FOR COMMUNITY HEALTH CENTERS
Built for the way health centers actually work
Droxi is an AI platform for primary care operations that runs inside your EHR. It clears the clinical inbox, and it helps you capture APCM revenue for care your teams already deliver - without adding to anyone’s day.
“Does APCM billing reduce our PPS encounter rate?”
No. Care management, including APCM, sits outside the PPS bundle. CMS is explicit: a health center billing both a visit and a care management service is paid the fully adjusted PPS rate for the visit, plus the care management on top. APCM is not a billable visit, so it does not consume your one-encounter-per-day slot.
We put this first because it is the question we are asked most, and the one that ends the conversation when nobody can answer it.
What actually changes on January 1, 2027
Two things, both for non-pregnant adults aged 19 to 64 in the Medicaid expansion group.
Community engagement requirements. 80 hours a month of work, a qualifying program, or community service. Or monthly income of at least $580. Or half-time enrollment in education. Verification happens at application, at renewal, and at state option more often than that.
Six-month renewals instead of twelve.
These are not funding cuts. There is no reduction in the federal match or in payment rates. What changes is who stays enrolled, and how often they have to prove it.
That is a harder problem than a rate cut, not an easier one. Most affected patients will still be eligible. The coverage losses come from paperwork. Renewal touchpoints double. Verification and exemption documentation is new work that did not exist before. And the patients most likely to fall off for paperwork reasons are the ones least able to navigate paperwork.
State implementation will vary, and nobody has reliable coverage-loss numbers yet. Anyone telling you otherwise is guessing.
The 2027 Medicaid changes, in 45 minutes
Wednesday, October 8
Two products, one platform, inside your EHR
Droxi Unbox
Clear the clinical inbox.
Clinical document summaries. Type, reason for visit, diagnoses, treatment plan and medication reconciliation, pulled from consult notes, referral notes and hospital discharge notes. Most of these arrive as faxes, where the format makes it hard to find what matters.
Lab notes. Each result summarized against the patient’s chart and history, with the patient message written in plain, clear language.
Labs auto-close. Configurable, and a provider choice. Plenty of providers keep it off and review every result themselves.
Medication refill insights. The chart context a provider needs in order to decide - last visit, upcoming visits, the correlated labs and values, medication history. The decision stays with the provider.
Droxi Unlock
Run APCM without adding admin work.
Identify eligible Medicare patients, support enrollment, and prepare what your practice needs for monthly documentation. CMS pays roughly $16 to $116 per patient per month depending on tier. Dual-eligible patients are the strongest place to start.
It is not more dollars for more work. It is more dollars for the work your teams are already doing.
Droxi runs inside athenahealth today. eClinicalWorks early access is open now, with practices already signed on.
From health centers using Droxi
5.1+
hours back per provider, every week
51.9%
less after-hours clinical inbox work
38%
of routine work handled automatically
“I bragged to a colleague that we have Droxi now, it handles all the routine desktop work. I told her she should really come join us.”
Dr. Teressa Fralix, Blue Ridge Health
“The clinical documents feature is a game changer.”
Dr. Heather Whisnant, MD, Blue Ridge Health
NACHC corporate member and NACHC Select partner
Droxi is a NACHC corporate member and a NACHC Select partner. We are in the health center community year-round - at CHI and across the state and regional PCA conferences - because that is where we learn what actually needs fixing.
Stay in touch
Occasional email on APCM, the 2027 Medicare and Medicaid changes, and what we are learning from health centers. Useful things only - clearing inboxes is our day job, so we will not fill yours.