Outcomes & engagement

Cascadia Mutual Health · PPO. Visit, pharmacy, and follow-up signals roll up for care management - not adjudicated claims.

Demo data

Workflow (this role)

Events from finalize, coverage, and handoffs appear here — same feed as the workflow dock, filtered for this screen.

No role-specific events yet. Finalize an encounter on Provider (after Start encounter), then return here.

Prior authorization queue (demo)

Pending cases also auto-adjudicate in the background via payer policy agents (see workflow dock). Use buttons to override or teach denial / more-info paths.

No pending PA cases. Finalize a visit with a specialty drug (e.g. Ozempic, Humira) or step-therapy-blocked line to create one.

Value-based style score

Cohort average - blends closure, visit stage, Rx pickup, tasks, and adherence.

Prescription pickup

0/2

Rx marked picked up in the closed loop (demo pharmacy + patient).

Follow-up completion

0/2

Tasks marked complete across all members in the snapshot.

Adherence checks

0/2

Self-report style check-ins completed vs scheduled.

Member-level loop status

Patient care completion, fulfillment, and engagement - normalized for reporting conversations.

Member	Care path	Pickup	Follow-ups	Adherence	VBC score
Thaddeus Wainwright	x 18% intake	x 5% draft	0/1 x 0%	0/1 x 0%	8
Amara Okafor	x 18% intake	x 0% No prescription on file	0/0 x 100%	0/0 x 100%	34
Viktor Petrov	x 18% intake	x 0% No prescription on file	0/0 x 100%	0/0 x 100%	34
Sofia Nakamura	x 18% intake	x 0% No prescription on file	0/0 x 100%	0/0 x 100%	34
Darius Mensah	x 78% patient followup	x 72% ready for pickup	0/1 x 0%	0/1 x 0%	50

Missed-care alerts

Rule-based flags from overdue tasks, adherence windows, and open pickups - not clinical decision support.

Overdue check-in
Thaddeus Wainwright · Reminder aligns with post-visit hypertension management.
Overdue check-in
Darius Mensah · Used to demo adherence_missed escalation.
Follow-up past due
Darius Mensah · Pick up atorvastatin
Pickup ready
Darius Mensah · Medication is ready for pickup — confirm patient or pharmacy handoff.

1 high-priority item in this list.

Timeline of completed actions

Workflow + patient events newest first - what already happened in the closed loop.

No completed events yet. Finalize a visit, move the prescription, or use the patient app to populate this feed.

Administrative touchpoint (demo)

Mark paid / approved closes the claim stub and syncs the linked e-Rx to the Pharmacy incoming queue when the order was still queued. Open Pharmacy to fill - or finalize on Provider first if the Rx is still draft.

Member	Claim	Agent run	Amount	Action
No claim stubs yet. Finalize a visit on Provider (after selecting a member in the header) to create a payer row for that encounter.