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SmartLink Case Study
Cary Medical Management, a management services organization overseeing multiple primary care clinics, faced significant operational strain managing multiple value-based contracts.
With seven ACO portals requiring separate logins and workflows, the administrative load was high—demanding three full-time employees just to manage portal operations. The implementation of DxInsight™ and GapCheck™ radically transformed their process by embedding diagnosis and care gap management directly within the EHR, eliminating duplicative tasks and automating reporting back to payers and ACOs.
This streamlined approach enabled CMM to scale participation across contracts, improve provider engagement, and drastically reduce operational overhead.
Key Outcomes & Financial Impact
1. Shared savings increased by 171%
→ From $700,000 to $1.9 million between 2023 and 2024
2. Total medical cost reduction of 32%
→ Achieved across three national payer contracts
3. Staffing reduced from 3 FTEs to <1 FTE
→ Estimated $150,000+ annual savings in staffing costs
4. Manual workflows eliminated for 90% of providers
→ Only 3 out of 30+ providers still use paper-based processes
5. No need to log into 5+ ACO portals
→ All diagnosis and care gap closures handled within EHR
6. Improved risk assessment scores across multiple payer populations
→ Indicating better documentation and coding accuracy
May 1st
2025
Topic: Provider Burnout
Most solutions for provider burnout focus on symptoms — more staff, more portals, more workarounds. At MedWest, we go deeper. The real issue? Disconnected, outdated data systems that bury providers in admin and block better care.
Arizona’s primary care system is straining. Burnout is down slightly (from 53% to 45%), but the root problems remain: high volumes, clunky EHRs, and a fee-for-service model that rewards quantity over quality.
MedWest tackles this head-on. We integrate real-time, usable data directly into the EHR. No toggling, no scavenger hunts. Just cleaner workflows, less after-hours work, and more time for patients.
We're not patching a broken system — we're redesigning it. Together with Arizona providers, payers, and policymakers, we’re making primary care more sustainable, efficient, and human.
News & Media
Aug 27th
2025
Breaking Barriers: Reimagining Data and Workflows in Value Based Care
In this episode of The Exam Room, Dr. Rhiannon Winsor sits down with Shaun Romero, co-CEO of Medwest LLC, to explore how frontline innovation and simplified workflows are helping providers thrive in value-based care models.
Shaun shares his personal journey, sparked by his wife's experience as a primary care physician, and explains how Medwest is transforming clinical data into actionable insight. Together, they discuss the challenges FQHCs face with data fragmentation, EHR complexity, and reimbursement models, and how automation and ownership of data can bridge the gap between provider intention and patient impact.
Aug 27th
2025
Caring Beyond the Chassis: How Standardizing Workflows Can Heal Healthcare
What if every patient received value-based care, regardless of their insurance plan? Shaun Romero returns to The Exam Room to unpack the cultural and operational shift needed to make this possible. From challenging the fee-for-service “chassis” to reducing clinician burnout, Shaun and Dr. Winsor explore how standardizing care workflows can improve quality, rebuild trust, and reduce friction for overburdened providers.
They discuss the human cost of fragmented care, the importance of relational trust, and the vital role of ACOs in supporting health centers with social determinants of health.
Aug 27th
2025
Data, Dashboards, and the Future of Forecasting in Value-Based Care
In the final installment of this three-part series, Shaun Romero joins Dr. Winsor to tackle one of the thorniest problems in value-based care: delayed, disconnected data. They explore how FQHCs and ACOs can work together to reduce data latency, improve patient communication, and automate clinical insights. From forecasting trends to texting patients, Shaun offers pragmatic solutions for transforming operational chaos into coordinated care, one dashboard at a time.