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Operating Model

Nine operating layers. Ten workflow steps. One accountable engine.

Every Elixir engagement runs on the same operating system — from discovery through controlled scale — so nothing falls between vendors, departments, or spreadsheets. Your clinic holds every clinical gate.

The Nine Layers

How a program actually gets run, month after month

01 / DISCOVER

Opportunity & Design

Population and payer analysis, opportunity sizing, workflow assessment, and an implementation plan your team approves.

02 / ACTIVATE

Patient Activation

Provider-approved patient lists, outreach, education, consent support, and enrollment tracking.

03 / ONBOARD

Program Onboarding

Care-management activation, RPM device fulfillment, setup and connectivity, and patient training.

04 / OPERATE

Monthly Execution

Recurring CCM/RPM workflows, care coordination, adherence, and documentation, time, and data capture.

05 / ESCALATE

Clinical Routing

Approved thresholds, exception queues, and provider communication — clinical issues reach your team, noise doesn't.

06 / SUPPORT

Patient Support

Technical support, device troubleshooting, replacement and return workflows, and engagement recovery.

07 / BILL READY

Billing Readiness

Monthly service-completion status, documentation QA, billing-support data, and exception resolution.

08 / RECONCILE

Reconciliation

Claims and collections support as authorized, denial trends, patient census, and financial and KPI reporting.

09 / OPTIMIZE

Continuous Improvement

Monthly business reviews, staffing forecasts, workflow improvements, and controlled scaling.

The Ten-Step Workflow

From patient panel to reconciled revenue

Two steps are marked "Your gate" — the points where your clinical team makes the call, every time, no exceptions.

01

Population

Your clinic provides approved data and criteria for opportunity analysis.

02

Clinical approval YOUR GATE

Your providers confirm eligibility, medical necessity, orders, and appropriateness.

03

Patient activation

Elixir runs outreach, education, consent, and enrollment workflow.

04

Program onboarding

Care workflow begins; RPM devices are shipped and set up when ordered.

05

Monthly service

Contracted care-management activities are performed and documented every month.

06

Monitor & escalate

Data, adherence, and exceptions are managed; clinical issues route to your team.

07

Quality check

Time, data, and service requirements are checked for completeness.

08

Billing readiness YOUR GATE

Your clinic keeps final coding and claim authority; Elixir supplies billing-ready documentation.

09

Collection & reconciliation

Program revenue, denials, adjustments, and active census are reconciled.

10

Scale

Validated workflows expand in waves with capacity, quality, and compliance controls.

The Elixir Difference

Point solutions hand you a login. We hand you a running program.

 Typical point solutionThe Elixir model
Program ownershipSoftware or devices supplied; your clinic coordinates the rest.One accountable operating partner coordinating the full program.
Patient activationYour staff identifies, calls, and enrolls patients.Approved identification, outreach, education, and enrollment — run for you.
Billing & revenueSeparate billing vendor, disconnected from care documentation.Billing works directly from the same documentation the care team produces.
Patient growthMarketing, if any, is a third unrelated vendor.Marketing feeds AWV and enrollment directly into the same pipeline.
ScaleGrowth means more internal headcount and complexity.Pilot first, then controlled expansion with staffing and capacity planning.
Next Step

See this operating model applied to your practice

Bring your panel and current workflow to a 60-minute session and we'll map exactly which layers matter first for you.

Session Agenda

  1. Patient population & payer mix
  2. Current workflow & systems
  3. Staffing & capacity review
  4. Recommended layer sequence
  5. 90-day pilot design
  6. Your clinic-specific opportunity model