer avoidable ADT events and +5% member incentive revenue
Multi-site provider network
Figures are from prior engagements and employment. Every organization is different; projections for a new client are modeled from that client's own data before anything is built.
Read the full engagements: the situation, what was done, what changed
What success looks like
Plans built around measurable goals
Targeted quality measures
Reaching goal on the HEDIS / Star measures that drive your contracts
AWV completion
Increasing Annual Wellness Visit completion across the panel
CCM enrollment
Growing Chronic Care Management enrollment among eligible patients
RAF score accuracy
Raising risk capture accuracy — not inflating it
Readmissions
Reducing readmissions through TCM and structured follow-up
Avoidable ED visits
Reducing avoidable ED utilization per 1,000
Documentation & audits
Strengthening documentation and audit completion rates
Financial linkage
Connecting every clinical gain to bonus, withhold, revenue, or savings
Why Nelangie Cares
What makes us different
Clinician-trained eyes on your data
We read data the way clinicians read vital signs — with precision, urgency, and a sense of what the numbers are quietly trying to say.
Hands-on, inside your workflows
We don’t consult from a distance. We sit with your teams, redesign workflows together, pilot them, and shadow them until they hold.
Every metric tied to money
Quality, risk, and utilization improvements are explicitly linked to bonus uplift, withhold recovery, revenue, and savings.
Built to outlast the engagement
The loop — data to redesign to reliability and back — is designed to keep improving after we step back.
Who we serve
Built for providers, institutions & ACOs
- Physician practicesIndependent and group practices seeking stronger quality performance, risk capture, and operational efficiency.Solo & small practices · Multi-provider groups · Primary care & specialty
- Large groups & MSOsMulti-site organizations that need one standard of documentation and a repeatable rollout across every site.Multi-site medical groups · Management services organizations
- FQHCs & community healthHealth centers reporting to UDS, MIPS, payers and grants at once, usually with one quality team.Federally qualified health centers · Community health centers
- Institutions & health systemsOrganizations aligning clinical operations, care management, and technology with value-based contracts.Clinically integrated networks · Hospital-affiliated practices · Care management programs
- ACOs & risk-bearing entitiesAccountable care organizations pursuing shared savings through measurable quality and utilization performance.MSSP, ACO REACH & LEAD · Medicare Advantage networks · Value-based contract holders
- Nursing homes & post-acuteFacilities improving CMS quality measures and reducing avoidable hospitalizations and readmissions.Skilled nursing facilities · Five-Star, SNF QRP & SNF VBP · Care transitions
Ways to work with us
From one conversation to a managed program
Consultation
A private 60-minute consultation about your organization, your goals and where the pressure is coming from.
Assessment & roadmap
A baseline audit of your data, workflows, measure performance and capture rates — and a tailored roadmap ranked by impact.
Design & implementation project
We redesign workflows and build inside your own systems with your team, then pilot and shadow until the new way holds.
Ongoing support
A retainer for KPI tracking, provider-level reporting, refresher training and periodic reviews after the build.
Managed program operations
We run CMS care-management programs alongside your staff — enrollment, monthly touches, documentation and clean claims.
Start anywhere; most organizations begin with a consultation or an assessment. How service levels work
Ready to simplify the complex?
Are you ready to transform care delivery?
Let’s build a strategy for better outcomes, stronger workflows, and improved value-based performance — starting with a conversation.