Star Ratings & Risk Adjustment

Your Star Rating depends on members who never see a provider.

We deploy clinical teams into communities and create encounters with members no outreach campaign has been able to reach. One visit closes multiple HEDIS gaps, captures undocumented diagnoses, and generates the data your quality and risk adjustment programs need.

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Production Results

4.5

HEDIS gaps closed
per member encounter

6.2:1

Payer ROI on
direct reimbursement

3,500+

HEDIS gaps closed
per month, in production

94%

Documentation
compliance rate

Deployed across Medicare Advantage and ACA Marketplace plans. HEDIS-compliant. HIPAA-compliant. NCQA-aligned. Operational data available under NDA.

CY2026 measurement year closes December 31.

Gaps closed between now and then feed your 2028 Star Rating and 2029 payment year. Every month you wait is measurement data you can't get back.

Techstars '24

Backed & Validated

Built by a clinical team that's been in the room, closing these gaps, at the point of care.

Not an analytics company. Not a call center. A nurse-founded company that goes to your members, delivers care, and generates the Stars and risk adjustment data your current vendors can't.

The Problem

You have the analytics. You have the outreach. You have the provider incentives. The members who never see a provider still aren't getting seen.

Analytics vendors surface the gaps but don't close them. Outreach teams reach voicemail, not members. In-home assessment vendors document diagnoses without delivering care, and CMS is watching. Test kits close one measure if the member mails them back. Everyone in your vendor stack stops short of the clinical encounter. That's where we start.

What Makes Revella Different

Everyone else operates around the encounter. We are the encounter.

Not old-fashioned gap closure. We control blood pressure, manage diabetes, and unlock the triple-weighted outcome measures. Two revenue streams from a single clinical investment.

Capability	Analytics	Outreach / Call Centers	In-Home Assessments	Revella Different
Creates a clinical encounter	No	No	Partial	Yes. Face-to-face clinical visit.
Closes HEDIS gaps at point of care	No	No	Limited	4.5 gaps per encounter average
Captures HCC diagnoses	Retrospective	No	Yes, without care	Yes, with clinical care
SDoH screening	No	No	Sometimes	Validated instruments
PCP attribution verification	No	No	No	Member-reported vs plan-attributed
Delivers clinical care	No	No	No	Yes. Point-of-care clinical services.
Survives encounter-data-only RA	N/A	N/A	At risk	Built for it.

How It Works

We don't need to be in your bid. This is quality improvement.

We can start closing gaps the month you give us your member list.

Book a Call

Share your population

Members with open gaps and zero provider visits this measurement year. We identify the highest-impact opportunities on your H-Number.

We do the outreach

Every contact attempt logged. Barriers coded. Engagement rates reported on the full population, not just members who show up.

We deliver the encounter

Clinical team meets the member in the community. Point-of-care diagnostics, preventive screenings, SDoH assessment, PCP verification. Average 4.5 gaps closed per visit.

You see the outcomes

Measure-level gap closure tied to specific members. Risk adjustment captures. Structured data feeds in your format. No black boxes.

What Moves

We close the measures that matter most to your rating.

HEDIS measures drive CMS Star Ratings for Medicare Advantage, QRS ratings for ACA Marketplace, and NCQA accreditation across all plan types. We close the gaps and capture the diagnoses in one encounter.

See the full financial case →

Controlling Blood Pressure3×

HbA1c Control3×

Improvement Measure5×

Diabetic Eye Exam

Breast Cancer Screening

Colorectal Cancer Screening

Risk Adjustment / HCC Capture

SDoH + SSBCI Eligibility

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Member outreach and engagement is not your old-fashioned gap closure. If vendors aren't talking about controlling diabetes, controlling blood pressure, thoughtful medication management, that's how we unlock those triple-weighted measures.

Rise National 2026 MA Workshop on Stars & Quality

For Providers

Your health plan may already work with us.

When a plan contracts with Revella, we deploy at network provider practices at no cost to the practice. Your workflow doesn't change. Your quality scores improve. If your plan isn't working with us yet, we also offer direct clinical documentation, billing intelligence, and quality measure reporting for independent practices.

Talk to Us About Your Practice

Get Started

Give us 500 members on one H-Number. We'll show you the Stars impact.

20-minute call. Pilot data, operational model, and financial case specific to your contract.

Book a Call to Learn More

Currently deployed with Medicare Advantage and ACA Marketplace plans across multiple states.