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Clarion

Predictive risk screening and audit compliance for primary care

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Primary care practices lose $120k annually in uncollected performance incentives because busy clinicians miss subtle pre-diabetic biomarker shifts buried across fragmented medical charts.

Clarion operates directly inside existing clinic infrastructure to continuously audit patient lab trends against updated clinical guidelines. It generates clear, single-page risk assessments that equip physicians with instant, reimbursable care pathways during routine visits. Practice owners achieve complete clinical compliance while protecting patient privacy and eliminating manual chart reviews.

Clarion is building the definitive infrastructure for zero-delay preventative clinical intelligence across global healthcare systems.

COMMENTS — Community Discussion
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Problem
  • When I audit patient panels for quarterly quality reports, I want to identify high-risk metabolic patients early, but manual record reviews take over 12 hours per week and miss subtle biomarker trends.
  • Why Now: CMS quality measure mandates now tie up to 15% of clinical reimbursement directly to proactive metabolic intervention and documented guideline compliance.
  • When I submit value-based reimbursement claims, I want to prove guideline-grounded care pathways, but missing clinical citations cause 22% of claims to be delayed or denied.
  • When I evaluate cloud software for clinical risk analysis, I want to adopt modern predictive automation, but strict local privacy regulations prevent sending patient EHR data to external third-party cloud servers.
  • Existing Alternatives: Manual chart digging by clinical nurses, basic EHR static keyword alerts that cause severe notification fatigue, and costly annual external clinical audit consultants.
Solution
  • High-Level Concept: On-premise clinical decision engine for early metabolic risk screening and automated chart auditing.
  • Local zero-trust database connector that continuously analyzes lab values and clinical notes without cloud exposure.
  • Deterministic ADA guideline mapping engine that generates single-page, auditable risk summaries and billing codes.
  • Automated EHR workflow widget that inserts one-click intervention pathways directly into physician visit notes.
Distribution
  • Early Adopters: Medical Directors at Accountable Care Organizations managing 10k+ patient lives under value-based care contracts.
  • Direct enterprise outreach to Regional Medical Association executives through local clinical governance dinners.
  • Integration partnerships with regional EHR resellers who bundle local security software into independent clinic packages.
  • Targeted executive briefings sent to ACO Quality Managers highlighting missed HEDIS incentive benchmarks.
Pricing
  • Value Ladder: Tier 1 Single Practice at $500 per provider monthly
  • Tier 2 Multi-site ACO at $1.2k per site monthly
  • Enterprise Custom at $50k annual fixed fee.
  • One Metric That Matters [OMTM]: Percentage of identified at-risk metabolic patients converted to active, reimbursed preventative care pathways.
  • Market Sizing: 18k independent ACO-affiliated primary care clinics in the US at $12k annual subscription equals $216M SAM, targeting 150 clinics in year 1 for $1.8M ARR.
Scale Costs
  • On-site security compliance validation, HIPAA liability insurance policies, and SOC2 Type II audit maintenance.
  • Dedicated clinical informatics research team to continuously validate and update medical guideline knowledge bases.
  • Custom FHIR and HL7 integration engineering support for legacy local hospital EHR systems.
Expert Opinions
Avg: 9.5
  • Chief Medical Officer and ACO Operations Strategist
    9.6
  • Clinical Data Security Architect
    9.4
  • Health System Revenue Cycle Director
    9.5
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