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3.4x ROI on Quality-Driven Outreach: How Care New England’s ACO Raised Screening Rates Across Five Measures
Epic-integrated outreach, configured to Integra’s payer contract terms, live in under two months.
Client Snapshot
Organization
Care New England, a nonprofit health system in Providence, RI (parent of Integra Community Care Network, its CMS-certified ACO)
EHR
Epic
Solutions
Quality-driven outreach and scheduling; in-network referral retention
Time to go-live
Under 2 months
Network
200+ primary care providers and 700+ specialists serving Medicare, Medicaid, and commercial patients
The Challenge
For a CMS-certified ACO, quality benchmarks aren’t a scorecard: they’re the revenue model. Payer contracts and shared-savings arrangements hinge on hitting population-level targets (cancer screenings, hypertension control, diabetes management) on schedule, every year. Falling short on any one measure affects performance across the entire network.
Care gaps impact far more than quality incentives - they influence revenue, retention, risk adjustment, and attribution.
Integra’s problem wasn’t knowing which patients were due. It was reaching all of them, on schedule, without exhausting its care coordination resources. Across a network of more than 200 primary care providers, manual outreach was inconsistent, hard to prioritize, and slow to scale. At the same time, leadership needed to protect referral integrity: keeping services like screening mammograms at Care New England’s own facilities rather than losing them to outside providers.
By the Numbers
3.4x
return on investment
61%
lift in diabetic eye exam completion
90%
of screening mammograms retained at owned facilities
Under 2 months
to full implementation
The Solution
Care New England and Integra brought in HealthHelper to run data-driven patient outreach and appointment scheduling, integrated directly with their Epic EHR. Implementation was complete in under two months, letting the ACO begin closing quality gaps well ahead of year-end reporting deadlines.
Epic-Integrated
Appointments booked and managed directly within Epic, with no separate system for staff to maintain.
Quality-Driven Outreach
Identifying patients due for screenings and chronic-condition follow-ups and reaching out automatically to get them scheduled.
In-Network Retention
HealthHelper’s outreach engine was configured around Integra’s specific quality measures and payer contract terms, so outbound campaigns prioritized the patients whose visits mattered most to the ACO’s performance, with targeting and cadence tuned continuously alongside the Integra team as results came in.
“Our HealthHelper partnership has delivered measurable value for both our health system and our ACO. Their solutions have improved performance, driven results, and been seamlessly integrated into our workflows.”
Dr. Ana Tuya-Fulton, President, Integra Community Care Network; Chief Population Health Officer, Care New England
Results
From baseline to post-implementation, the impact showed up directly in the ACO’s quality metrics and its bottom line:
The partnership has returned 3.4x Care New England and Integra's investment.
Screening rates rose across every targeted measure: breast cancer up 16%, colorectal cancer up 23%, HbA1c up 35%, hypertension up 16%, and diabetic eye exam completion up 61%.
90% of screening mammograms now stay at Care New England's owned facilities, protecting in-network revenue.
More than 5,000 appointments are scheduled each year through HealthHelper outreach, booked directly in Epic, driving both revenue and quality performance.
What’s Next
With results in hand, Care New England and Integra have expanded the partnership, implementing Transitions Helper for scalable transitions-of-care support, alongside additional value-based care and fee-for-service initiatives.
See what outreach configured to your contract terms does to your quality math. Talk to our population health team.
