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Value-based care

Software that closes the gap,not just lists it

Most tools surface open care gaps. Closing them is an outreach problem: reaching due patients, booking the screening or visit, and documenting it before the year ends. Here is what to look for, and how to run it on a free trial.

HEDIS + Stars outreach · HIPAA BAA included · Writes back to your systems

What to look for

Identification is table stakes; closure is the job

Care gap closure software exists to move quality measures: the HEDIS and Medicare Star Ratings gaps, screenings, chronic-disease control, wellness visits, adherence, that decide value-based reimbursement. Nearly every platform can identify open gaps from claims or EHR data. That is the easy half.

The hard half is closure, and closure is outreach. An open A1c or mammogram gap only closes when the patient is reached, the visit or screening is booked and completed, and the result is documented. Software that stops at a worklist leaves that labor on already-stretched staff, which is why so many gaps stay open at year end.

The right tool does the reaching. Rivvi runs care-gap and recall programs as real two-way conversations over voice and text: it calls the patients due for a screening or wellness visit, books them into the schedule, confirms, honors TCPA opt-out, and writes the outcome back to your system, from a branded number, so the gap closes and the documentation follows.

What matters

What to require of care gap closure software

The capabilities that separate a worklist from actual closure.

rivvi
Typical gap-list tool

Identifies open HEDIS / Stars gaps

Yes
Yes

Reaches patients directly (voice + text)

Yes

Varies

Books and confirms the visit

Yes
No

Two-way conversation, not a blast

Yes

Varies

Writes outcomes back to your systems

Yes

Varies

TCPA opt-out honored on every attempt

Yes

Not stated

Branded phone number

Yes

Not stated

Free to try, BAA included

Yes

Not stated

Competitor details are drawn from each vendor's public pricing and product pages as of July 2026 and may change. "Not stated" means the vendor does not publish that detail. Rivvi's free-trial details reflect the current published offer at rivvi.ai/pricing and rivvi.ai/sign-up.

Questions

Care gap closure, answered

What is care gap closure software?

Care gap closure software helps a practice, ACO, or health plan find and close gaps in recommended care, such as overdue cancer screenings, uncontrolled diabetes, or missing wellness visits, that affect HEDIS and Medicare Star Ratings. The most effective tools go beyond listing gaps to actually reach patients and book the needed visit or screening.

How does Rivvi close care gaps?

Rivvi runs care-gap and recall programs as real conversations over voice and text. It contacts the patients due for a screening, wellness visit, or follow-up, books them into the schedule, confirms the appointment, honors TCPA opt-out, and writes the outcome back to your system, from a branded number, so the gap closes and the documentation follows.

What are HEDIS and Star Ratings gaps?

A HEDIS gap is an eligible patient missing a required service under a HEDIS quality measure, such as a colorectal screening or an A1c check. Because many Medicare Star Ratings measures draw from HEDIS, closing those gaps lifts a plan's Star Rating, which drives quality bonus payments and enrollment.

Is Rivvi SOC 2 and HIPAA compliant?

Yes. Rivvi is SOC 2 Type II and runs on HIPAA-eligible infrastructure, signing a BAA with every organization before patient data moves. Patient information is never used to train third-party models, and TCPA opt-out is honored on every outreach path.

What is a conversation credit?

A conversation credit is a small unit of usage that meters per minute of conversation: a voice minute is about 40 credits and web chat costs less. Rivvi's free trial includes 10,000 credits (roughly 250 voice minutes), enough to run real appointment reminders, refill reminders, and recall calls end to end before you decide whether to move to a paid plan.

More on how the rules bind: Security and compliance

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