01
RAF Optimization
Per-contract RAF scored against CMS-HCC V28, with member-level gaps surfaced so you lift risk-adjusted revenue across every H-contract.
Medicare Advantage
Stars determine your QBP bonus, and RAF determines your revenue. eCareRevenue shows you exactly which measures and members to focus on to protect both, before the year closes.
What eCareRevenue Delivers for Medicare Advantage Plans
Everything your plan needs to lift Stars, improve RAF accuracy, and protect revenue across every H-contract, in one platform.
02
HCC Capture
Suspected, undocumented HCCs surfaced from chart, claims, and lab data and routed to your call center and clinical teams for closure.
03
Star Ratings
Per-measure cut-point projections show exactly how far each Star measure is from the next threshold, with daily-refreshed HEDIS gap lists to close the distance.
04
CMS Compliance
RAF scored on current CMS-HCC V28 logic and every suggestion linked to MEAT evidence, keeping your plan aligned and RADV-defensible.
05
Capitation Efficiency
Member-level revenue is modeled per panel and contract, so you see where capitated revenue is at risk and where to focus resources.
06
Revenue Integrity
Coding cross-checked against documentation to catch unsupported and missed codes, keeping risk-adjusted revenue accurate and defensible.
The Medicare Advantage Implementation Journey
Four steps that take your plan from a free trial to live RAF, Stars, and gap-closure tracking across every H-contract.
1
Free Trial
Start a 30-day free trial on a sample of your membership, no credit card. See your RAF baseline, member gap density, and Stars opportunity in week one.
2
Get Demo
See eCareRevenue running on a dataset that matches your plan, H-contract structure, Star measures, and member-level RAF all reflected.
3
Configure & Onboard
Connect your EHR via SMART on FHIR plus claims feed, calibrate RAF against your historical baseline and current H-contracts, and train your quality, coding, and call-center teams.
4
Go Live
Roll out cut-point projections, daily HEDIS gap lists, RAF dashboards, and member outreach across every H-contract and participating clinician.
Results Medicare Advantage Plans See with eCareRevenue
Performance benchmarks from Medicare Advantage plans using eCareRevenue across their H-contracts.
0.20–0.35
Avg. RAF lift in year one
Sourced from chart and claims, every suggestion linked to MEAT-supported evidence
3.5 → 4.0
Star rating improvement
Coastal Health Plan reached 4 Stars in 11 months, restoring its QBP bonus
$1,840
Avg. revenue captured per MA member / year
Across documented HCCs, Star measure closure, and reduced denials
4–6 weeks
From kickoff to full rollout
EHR connection in 1–3 days; first projected RAF in week two
Frequently Asked Questions
Answers to the most common questions from Medicare Advantage plans evaluating eCareRevenue.
It projects per-measure cut-points so you see exactly how far each Star measure is from the next threshold, then refreshes HEDIS gap lists daily and routes them to your call center and clinical teams. You focus effort where it lifts ratings fastest.
By targeting the measures closest to the next cut-point and closing member gaps before the year ends, it helps you reach and hold the 4-Star threshold that determines the bonus, the way Coastal Health Plan restored its QBP in 11 months.
Yes, RAF is scored continuously on current V28 logic, per H-contract, current, projected, and trended, with the V24-to-V28 impact visible across your membership.
Every HCC suggestion links to MEAT chart evidence, so your audit trail is built as conditions are documented and unsupported codes are flagged before they count toward RAF.
Yes. RAF, Stars, and revenue are tracked per H-contract and rolled up across your membership, so you manage every contract from one console.
Most vendors work retrospectively, chasing gaps after the visit. eCareRevenue surfaces member gaps and suspected HCCs before the encounter, so they close in the room and it unifies Stars, RAF, and revenue rather than splitting them across tools.
See What eCareRevenue Finds in Your Membership, in a 30-Minute Session
Book a 30-minute session and bring a CSV extract of your membership. We’ll show RAF projection, Star cut-points, member gap detection, and revenue forecast live on your data.