Close the Gap Between Training and Practice
Patients with chronic conditions, cognitive decline, serious illness, and behavioral health needs deserve proactive, confident conversations — but most providers have never practiced them.
The bottleneck isn't knowledge or time. It's confidence. ClinicalSim builds it.
The confidence gap
There are clinical conversations that patients need — conversations that improve outcomes, reduce hospitalizations, and help people manage chronic illness — that simply aren't happening at scale.
Research shows the barrier isn't knowledge, time, or patient demand. It's provider confidence. Clinicians who have never practiced these conversations avoid initiating them — even when patients would benefit and Medicare has created dedicated codes to support them.
The conversations below represent the highest-impact areas where better preparation drives better patient outcomes. When providers are trained, patients get the care they need — and the system works the way it was designed to.
The scope of the problem
in patient care — including chronic care coordination, preventive services, and avoided hospitalizations — that a 100-provider health system leaves on the table each year when these conversations don't happen
Source: Agarwal et al., Annals of Internal Medicine, 2022; CMS utilization data
of malpractice claims driven by communication failures
CRICO/Candello
in malpractice costs from communication breakdowns (over five years)
CRICO, 2009-2013
of formal communication training in most residency programs
Medical education surveys
Conversations patients need most.
Each area below represents a conversation where better provider preparation directly improves patient outcomes — and where Medicare has created dedicated codes to support it.
Chronic Care & Preventive Medicine
Advance Care Planning
Most patients never have an advance care planning conversation with their provider — even though Medicare created dedicated billing codes to make it happen. The bottleneck is training.
Medicare reimbursement per ACP conversation (CPT 99497)
Chronic Care Management
67% of Medicare beneficiaries qualify for chronic care coordination — but only 3-5% receive it. Millions of patients with complex chronic conditions go without structured support because the enrollment conversation never happens.
of Medicare beneficiaries qualify for CCM (2+ chronic conditions)
Cognitive Assessments
Over half of cognitive impairment cases in primary care go undiagnosed — even though Medicare reimburses comprehensive cognitive assessment. The gap is provider confidence.
Medicare reimbursement for cognitive assessment and care planning (CPT 99483)
Why ClinicalSim
Evidence-Based
Among the first AI communication platforms backed by a published randomized controlled trial with blinded evaluation using validated assessment tools.
Scalable
No scheduling, no actors, no sim center booking. Deploy training across every department from a single platform — without scaling costs.
Measurable
Structured feedback using validated frameworks. Track provider progress, identify gaps, and demonstrate ROI to hospital leadership.