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ARKA Clinical Decision Support is designed to meet all four criteria for Non-Device CDS under FD&C Act §520(o)(1)(E) and FDA's January 2026 final guidance on Clinical Decision Support Software. Recommendations support, not replace, the clinician's judgment. Every recommendation is anchored in a published guideline or peer-reviewed source, with the basis available for independent review. CLIN emphasizes imaging appropriateness at order entry.
This recommendation is intended to support, not replace, clinical judgment. It is generated by ARKA, software designed to meet the four criteria for Non-Device Clinical Decision Support under FD&C Act §520(o)(1)(E) and FDA's final guidance on Clinical Decision Support Software (January 2026). The clinician is responsible for the final decision.
For the ACO medical director
There are no FHIR scopes, because there is no integration. Modules 1 and 2 run on a claims extract — no EHR integration, no SMART launch, no PHI in a ledger row. You own total cost of care for an attributed panel. Low-value imaging concentrates in a thin tail of clinicians, but crude rates are unfair and finance will not sign off on a number they cannot re-run. You need a risk-adjusted ledger with a locked pre-period — not another EHR alert.
Your scorecard
The KPIs your board and leadership team track — where imaging leakage shows up first.
The problem
Benchmark-backed pain points tied to the metrics you own.
Concentration, not averages
Unadjusted order rates spark physician pushback. Without risk adjustment and reliability, the conversation dies in governance.
~$1M / 100k lives modelled
Shared savings leave on the table when avoidable imaging has no pre-period lock finance can audit.
PA removal → internal control
Plans are cutting prior auth; when the external brake lifts, the internal attributable control has to exist.
The fix
Each lever maps to a pain above — same order, same grid, so the pairing is obvious.
A risk-adjusted, reliability-weighted distribution of low-value imaging across your attributed panel — never a ranked clinician list.
There are no FHIR scopes, because there is no integration. Modules 1 and 2 run on a claims extract — no EHR integration, no SMART launch, no PHI in a ledger row. Claims-door and concordance-door baselines run without an Epic build. You get a number about you before any CDS Hooks work.
Monthly peer comparison with no personal dollars on the packet — fair risk adjustment, stated small-cell suppression.
The numbers
Modeled or published figures — labeled with their basis.
~$1M
avoidable / 100k attributed lives
modelled, two derivations — LEAD brief
50–75%
retained under ACO SSP tracks
modelled shared-savings retention
0
EHR integration for Module 1
claims / concordance doors
Evidence
What we bring to the conversation — sourced from the ARKA buyer playbook.
Pushback
The concerns we hear most — and how we address them.
Unadjusted rates are refused on purpose. Every clinician-facing rate carries risk adjustment and reliability; clinicians are never ordered by rate, and the peer packet carries no personal dollars.
Most dashboards show crude rates. ARKA publishes the method, locks the pre-period, and labels every number measured, modelled, or illustrative.
That is the free baseline — claims or concordance door — with the LEAD Benchmark Brief as the leave-behind.
Your agenda
Three questions to put on the table — we'll answer with your data, not generic slides.
Question 1: How many attributed lives sit under your total-cost-of-care contract?
Question 2: Do you have a locked pre-period for imaging utilization today?
Question 3: What would make a peer comparison packet acceptable to your medical group?
Explore
Jump into the modules most relevant to your seat.
20-minute ledger briefing: concentration curve, honesty beat, and a LEAD brief keyed to your attributed lives.
Quick answers
No — Module 1 runs on claims or concordance without an EHR integration.
It is modelled on published sources and labelled as such; your baseline produces measured numbers for your panel.
20-minute ledger briefing: concentration curve, honesty beat, and a LEAD brief keyed to your attributed lives.
