Affinitē CareFlow™ Intelligence

Operationalize Intelligent Automation for Smarter Healthcare

Deliver real-time intelligent automation that drives measurable clinical and operational impact across your organization. With Vital Data Technology’s CareFlow™ Intelligence, plans and providers gain a best-in-class rules engine that continuously turns data into targeted action – exactly when and where it matters most.

130%

average improvement across 15 HEDIS measures

30,040

members newly identified for intervention

310%

reduction in high-cost patient utilization

3x

growth in care coordination reach year over year

Turning Real-Time Intelligence Into Prescriptive Action

Affinitē CareFlow™ Intelligence delivers real-time, actionable intelligence across existing clinical, operational, and administrative ecosystems – ensuring insights don’t stop at analysis, but drive coordinated action where it matters most.

At the core is the CareFlow™ Engine, which transforms platform-generated intelligence into precise population identification, segmentation, and prioritization. Predictive signals, utilization patterns, and contextual data are continuously evaluated to surface the members and scenarios that require attention NOW.

Fully configurable, client-defined instructions determine how this intelligence is applied across the Affinitē platform and the broader client ecosystem. The rules engine continuously executes against a comprehensive library of business and clinical logic, ensuring timely, accurate insights are delivered consistently across teams and workflows.

These rules are highly flexible, enabling payer organizations to define workflows, stratify risk, and identify target populations – and are fully automated so the next-best action is routed to the appropriate stakeholder. 

The result – a streamlined, enterprise-wide orchestration of care and operations, where the right users are focused on the right members at the right time.

Image displays steps in the CareFlow process

Why CareFlow™ Intelligence Matters

Healthcare organizations are overwhelmed with data, but struggle to transform it into timely, coordinated action. 

Affinitē CareFlow™ intelligence bridges that gap by blending AI-driven predictive insights with rule-based automation to:

Prioritize Outreach and Interventions

CareFlow™ continuously analyzes clinical, utilization, and contextual signals to identify which members require attention now. It ensures care teams focus on the highest-impact opportunities rather than sorting through competing data points.

Automate Workflows Across
the Care Continuum

By embedding intelligence directly into operational workflows, CareFlow™ automates task routing, alerts, and next-best actions across care management, utilization management, and quality initiatives — reducing friction between teams and systems.

Reduce Manual Processes
and Delays

CareFlow™ eliminates time-consuming manual review and prioritization by automatically translating insights into actionable tasks. This accelerates response times and frees teams to focus on meaningful engagement instead of administrative work.

Enable Proactive, Risk Informed Engagement

Predictive models and configurable rules work together to surface emerging risk before conditions escalate. This enables earlier, more targeted interventions that improve outcomes and reduce avoidable utilization.

Improve Outcomes While
Lowering Cost

By ensuring the right action happens at the right time, CareFlow™ helps organizations close care gaps, prevent costly events, and operate more efficiently — driving measurable clinical and financial impact.

Support Clinicians with
Workflow-Integrated Insights

CareFlow™ delivers prioritized, context-rich insights directly into care team workflows, reducing alert fatigue and cognitive burden. By translating data into clear next steps, it helps clinicians spend less time interpreting information and more time delivering high-quality, patient-centered care.

Infographic:
The Power of Embedding Analytics Within CM Workflows to Drive Intelligent Automation for Care Teams

Care teams are under pressure to do more with less - while still improving outcomes. Traditional processes, siloed data, and delayed insights create gaps that limit efficiency and member engagement. Our Care Automation Infographic shows how embedding analytics directly into workflows creates a smarter, faster, and more connected care management process. With real-time insights and intelligent automation, health plans can close critical gaps, assign cases more effectively, and ensure timely, proactive outreach to members.

Download the infographic to see how CareFlow Automation transforms every step of the care journey!

Affinitē CareFlow Intelligence - Key Capabilities

Smart Population Segmentation
CareFlow™ intelligence stratifies members into actionable cohorts using both predictive models and clinical and non-clinical criteria – such as utilization patterns, claims types, and admission history. Each segment then triggers tailored next-best actions and populates intuitive care queues, so users instantly see who to engage, when to engage, and what to do next.

Embedded Clinical Logic + Automation

Affinitē’s rules engine continuously applies configurable business logic to:

  • Prioritize high-impact cases
  • Route timely alerts and tasks to the appropriate team
  • Trigger automated workflows that reduce manual steps

This operational intelligence ensures your teams focus on impactful action, not data wrangling.

 

Real-time, Integrated Member Insight

CareFlow™ uses a unified member profile — combining clinical, operational, and social determinants of health (SDoH) data — to personalize engagement. Assessment results dynamically map to problems, goals, interventions, and outcomes, creating highly individualized plans. Clinicians and care partners can access this information through provider portals, while members can receive care gap alerts via mobile app to stay connected to their care plans.

 
  • Operationalize Real-Time Analytics
    Harness real-time data analysis at scale to drive better decision-making across entire member populations.

  • Microtarget with Precision
    Use advanced analytics, AI, and predictive modeling for deep member segmentation and actionable real-time insights.

Powered by Affinitē – The Platform for Modern Healthcare

CareFlow™ Intelligence is a core component of the Affinitē platform – a cloud-native, AI-driven healthcare data ecosystem designed to unify analytics and execution. The platform integrates seamlessly with workflows across:

 

From Insights to Action: Why Predictive Analytics Alone Isn't Enough in Healthcare

Discover why predictive analytics alone isn't sufficient in healthcare and how operational intelligence can drive actionable outcomes for payers.

See CareFlow™ Intelligence in action.

Schedule a demo and discover how real-time automation drives better outcomes and lower costs for payers.