A contracted care delivery service

Close your UDS gaps. End to end.

Robinhood Health operates as a contracted clinical partner alongside FQHCs, closing UDS measure gaps for the hardest-to-reach members without adding staff, adding technology, or integrating with your EHR. You send us a patient list. We do the rest.

Request a partnership call See how it works

01The UDS reality

Persistent gaps. Year after year.

National UDS performance shows care gaps that incremental quality improvement has not been able to close. The binding constraint is not motivation. It is the operational capacity to reach members between visits.

42.71%

FQHC patients up to date on colorectal cancer screening.

2024 National UDS · vs. 74.4% Healthy People target

28.13%

Diabetic FQHC patients uncontrolled or untested during the measurement year.

2024 National UDS · HbA1c >9% or no test

< 45%

Annual kidney health evaluation among diabetic patients.

NCQA HEDIS benchmark · KED

02How it works

A partnership that is operationally light.

We integrate into your UDS-reporting workflow without adding steps to your clinical workflow. Every action we take runs through a defined state machine, every clinical decision passes through a licensed physician, and every documented outcome writes back to your EHR.

You send us a patient list.
Name, date of birth, contact information. Via secure file transfer or API, whichever your stack supports. This is the only operational ask on your side.
Sherwood enriches the data.
Our platform queries Carequality and Commonwell to pull each member's clinical history from the networks Epic, Cerner, and athenahealth already participate in. No integration. No data use agreement.
Our CDS engine identifies eligible members.
Rules aligned to USPSTF guidelines and HEDIS measures (COL-E, GSD, KED) surface each open care gap with clinical reasoning and severity.
Mariann engages on your FQHC's behalf.
Our AI nursing assistant conducts bilingual SMS outreach identified as coming from your clinic, verifies identity by date of birth, and collects pre-screening clinical history before any kit is sent.
Our physicians sign each order.
No kit ships without licensed-physician review of the member's pre-screening responses, relevant clinical history, and recommended action. Physician sign-off happens within 48 hours of member response.
Kits ship, results return, abnormals escalate.
CLIA-certified kits shipped to the home. Results return to Sherwood, reviewed by the medical director, with closed-loop coordination for positive findings to in-network diagnostic follow-up.
Results document to your EHR.
Completed screenings write back as structured chart notes, enabling direct UDS measure credit without additional documentation work on your side.

03The partnership

What you get. What we need.

We designed the partnership so that the asks on your team are minimal and the outputs back to your team are maximal. The table below is a complete accounting of both.

What you get

UDS measure credit
Structured documentation mapped to COL-E, GSD, and KED, delivered into your EHR without reconciliation work.
Closed-loop follow-up
Abnormal FIT results routed to in-network colonoscopy. Elevated HbA1c escalated to your PCP. Tracked to resolution.
Co-branded member outreach
Every member touchpoint arrives on behalf of your FQHC. Patients stay attributed to your medical home.
Monthly dashboards
Reach, completion rate, result distribution, and gap closure reported by clinic, measure, and population segment.
Quarterly business reviews
Cohort analysis, follow-up disposition, and a forward impact estimate for the upcoming quarter.

What we need

A patient list
Demographics and contact information for the members you want us to engage. Via secure file transfer or API.
A Business Associate Agreement
Standard BAA executed in week one. We've reviewed and signed many.
One point of clinical contact
A single clinical lead for escalation of abnormal results and coordination with your care team.
Nothing else
No EHR access, no IT project, no staff reassignment, no workflow change. That is the design commitment.

04Timeline

From signature to live. Six weeks.

Most partnerships are in-market inside a 45-day window, which means we can move the needle on measure completion inside a current measure year from a mid-year start.

Week 1 — Paperwork
BAA execution. Data-sharing agreement. Secure file transfer credentials provisioned. Point-of-contact handoffs on both sides.
Weeks 2–3 — Data
First patient list transmitted. Sherwood enrichment run. CDS alerts generated. Medical director review of first cohort.
Weeks 3–4 — First outreach
Initial member touchpoints go out. Identity verification, pre-screening, physician sign-off, first kits in the mail.
Weeks 5–6 — Steady state
Results flowing back. First abnormal result follow-ups scheduled. First reporting dashboard delivered. Second cohort staged.

05FAQ

Questions FQHC leaders ask us first.

Robinhood Health is a virtual medical group. Our physicians sign every order and carry the clinical responsibility that goes with that signature. For your UDS and compliance documentation, orders show our physicians as the ordering provider, with your FQHC identified as the referring medical home.

Yes. Every member touchpoint arrives on behalf of your FQHC. Patients understand their medical home has sent us to close a specific care gap. We do not enroll members into Robinhood Health as a separate medical home, and we do not displace the primary care relationship.

It does not. All preventive screening services in our program are covered at zero cost-sharing for Medicaid beneficiaries under the ACA. For uninsured members, we work with partner FQHCs to leverage existing financial assistance programs and in-network specialist relationships. No member receives a bill for our services.

Sherwood's Carequality and Commonwell queries retrieve clinical data from all of a member's providers. Members who have already received an in-date screening at another site are not identified as overdue, and will not be outreach targets. This prevents redundant testing and respects existing care relationships.

Our population health nurses manage every abnormal result as clinicians of record. For positive FIT results, we coordinate with contracted in-network gastroenterology practices and track diagnostic colonoscopy completion to resolution. For elevated HbA1c or abnormal ACR findings, we escalate to your primary care team with a structured summary and recommended action. Your FQHC is notified of every abnormal result.

Structured chart notes documented to your EHR for every completed screening, mapped to the CPT and LOINC codes UDS uses for COL-E, GSD, and KED. On top of that, monthly dashboards show reach, completion, result distribution, and measure closure by clinic. A quarterly cohort analysis is delivered in a format suitable for board and grant reporting.

06 / Next step

Tell us about your members.

A 30-minute partnership call walks through the operational fit for your FQHC: which measures are open, which sites are highest priority, and what the first 90 days could look like.

Request a partnership call

or write to info@robinhoodhealth.co