Care Gap Management
Drive measurable results in quality improvement
Empower your teams with up to 77% greater efficiency. Rapidly elevate Stars and HEDIS scores, increase incentive payouts, and reduce compliance burdens—so you can close more care gaps year-round.
Reveleer
+
Novillus
What is Care Gap Management?
Reveleer’s Care Gap Management Solution allows health plans to achieve higher Star Ratings by streamlining gap closure, incentive management, and provider engagement across all lines of business. Care Gap Management delivers actionable, real-time insights and enables easy submission and tracking of supplemental data, driving more efficient operations and measurable performance gains without burdening provider groups.
With centralized oversight and continuous data-driven quality improvement, health plans can maximize outcomes and operational efficiency all year long.
Higher Star Ratings
Achieve and sustain high Star Ratings with a solution that drives year-round gap closure and integrates real-time performance tracking across all quality measures.
Streamlined provider engagement
Give providers actionable, refreshed care gap lists, automated communications, and an easy portal ensuring active participation in your quality program.
Operational efficiency
Simplify quality initiatives with clinical evidence, automated workflows, and centralized oversight, empowering teams to work smarter and reduce administrative burden.
Capture higher plan performance & transform your quality outcomes
Set a new standard for plan-led quality with Reveleer’s Care Gap Management Solution. Built for health plans that demand measurable gains in Stars and HEDIS, our solution brings you continuous provider engagement, real-time insights, and operational efficiencies by delivering outcomes that matter for compliance, revenue, and member experience.
- Instantly close care gaps across your entire network, all year long
- Drive provider participation through built-in incentive tracking and communications
- Automate chart review and documentation for higher efficiency
- Stay audit-ready and compliant with seamless evidence workflows
- Get unified analytics and program control in one, easy-to-use platform
Put provider incentives at the core of your quality strategy
Reveleer’s Care Gap Management Solution makes it easy to motivate your network and deliver strong results. Track, manage, and deliver provider incentives year-round with a single, dynamic platform designed to increase engagement, close gaps faster, and drive greater financial returns.
Increase Provider Engagement:
Keep providers motivated with real-time dashboards and instant updates. Health plans see up to 40% higher supplemental data submissions, directly improving Star Ratings, HEDIS, and risk scores.
Save Time with Automation:
Automate incentive tracking and eligibility, freeing your teams from manual work. Partner health plans report up to 77% greater efficiency in chart reviews and program management.
Centralize Oversight and Stay Audit-Ready:
Track every incentive and payout in one place. Automated workflows and reporting support compliance, simplify documentation, and ensure you’re prepared for regulatory audits at any time.
Ready to elevate quality outcomes?
See how Reveleer can help you drive incentive gains and achieve continuous quality improvement.
Take the next step in transforming your health plan’s results.
The Reveleer + Novillus advantage
- Unified value-based care platform: Integrate risk adjustment, quality, and patient care in one place.
- AI-powered intelligence: Unlock deeper insights from clinical data for better decision-making.
- Seamless integration: Enhance your existing workflows with advanced, user-friendly insights directly in your EHR.
- Regulatory leadership: Consistently meet and exceed CMS compliance standards.
- Proven Impact: Serving 72 million covered lives and 86 leading organizations nationwide.