CORDATO

National Preventive Signal Layer for ACA, Medicaid & Medicare

A wellness-classified "health forecast" layer predicting physiologic risk before symptoms.

Executive Summary

Cordato proposes a national preventive signal layer that detects physiologic stress 48–72 hours before symptoms. It uses wearable signals members already own to forecast rising risk and reduce avoidable hospitalizations. No billing-code changes or benefit redesign required. Works across ACA, Medicaid, and Medicare without altering statutory benefits.

The Problem

Fragmented Signals

Wearables and home devices generate constant data, but little becomes early, actionable prediction.

Crisis-Driven Spending

High costs stem from preventable inpatient and ED events that programs could see in advance.

Affordability Pressure

ACA premiums, state Medicaid budgets, and Medicare sustainability are strained by preventable deterioration.

What Cordato Is

A national forecast layer that ingests signals, builds baselines, detects trend breaks, and triggers earlier care.

Signals
Baseline
Risk Forecast
Early Outreach
Fewer Events

Request for CMMI Briefing

Cordato requests a confidential 30-minute briefing with CMMI leadership to review the Texas Pathfinder pilot and discuss model development.

Interfaces with Federal Programs

Program-Agnostic Design

  • Works across all three programs
  • Uses existing wearables
  • No new codes
  • Integrates with care-management pathways

Data Returned

  • Member alerts
  • Population dashboards
  • Predictive signals for earlier outreach
  • Evaluation-ready metrics for CMMI

CMMI Pathways

A

State Pathfinder → CMMI Model

Texas pilot generates evidence for national scaling.

B

ACA Premium Stability

Reduces catastrophic claims.

C

Medicare & Duals

Detects chronic deterioration earlier.

Evaluation Framework

Metrics: Reduced hospitalizations/ED visits; total cost of care movement; chronic-condition detection; care-management workload; member experience and equity.

Safeguards & Equity

Privacy

Signals only, no diagnosis or claims; user-controlled sharing.

Equity

Works with low-cost devices; supports rural members, caregivers, and aging populations.