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Automated pre-visit preparation reduces paperwork so clinicians can focus on planning and patient conversation.
Streamlined outreach and scheduling workflows make it easier for patients to complete their Annual Wellness Visits.
Structured documentation and guided assessments support clearer condition capture and reliable population risk profiles.
Patients often confuse the AWV with a physical exam, leading to disappointment and low uptake. When the experience feels transactional, patients disengage, losing opportunities for early risk detection.
With blueBriX, AWV care gap optimization starts upstream. The population health engine automatically flags AWV-eligible beneficiaries and generates targeted outreach lists. Patients receive tailored reminders (via text, email, or portal notifications) that clearly explain what the AWV is, what it is not, and why it matters for their long-term health. Scheduling is streamlined to a tap or a short call, and eligibility tracking moves from manual spreadsheets to automated workflows. This combination of eligibility logic and clear communication helps close care gaps before they widen.
Know moreIn the traditional model, patients fill out paper forms in the waiting room while providers scramble across multiple systems to assemble history, medications, and recent events. The visit time is consumed by data collection and manual EHR entry, leaving little room for a strategic conversation about goals, risks, or prevention. Critical information from recent specialist visits, emergency encounters, or social risk factors may never surface, so the AWV underperforms its potential.
blueBriX shifts most of the information gathering to before the visit. Patients complete a guided Health Risk Assessment at home through a secure portal, updating medical and family history, medication lists, and functional status. At the same time, the platform can pull data from EHRs, claims, pharmacies, and other connected sources into a single unified patient health record. By the time the patient walks into the exam room, the clinician opens one view with vitals, history, risk factors, and care gaps already organized. The visit can then focus on priorities, shared decision-making, and prevention planning instead of paperwork.
Know moreWhen AWVs are rushed or poorly documented, chronic conditions may not be fully recorded or refreshed. This weakens Hierarchical Condition Category (HCC) scores, understates true population risk, and can leave organizations underpaid relative to the complexity of the patients they manage. At the same time, prevention plans may be generic, missing connections between risk factors, screenings, and referrals. The result is both financial leakage and sub-optimal care planning.
Within blueBriX, the AWV workflow is built around the required components: health risk assessment, history review, cognitive and depression screening, functional evaluation, and safety checks. As clinicians move through the visit, they see prompts linked to known or suspected conditions, ensuring that chronic diseases are reviewed and captured accurately. The platform supports creation of a personalized prevention plan that covers recommended screenings, immunizations, and follow-up intervals over the next several years, all tied to the patient’s risk profile. This improves HCC completeness and gives the care team a clearer roadmap for ongoing management.
Know moreWithout integrated follow-through, the Annual Wellness Visit becomes a snapshot instead of a starting point. Orders for scans, referrals to health coaches, or lifestyle recommendations can be hard for patients to track. Missed appointments and uncompleted referrals erode the clinical and financial value of the visit, and patients are left to navigate complex next steps alone.
blueBriX extends the AWV into an ongoing care journey. Once the visit is complete, the patient’s prevention plan, referrals, and goals are available through the engagement app and portal. The platform issues reminders for scheduled screenings, follow-up visits, and coaching sessions, and allows patients to message their care team when questions arise. Care coordinators can see which steps have been completed and which are at risk of falling through, enabling timely outreach. Instead of a single encounter, the AWV becomes the anchor event that structures the patient’s health priorities for the year.
Know moreLearn how industry leaders are adopting this approach
Let's get started!An integrated, blueBriX-enabled AWV strategy delivers measurable value by aligning outreach, documentation, and follow-through on a single platform. blueBriX provides the digital infrastructure to turn a fragmented, checklist-style Annual Wellness Visit into a coordinated experience that starts before the appointment and continues throughout the year. The platform connects care coordination, patient engagement, and population health management so that outreach, documentation, and follow-through all work from the same data foundation.
Automated eligibility checks, outreach, and pre-visit data collection reduce manual work and free staff for higher-value tasks.
Complete AWV documentation improves preventive quality measures and supports more accurate HCC capture.
Proactive screenings, clear communication, and accessible care plans help patients manage conditions earlier and stay engaged.
Higher AWV completion rates, fewer avoidable encounters, and a smoother patient journey contribute to lower costs and better retention.
By grounding the Annual Wellness Visit in integrated care coordination, organizations can move beyond a transactional, form-driven encounter. With blueBriX, the AWV becomes a connected, data-driven touchpoint that supports better outcomes, closes preventive care gaps, and strengthens the economics of value-based care