This report summarizes early findings from real-world deployments of Ursamin, a care coordination platform designed to reduce fragmentation and administrative burden for clinicians, resulting in more effective coordination and continuity of care.
Throughout the pilot period, we implemented Ursamin directly within provider workflows, engaged key stakeholders across the ecosystem—including payers and health systems—and gathered feedback to validate both clinical value and product roadmap direction. The insights captured here reflect not only how Ursamin performs in practice, but where it can drive the most strategic value across the broader care delivery landscape.
The Problem
By 2030, an estimated 85M patients will be living with multiple chronic conditions (PLWMCC).1 This growing trend, seen globally, exacerbates the challenge of fragmented care. To address this, healthcare systems and their key stakeholders must evolve and implement more effective care coordination strategies. Strengthening these efforts is essential to improving outcomes, reducing costs, and adapting to the changing landscape of population health.
Industry Progress
Over the past 12–15 years, the healthcare ecosystem has made meaningful progress in identifying and addressing critical areas for improvement of care coordination:
- Clinical Advancements – Research from institutions such as OSHU and AHRQ, in collaboration with the clinical workforce, has deepened our understanding of the interventions needed to improve outcomes for patients with multiple chronic conditions.
- Payment Models – Industry stakeholders have developed new incentives that encourage providers to prioritize outcome-driven care for these patients.
- Technology – Significant advancements in health IT, data interoperability, and analytics have enabled better care coordination by providing clinicians with more comprehensive, real-time patient data.
Ursamin Pilot Objectives
- Evaluate platform usability and workflow fit within physician practices
- Measure the impact of administrative burden on team capacity and revenue potential
- Understand where and when structured data can have the greatest effect on care delivery
- Capture strategic value for stakeholders beyond the clinic, including payers and health systems
- Inform roadmap decisions and future product development priorities
Key Insights
- Pre-Visit Charting as a Force Multiplier
All sites identified pre-visit charting as the most impactful intervention for care coordination. Optimizing this process generated downstream efficiency across clinical and administrative roles, both inside the practice and to the health system or payer
- Usability Drives Results
Ursamin reduced time spent on data retrieval and organization by over 60%. Even where data access varied, poor usability was the common barrier to coordination.
- Manual Workarounds Significantly Prohibit Coordination Efforts
While EMR data might be present in many scenarios, it lacked context, integration, and visibility. Manual workarounds (e.g., Excel, paper tracking) were standard.
- Clinician Experience and Burnout
Physicians reported 13–16-hour days, often consumed by non-clinical work. Ursamin’s platform applicability to reduce time spent on non-clinical activities measured over 45% of a clinician’s time.
- Impact on High-Risk Patients
Access to structured, real-time data flagged at-risk patients earlier and improved intervention timing. Ursamin captured up to 75% more relevant data at the point of care, finding key care gaps that were missed in traditional data sharing process
- Financial Opportunity
Significant lost revenue opportunities were identified by shifting clinician time from the admin burden to new clinical services focused on chronic care management. One site identified 390 patients eligible for reimbursable care coordination services previously untracked. Across pilot sites, workflow optimization suggested up to $792K in annual productivity and revenue gains per 10-provider team.
Conclusion: Bridging Clinical Workflows and Technology for the Future of Care
The Ursamin pilot demonstrated that solving care coordination isn’t just about making data available — it’s about making it usable, actionable, and integrated into the everyday flow of work.
Across all participating sites, we observed a shared reality: clinicians and care teams are overloaded with fragmented systems, manual processes, and inefficient data access that diminish clinical performance and financial sustainability. Ursamin proved that by streamlining pre-visit planning, automating administrative workflows, and delivering structured, timely data, care teams can reclaim hours of capacity, improve care quality, and uncover new revenue opportunities.
These findings point to immediate improvements in clinic operations and broader ecosystem value, especially for payers and systems focused on managing high-risk populations. As Ursamin moves from pilot to broader deployment, we’re focused on refining our roadmap to expand integrations, deepen insights, and scale the platform across additional care settings and stakeholders.
Ursamin is built for the realities of today’s care teams — and is ready to evolve with the needs of tomorrow’s healthcare system.
Want to learn more about the transformative potential of Ursamin and the detailed findings from our pilot program?
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1 Source: Adapted from Partnership for Solutions. (2002). Chronic Conditions: Making the Case for Ongoing Care. Baltimore, MD.2 Gómez-Zúñiga, M., Gallegos-Carrillo, K., Reyes-Pérez, M., Vázquez-Benítez, C., & Reyes-Cortés, M. (2023). Impact of the COVID-19 pandemic on the mental health of healthcare workers in Mexico: A systematic review. Frontiers in Public Health, 10, 1082183. https://doi.org/10.3389/fpubh.2022.1082183
