Cardiovascular care that keeps moving between visits.
Cubie partners with health plans and cardiology practices to support patients, prepare recommendations for physician review, and coordinate the work that follows.
Are you a patient? Start here.
Care continues between appointments. Support should too.
A care plan depends on what happens after the visit: questions answered, follow-up completed, and changes brought back to the physician. Cubie helps coordinate that work between appointments.
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The visit
The physician sets the care plan.
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Between visits
Cubie checks in and helps coordinate follow-up.
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Information comes back
Cubie prepares questions and relevant updates for physician review.
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The next step
The physician decides. Cubie helps coordinate what follows.
What should happen next for this patient?
Cubie brings together available clinical information, utilization history, home readings, and patient-reported needs to understand each patient’s situation. Our engine helps prioritize enrollment, guide follow-up, and identify the next action—or when to continue the current plan.
Cubie Waypoint
Patient intelligence engine
What goes in
- Records and labs
- Historical claims
- Encounters (HIE + EMR)
- Admission & discharge (ADT)
- Home readings
- Patient-reported needs
What comes out
- Risk score
- Prioritization
- Next step
- Provider follow-up
- Titration step for review
- Continue the current plan
- Attributed population + Available historyPrioritize enrollment outreachOrganize the next outreach cohort.Atlas — care-team work
- Discharge update + Patient contextPrioritize follow-upReview transition needs and outstanding questions.Atlas — care-team work
- Medication question + Check-in notesAddress medication questionsPrepare the next patient touchpoint.Atlas — care-team work
- Reported practical barrier + Patient contextFollow up on access needsClarify what is blocking the care plan.Atlas — care-team work
- New results + Clinical contextPrepare a recommendationAwaiting physician review.Compass — physician review
- Follow-up completed + Updated contextContinue the current planReassess as new information becomes available.Atlas — care-team work
One team around the patient. A clear next step for the physician.
Atlas organizes the care team’s work. Compass brings relevant information and a recommendation to the physician. The physician decides, and Cubie coordinates the agreed follow-up.
Today’s follow-up
- Patient update received
- Context assembled
- Recommendation prepared
- Physician decides
Cubie coordinates the agreed next step and brings new questions back to the physician.
Where Cubie helps.
These are common places to start. The program also supports the everyday coordination that helps patients follow their care plan.
Hospital transitions and symptom follow-up
We help coordinate follow-up after a hospital stay and bring patient-reported changes back to the treating team through the agreed workflow.
Explore the care modelMedication follow-up
We help gather follow-up information, track outstanding questions, and prepare recommendations for physician review. Treatment decisions stay with the prescriber.
See the practice workflowAppropriate testing decisions
We bring relevant context and decision support to the physician, and help patients understand the next step in their care plan.
Explore decision supportEveryday coordination
We help with appointment follow-up, unanswered questions, and practical obstacles that can make a care plan harder to follow.
See patient supportA shared program. Clear responsibilities.
We agree on the population, workflows, and measures together. Each partner has a defined role in making the program work.
Health plans
Set population priorities, align available data, and agree on how the program’s impact will be evaluated.
Cardiology practices
Retain treatment decisions and agree on how recommendations, documentation, and patient updates fit the practice.
Cubie
Coordinate between-visit support, prepare recommendations for review, and follow through on the agreed next steps.
The program is configured with each partner and refined through regular review.