The Challenges
Manual and Fragmented
Paper notes, spreadsheets, and siloed apps
Poor Patient Prioritization
Can't effectively rank risk, optimize outreach, or track outcomes
Costly Care Gaps
High-need patients fall through the cracks, driving avoidable spend and lost incentives
The 4BH Platform
We empower community-based teams including Community Health Workers, Care Navigators, and Health Coaches to engage patients, address social factors, close care gaps, and cut avoidable costs at scale
The 4BH Platform
We empower community-based teams including Community Health Workers, Care Navigators, and Health Coaches to engage patients, address social factors, close care gaps, and cut avoidable costs at scale
The 4BH Platform
We empower community-based teams including Community Health Workers, Care Navigators, and Health Coaches to engage patients, address social factors, close care gaps, and cut avoidable costs at scale
1. Smart Documentation
Structured + voice, instant CSV/Sheets export
3. Actionable Workflow Templates
Evidence-based playbooks to achieve intended outcomes
How It Works

US-hosted data, no offshoring
2. Predictive Prioritization
Weekly risk list to prioritize high need patients
4. AI-Powered Communication
Personalized, culturally competent nudges
1. Smart Documentation
Structured + voice, instant CSV/Sheets export
3. Actionable Workflow Templates
Evidence-based playbooks to achieve intended outcomes
How It Works

US-hosted data, no offshoring
2. Predictive Prioritization
Weekly risk list to prioritize high need patients
4. AI-Powered Communication
Personalized, culturally competent nudges
Health Systems and IDNs
We help you:
-
Extend care management capacity through CHWs/Care Navigators—without clinician tech burden
-
Reduce readmissions and avoidable ED visits
-
Improve chronic disease control (HTN, diabetes, CKD) and value-based performance
-
Close care gaps with guideline automation + simple CHW tooling
Primary KPIs:
HEDIS improvement· Avoidable ED visits· Case resolution· No‑show rate· Adherence· Patient experience· CHW productivity· Financial ROI
Who We Serve
State Governments and Medicaid Agencies (incl. MCOs)
We help you:
-
Reduce avoidable utilization (ED, admissions) and PMPM trend
-
Lift HEDIS/quality scores (diabetes, HTN, maternal health, screenings)
-
Operationalize CHW networks with data-driven prioritization
-
Stand up guideline-driven, whole-person care—fast
Primary KPIs:
Avoidable ED visits· HEDIS improvements· Engagement & adherence· Financial ROI
Health Systems and IDNs
We help you:
-
Extend care management capacity through CHWs/Care Navigators—without clinician tech burden
-
Reduce readmissions and avoidable ED visits
-
Improve chronic disease control (HTN, diabetes, CKD) and value-based performance
-
Close care gaps with guideline automation + simple CHW tooling
Primary KPIs:
HEDIS improvement· Avoidable ED visits· Case resolution· No‑show rate· Adherence· Patient experience· CHW productivity· Financial ROI
Who We Serve
State Governments and Medicaid Agencies (incl. MCOs)
We help you:
-
Reduce avoidable utilization (ED, admissions) and PMPM trend
-
Lift HEDIS/quality scores (diabetes, HTN, maternal health, screenings)
-
Operationalize CHW networks with data-driven prioritization
-
Stand up guideline-driven, whole-person care—fast
Primary KPIs:
Avoidable ED visits· HEDIS improvements· Engagement & adherence· Financial ROI
Health Systems and IDNs
We help you:
-
Extend care management capacity through CHWs/Care Navigators—without clinician tech burden
-
Reduce readmissions and avoidable ED visits
-
Improve chronic disease control (HTN, diabetes, CKD) and value-based performance
-
Close care gaps with guideline automation + simple CHW tooling
Primary KPIs:
HEDIS improvement· Avoidable ED visits· Case resolution· No‑show rate· Adherence· Patient experience· CHW productivity· Financial ROI
Who We Serve
State Governments and Medicaid Agencies (incl. MCOs)
We help you:
-
Reduce avoidable utilization (ED, admissions) and PMPM trend
-
Lift HEDIS/quality scores (diabetes, HTN, maternal health, screenings)
-
Operationalize CHW networks with data-driven prioritization
-
Stand up guideline-driven, whole-person care—fast
Primary KPIs:
Avoidable ED visits· HEDIS improvements· Engagement & adherence· Financial ROI
Health Systems and IDNs
We help you:
-
Extend care management capacity through CHWs/Care Navigators—without clinician tech burden
-
Reduce readmissions and avoidable ED visits
-
Improve chronic disease control (HTN, diabetes, CKD) and value-based performance
-
Close care gaps with guideline automation + simple CHW tooling
Primary KPIs:
HEDIS improvement· Avoidable ED visits· Case resolution· No‑show rate· Adherence· Patient experience· CHW productivity· Financial ROI
Who We Serve
State Governments and Medicaid Agencies (incl. MCOs)
We help you:
-
Reduce avoidable utilization (ED, admissions) and PMPM trend
-
Lift HEDIS/quality scores (diabetes, HTN, maternal health, screenings)
-
Operationalize CHW networks with data-driven prioritization
-
Stand up guideline-driven, whole-person care—fast
Primary KPIs:
Avoidable ED visits· HEDIS improvements· Engagement & adherence· Financial ROI
What Partners Achieve with 4BH
10×
Patient reach via CHW + AI automation
40%
Fewer no‑shows
20%
Fewer ED admissions
>3×
ROI on total program costs
¹ Literature-backed benchmarks and early partner data; methodology and citations available on request.
What Partners Achieve with 4BH
10×
Patient reach via CHW + AI automation
40%
Fewer no‑shows
20%
Fewer ED admissions
>3×
ROI on total program costs
¹ Literature-backed benchmarks and early partner data; methodology and citations available on request.



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