Frequently Asked Questions
Showing FAQs tagged: ai-screening · View all
Autonomous AI tools can flag possible disease from a retinal image, but they usually stop at the algorithm output. Primary care buyers typically still need:
- A workflow that fits the visit — capture during the appointment, not a separate tool
- Licensed eye-specialist interpretation when payers or protocols require a clinical read
- Structured reports that support HEDIS Diabetes Eye Exam (EED), Medicare Star, and ECDS-ready quality reporting
- Multi-site deployment — pooled credits, add-on site licenses, optional camera lease
CarePlus by HealthOcta is built for that full clinic workflow: in-office non-mydriatic imaging, secure routing, specialist review, and reportable documentation — not image classification alone.
Point solutions often solve one step — camera, AI, or reading — but leave the clinic to stitch together workflow, billing, quality reporting, and multi-site operations.
CarePlus is designed for easier adoption across primary care sites:
- Standard Software — $300/month (12 screening credits, one site license) for clinics with existing cameras
- Enhanced Software — $500/month (20 credits, one site license) for higher volume
- Complete Bundle — $700/month ($300 software + $400/month camera lease) when hardware is needed
- $25 per additional screening credit; $100/month per additional site
- 90-day credit rollover on unused prepaid credits — credits pool across licensed sites
- Fixed subscription fees — not a percentage of your clinical reimbursement
For primary care and multi-site groups, the business case is operational and quality-driven:
- Close care gaps in the visit: Complete diabetic eye exams during routine diabetes appointments instead of relying on separate ophthalmology follow-through
- Move quality measures: Documented screenings support HEDIS EED and Medicare Star performance
- Support value-based contracts: Structured, reportable completion data for payer and ACO quality programs
- Capture appropriate screening revenue: Bill in-clinic where payer rules allow (e.g., CPT 92227/92228)
- Predictable platform cost: Published subscriptions from $300–$700/month plus per-credit overage — not a rev-share on clinical fees
CarePlus is a platform by HealthOcta Inc — workflow, specialist routing, and reporting infrastructure; your clinic retains control of orders, billing, and follow-up.
CarePlus is typically the better fit when the buyer is evaluating clinic deployment, not just model accuracy on a benchmark dataset.
Choose CarePlus when you need:
- Staff workflow and training for in-office capture during primary care visits
- Licensed ophthalmologist or optometrist interpretation with structured clinical reports
- Quality-program documentation — HEDIS, Star, ECDS-ready structured data
- Multi-site rollout — pooled credits, $100/month add-on sites, optional $400/month camera lease via Complete Bundle
- Predictable pricing and a 90-day pilot opt-out on bundled plans (terms apply)
AI-only vendors may win on algorithm demos alone. CarePlus wins when the decision includes staffing, specialist review, payer reporting, and day-to-day clinic operations.
Yes — for raw screening throughput, AI is usually faster and lower marginal cost than having a human eye specialist read every image. But throughput is not the same as a complete primary care workflow.
When immediacy at the point of care matters: CarePlus can provide an AI-assisted, risk-based assessment so staff and clinicians get a same-visit signal while the patient is still in clinic.
When reliability and downstream cost matter: CarePlus routes images to licensed eye specialists (board-certified ophthalmologists or optometrists) for asynchronous interpretation. That approach reduces false-positive noise, unnecessary urgent referrals, and follow-up burden — costs that pure AI-only screening can create when sensitivity is tuned aggressively.
Practical summary for buyers:
- Want a fast first-pass result during the visit → AI-assisted triage can help
- Want a defensible clinical read and quality documentation → specialist interpretation and structured reporting
- Want both → CarePlus supports a workflow-first model: capture in primary care, AI where it adds speed, specialist reads where clinical interpretation and reporting matter
HealthOcta provides the CarePlus technology platform and workflow; independent specialists perform clinical interpretation. Your clinic remains the treating provider.