Itera Health + Amavita Health

Next-Gen Heart Failure Risk & Care Management Program

A strategic partnership combining clinical expertise with AI-powered technology to deliver value-based outcomes and transform heart failure care delivery.

Why This Matters Now

Understanding the critical challenges and opportunities in heart failure care management

The Problem

Heart failure affects 6.2 million Americans with 30-day readmission rates reaching 25%. Traditional care models struggle with:

  • •Limited risk stratification capabilities
  • •Reactive rather than proactive interventions
  • •Poor care coordination between episodes
  • •Inconsistent patient engagement

The Opportunity

AI-powered risk prediction combined with personalized care protocols can dramatically improve outcomes:

  • ✓40% reduction in readmissions possible
  • ✓$15,000+ savings per prevented readmission
  • ✓Improved quality scores and star ratings
  • ✓Enhanced patient satisfaction and adherence

A Modern Model for Heart Failure Care

Four foundational pillars that transform traditional heart failure management

Physician-Centered Design

Built by cardiologists for seamless integration into existing workflows

Risk-Stratified Precision Care

AI-powered risk assessment drives personalized intervention protocols

Agent-Augmented Care Ops

Smart automation handles routine tasks while preserving human touch

Connected Engagement Loop

Continuous monitoring creates feedback loops for optimal outcomes

Dynamic Risk Tiering

Personalized care protocols based on AI-powered risk assessment

Very High Risk Patients

Risk Criteria:
  • •Recent hospitalization (<30 days)
  • •EF <30% with symptoms
  • •Multiple comorbidities
  • •Poor medication adherence
Key Interventions:
  • ✓Daily vitals monitoring
  • ✓Weekly care coordinator calls
  • ✓Rapid medication optimization
  • ✓Emergency action plan activation

Outcomes That Matter

Measurable results from our pilot implementation demonstrate real-world impact

30-Day Readmission Rate

Patient Adherence to Vitals Capture

Key Performance Highlights

✓2x Improvement in PAM Score
✓Significant HEDIS Gains (CBP, SPC, MRP, TRC)
✓Lower Acute Utilization
✓Enhanced Provider Satisfaction
✓Improved Quality Star Ratings

Partnership That Delivers

Comprehensive value creation and seamless implementation for sustainable outcomes

Value for Payers

↓25% reduction in 30-day readmissions
↑Improved quality scores and star ratings
↓Lower total cost of care
↑Enhanced member engagement
↓Reduced administrative burden

30-Day Implementation Plan

1

Setup & Design

Configure risk models and care protocols

2

Integration & Stratification

Connect data sources and stratify patient populations

3

Onboarding & Training

Train care teams and onboard initial patient cohorts

4

Go-Live

Launch full program with continuous monitoring

Cardiology Expertise + Digital Innovation = Real Results

Let's co-own the results for your heart failure population. Let's demonstrate improved outcomes, reduce spend, and partner for true value-based success.