Close care gaps and improve Star Ratings year-round

Reveleer’s Care Gap Manager is an EHR-integrated solution that aligns payers and providers around a shared view of open care gaps, required evidence, and accountability. Our technology turns fragmented lists and last-minute chart chases into a guided workflow for proactive quality improvement.

Care Gap Manager is designed primarily for health plans, delegated entities, and quality vendors that administer ongoing Stars, HEDIS, and risk programs across large provider networks. It is not a point solution sold directly to individual practices; instead, the health plan owns the program and invites provider groups into the program to participate.

Year-round prospective quality programs replaces seasonal fire drills with continuous, predictable improvement by configuring Stars, HEDIS, and risk measures for the program year. Then, it continuously surfaces gaps, tracks performance, and aligns incentives across all provider groups. Instead of relying on a single reporting-season push, your plan steadily raises scores through ongoing gap closure, performance monitoring, and incentive-driven engagement.

Care Gap Manager gives provider groups a continuously refreshed list of patient care gaps, making it easy for care teams to identify and act on gaps before and after encounters. Provider staff can submit evidence or attestations through streamlined web forms, including a “gap not accurate” option, and those submissions are routed through real-time workflows to validators at the health plan for review and approval.

Automated workflows can generate and deliver most provider packets, manage follow-ups, and reconcile responses without staff touching every record. In real implementations, healthcare organizations have saved over a thousand hours and cut outreach effort in half by replacing manual spreadsheets and packet assembly with automated HEDIS processes.

When chart collection and review follow a standardized, automated process, teams can reach more providers efficiently and track each chase from outreach through receipt. That consistency has driven retrieval rate improvements of 20%+ in some cases. Higher retrieval rates and consistent abstraction reduce missed documentation and calculation errors, which helps lower HEDIS audit risk and protect your final reported results.