Burse™ Population Health Platform

One Platform for Managing Risk, Care, and Quality.

Burse™ brings population intelligence, member-level clinical context, prioritization, workflow, engagement, and measurable resolution together in one operating layer for health plans and risk-bearing provider organizations.

Risk Adjustment + Care Management + Quality & Care Gaps
Shared member-level intelligence and workflow
From opportunity identification through measurable resolution
Shared operating model
From population signal to measurable resolution.
Population
Opportunity
Action
Resolution
One member-level operating model across risk, care, and quality.
Risk Adjustment
Find conditions • documentation integrity • resolution
Care Management
Prioritize • member-specific goals • intake/follow-up • measurable outcomes
Quality & Care Gaps
Prospective opportunities • configurable timing • outreach • verified closure
Operating model

From population signal to accountable action.

Across every Burse™ solution, teams follow the same operating pattern: identify meaningful opportunities, prioritize the work, act with member-level context, follow up when needed, and track the opportunity through resolution.

1
Identify

Surface actionable member-level opportunities from longitudinal data.

2
Prioritize

Focus teams on the members and work that need attention now.

3
Act

Give the right user the context, member-specific plan, ownership, and next action needed to move work forward.

4
Follow

Bring reassessment, outreach, or verification back when time passes or a future event occurs.

5
Resolve

Track work completed, outcome measures, closure evidence, and what remains unresolved.

Shared platform capabilities

The intelligence and workflow layer beneath every Burse™ solution.

The solution changes, but the platform foundation does not: understand the population, understand the member, prioritize the work, coordinate action, and determine whether the opportunity was actually resolved.

Population Intelligence

Turn longitudinal claims and clinical information into a population-level view of where attention may be needed.

Surface member-level opportunities
Segment actionable populations
Bring multiple signals into one operating view
Clinical Intelligence

Give users the member-level context behind an opportunity before they act.

Relevant conditions, medications, utilization, and history
Clinical signals and supporting evidence
Why the opportunity was identified
Prioritization

Help teams focus on actionable work rather than another undifferentiated list of members or findings.

Clinical significance and urgency
Opportunity and workflow status
Time-sensitive work and next actions
Workflow & Task Management

Turn opportunities into owned, member-specific work with clear goals, next steps, due dates, follow-up, and resolution states.

Role-specific worklists
Member-specific goals, Intake, and Follow-Up work
Ownership, due dates, status, and escalation
Member & Care Team Engagement

Keep communication with members, authorized caregivers, and provider teams connected to the work needed to move the opportunity forward.

Member and authorized caregiver outreach
Consent-aware SMS and communication history where enabled
Secure PCP and specialist messaging integrated with provider EHR workflows
Measurement & Resolution

Separate work completed from the measure or evidence that shows whether the intended outcome was actually achieved.

Task completion and activity history
Goal measures and closure evidence
Open, active, resolved, and unresolved work
Solutions

Three value-based care workflows on one shared platform.

Use Burse™ for a focused workflow or bring risk, care, and quality into a more consistent operating model across the organization.

Built for value-based care

For organizations accountable for both outcomes and execution.

Burse™ gives health plans and risk-bearing provider organizations a common operating layer for turning member-level opportunities into coordinated work and measurable resolution.

Health Plans

Create a more accountable operating layer across value-based care.

Give internal teams a common way to move from member-level opportunity to owned action, follow-up, and measurable resolution—without forcing every program into the same rigid workflow.

Risk-Bearing Providers

Bring clinical context and workflow closer to the teams doing the work.

Support population health, care management, quality, and risk adjustment teams with clearer member context, prioritized work, and visible follow-through.

Request a demo

See how Burse™ brings risk, care, and quality workflows together.

We can walk through the shared platform and focus the demonstration on the solution areas most relevant to your organization.

See the shared platform in action, or explore the workflows most relevant to your team.