Ursa Solutions

Operationalize the Last Mile of Value-Based Care.

Move from opportunity identification to measurable action.

Identifying opportunities is only the beginning. To improve performance in value-based care, organizations need a practical way to turn those opportunities into targeted interventions, operational workflows, and measurable results.

Ursa Solutions are topic-specific software applications designed to help healthcare organizations act on high-value opportunities surfaced through Ursa Compass, the Ursa Core Data Model, or their own analytics. Each Solution combines evidence-based clinical logic, patient targeting, workflow-ready outputs, and performance monitoring to help teams move from insight to action.

The Problem

Insights alone do not move the needle.

Healthcare organizations have more data than ever. They can identify cost drivers, surface performance gaps, and compare variation across markets, providers, and populations.

But the hardest part comes next:

Which patients should be targeted?

Which intervention is most likely to matter?

Which providers or practices need support?

Which operational steps should happen first?

How will teams know if the intervention is working?

Without a clear path from analytics to execution, even the best opportunities can stall.

Ursa Solutions help close that gap.

What Ursa Solutions Do

Topic-specific software for evidence-based intervention execution.

Ursa Solutions translate high-priority value-based care opportunities into operationally actionable programs.

Each Solution includes:

  • Defined patient registries and eligibility logic
  • Evidence-based measures and code packs
  • Patient worklists for targeted outreach
  • Provider, practice, market, and partner views
  • Leading indicators for in-year performance tracking
  • Outcome monitoring across utilization, cost, and adoption
  • Customization to reflect each organization’s clinical pathways and operating model

Ursa Solutions are ready out of the box, but flexible enough to adapt to your data, workflows, populations, and performance priorities.

From Opportunity to Action

A repeatable model for value capture.

Ursa Solutions help organizations operationalize interventions through a structured process:

1

Identify the Opportunity: Use Compass, Ursa analytics, or existing performance data to identify a high-value clinical or financial opportunity.

2

Define the Target Population: Create precise registries using claims, pharmacy, clinical, eligibility, and other available data sources.

3

Prioritize Patients and Providers: Segment patients, providers, practices, partners, or markets based on clinical relevance, financial opportunity, and operational feasibility.

4

Deploy Worklists and Workflows: Generate targeted lists and intervention logic that care teams, clinical operations teams, or partner organizations can use to take action.

5

Monitor Leading Indicators: Track adoption, engagement, patient movement, provider variation, and early signals of progress.

6

Measure Outcomes: Evaluate whether the intervention is improving utilization, spend, quality, clinical performance, and value-based care results.

Designed for Within-Year Impact

Focused, practical, and measurable.

Ursa Solutions are built around evidence-based levers that can be operationalized in the near term. Rather than creating another layer of reporting, Solutions are designed to help teams act quickly, monitor progress, and course-correct while there is still time to affect performance.

Ursa Solutions Support:

Spend Surveillance

Monitor PMPM, admissions, emergency department use, post-acute care, DME, imaging, pharmacy, and other cost drivers with trend, seasonal, market, provider group, and facility-level context.

Risk Adjustment and Groupers

Use risk-adjusted utilization, service-line groupers, code-based groupers, patient cohorts, and peer benchmarks to understand where variation is meaningful and where action is warranted.

Intervention Monitoring

Track adoption, leading indicators, utilization, spend, segmentation, and monthly performance improvement scorecards.

Available Ursa Solutions

Guideline-Directed Medication Therapy for Heart Failure

Improve GDMT adherence and reduce avoidable utilization.

The GDMT Solution helps organizations identify heart failure patients who may benefit from improved adherence to guideline-directed medication therapy and then operationalize targeted interventions to improve performance.

The Solution combines claims, pharmacy, and optional clinical data to:

  • Build a precise heart failure registry
  • Identify patients who qualify for GDMT
  • Measure coverage across the four medication pillars
  • Track Proportion of Days Covered across medication classes
  • Identify medication synchronization opportunities
  • Surface lower-cost clinically equivalent medication alternatives
  • Monitor outpatient cardiology engagement
  • Highlight provider, practice, partner, and market variation

Targeted improvement levers include reducing pharmacy trips, increasing days supply where appropriate, aligning refills through medication synchronization, expanding home delivery, lowering medication cost burden, delivering provider education, and engaging patients below adherence thresholds.

End of Life and Meaningful Hospice Length of Stay

Support goal-concordant care and reduce avoidable acute utilization near end of life.

The End of Life Solution helps organizations identify opportunities to improve hospice utilization, increase meaningful hospice length of stay, strengthen advance care planning, and reduce avoidable inpatient utilization in the last 30 days of life.

The Solution supports:

  • Decedent cohort identification with validated date of death
  • CMS hospice episode tracking
  • Hospice utilization and length-of-stay measurement
  • Identification of late referrals and patients with no hospice
  • Last-30-days utilization and cost analysis
  • Advance care planning measurement
  • Provider, practice, payor, ACO, state, and geographic variation analysis
  • Hospice and palliative partner performance monitoring

Targeted improvement levers include earlier hospice referrals, advance care planning outreach, hospice and palliative partnership workflows, after-hours symptom management, provider education, and patient and family engagement.

CKD Management and Dialysis Start Optimization

Slow progression, reduce avoidable utilization, and support better dialysis planning.

The CKD Solution helps organizations improve chronic kidney disease management and identify opportunities to reduce avoidable utilization, improve evidence-based care, and support non-emergent dialysis starts.

The Solution supports:

The Solution Supports:

Stage 4 and Stage 5 CKD registries

Claims-based CKD identification with optional lab-based staging

eGFR and uACR testing surveillance

Blood pressure and HbA1c control tracking

Medication adherence and evidence-based medication use

Inpatient utilization and excess PMPM measurement

PCP and nephrology visit cadence tracking

Medication synchronization and lower-cost alternative opportunities

Dialysis start planning and optimal start measurement

Targeted improvement levers include improving visit cadence, increasing lab surveillance, supporting medication adherence, reducing cost burden, narrowing provider variation, and preparing patients earlier for chronic dialysis.

Built on the Ursa Platform

Powered by trusted data. Connected to intelligent prioritization.

Ursa Solutions are most powerful when paired with the broader Ursa platform.

The Ursa Core Data Model provides the trusted healthcare data foundation. Data Managed Services ensures that data remains accurate, complete, timely, and reliable. Ursa Compass helps identify and prioritize high-value opportunities. Ursa Solutions then operationalize the last mile by turning those opportunities into measurable interventions.

Together, they create a connected path:

Trusted Data

Trusted Data

Prioritized Opportunity

Targeted Action

Measured Results

Why

Healthcare Organizations Choose Ursa Solutions

Evidence-Based
Solutions are grounded in clinical guidelines, healthcare data logic, and value-based care performance priorities.

Implementation-Ready
Measure definitions, code packs, patient registries, worklists, and monitoring views are designed to accelerate deployment.

Operationally Actionable
Solutions move beyond insight by identifying who to target, what to do, and how to monitor progress.

Customizable
Each Solution can be adapted to reflect your organization’s clinical pathways, data availability, market structure, and operating model.

Measurable
Track leading indicators, adoption, utilization, cost, and outcomes over time.

Scalable
Start with GDMT, End of Life, or CKD, and expand as additional Solutions become available.

Built for the Teams Driving Value-Based Care

Clinical Leaders

Define evidence-based pathways and understand which patients and providers need attention.

Operations Teams

Turn analytic opportunities into workflows, outreach lists, partner coordination, and performance improvement routines.

Finance and Performance Teams

Quantify opportunity size, monitor spend, track leading indicators, and evaluate impact.

Care Management Teams

Prioritize patients for outreach and coordinate interventions more efficiently.

Provider Enablement Teams

Identify variation, support education, and align practices around measurable improvement.

Close the gap between insight and impact.

Ursa Solutions help value-based care organizations turn identified opportunities into targeted interventions, operational workflows, and measurable performance improvement.