Intelligence that elevates care.
ElevateCare gives ACOs, IPAs, and health systems real-time roster accuracy, prospective RAF capture, and year-round HEDIS gap closure, with cohort analysis powered by ElevateIQ — the operational foundation that makes value-based care actually work.
Intelligence Layer
ElevateIQ
Natural-language AI that turns your ElevateCare data into real-time answers, care plans, and opportunities — at patient, cohort, and population scale.
ROI you can measure on day one.
15%
Revenue increase
Gap closure & coding compliance
25%
Workforce efficiency gain
Less time spent reconciling, more time on care
30%
Reporting burden reduction
Automated quality + value-based reports
15 min
Analytics turnaround
Down from 3 weeks of manual pulls
Know exactly who's on your panel. Right now.
Attribution lag costs ACOs 30–90 days of actionable data. ElevateCare reconciles payer feeds, EHR records, and claims in near real-time — so every care team always works from a verified, current roster.
- Attribution lag: Rosters finalize 30–90 days after the period ends — care teams are managing a population that no longer exists.
- PCP churn: 8–12% of patients switch providers annually. Most rosters don't reflect it until claims adjudicate months later.
- Multi-payer conflict: A single patient appears on three payer feeds with three different PCPs. Manual reconciliation burns 10–15 FTE hours monthly.
ElevateIQ · Ask who joined, churned, or switched PCPs this week — and get a verified, current list back in plain language.
ElevateCare · Roster
< 24 hrs
Roster reconciliation cycle
vs. 30–90 day industry average
1 source
of truth per patient
Payer feeds + EHR + claims unified
100%
Attribution transparency
Active, new, and churned — always current
Close gaps while there's still time.
Quality reporting consumes staff time and resources that could go to patient care — and most care gaps surface long after the window to act has narrowed. ElevateCare gives care teams a continuous, connected view of every open measure, so closure happens steadily across the year.
- Late discovery: Care gaps surface long after they could've been closed — outreach windows shrink with every passing month.
- Disconnected closure: Identification, outreach, order, and result validation live in separate systems. Closures fall through the cracks.
- Triage by ease, not impact: When every measure looks the same, teams start with the easiest gaps — not the ones that move the needle for patients or stars.
ElevateIQ · Ask which open measures carry the most weight for your Star ratings, then route that cohort straight into outreach.
ElevateCare · Care Gaps
Continuous gap visibility
HEDIS measures tracked the moment data lands — so care teams see what's open, what's closing, and what needs attention without waiting for a quarterly report.
Year-round closure
Outreach starts in January, not October — every measure has time to close inside the performance year.
Coordinated workflows
Identification, outreach, scheduling, and result validation all live in one place — no more hand-offs lost between systems.
Impact-led prioritization
Gaps surfaced by patient impact and star-rating leverage — so teams act on what moves outcomes, not just what's easy.
ElevateCare · RAF & Risk
Baseline RAF
1.24
Actual RAF
1.50
460 HCC documentation gaps identified
5–6%
Avg. HCC codes missed per patient annually
$2–4M
Revenue lost per 10K lives from documentation gaps
Prospective
Review — before encounters happen, not after
Stop leaving RAF revenue on the table.
5–6% of eligible HCCs go undocumented every year. ElevateCare surfaces prospective analysis before encounters — so your RAF score reflects your true population risk.
- Documentation gaps: The average practice misses 5–6% of eligible HCC diagnoses per patient each year — silent revenue loss that compounds.
- Reactive workflows: RAF reviews run in Q4, after most encounters are gone. Prospective opportunities disappear before anyone acts on them.
- Audit exposure: Retroactive chart reviews raise compliance risk. CMS clawbacks average 2–4% of prior-year payments on audited claims.
ElevateIQ · Ask where documentation gaps cluster by provider or condition, and see the RAF and revenue impact before the next encounter.
Target the cohort. Not the average.
Whole-population averages hide where risk and opportunity actually sit. ElevateCare segments members into living cohorts by condition, risk, utilization, and SDOH — so teams can size an intervention and act on the group that will move outcomes most.
- Averages hide risk: Population-level metrics blend the stable majority with the few members driving cost — the group that needs action stays invisible.
- Stale registries: Condition lists built once a year are out of date by spring. Risk moves through the year; a static registry doesn't.
- Untargeted intervention: Without size and impact modeled up front, teams launch programs on cohorts that were never going to move the numbers.
ElevateIQ · Describe a cohort in plain English — it's assembled across every connected source, with size and impact previewed before you commit.
ElevateCare · Cohorts
Rising-risk diabetics
2,310lives
$1.2M RAF lift available
30-day post-discharge
680lives
Elevated readmission exposure
Overdue AWV · age 65+
1,540lives
412 quality gaps open
Polypharmacy · 10+ meds
905lives
Medication review priority
Living cohorts — re-sized as new data lands
See it in action.
Roster, RAF, and care gaps — unified in a single operational dashboard. Switch between views to see how ElevateCare surfaces the actions that matter most.
ElevateCare · Live Dashboard
LiveTotal Patients
29,007
Filtered Results
26,032
For
Jan 2026
| # | Patient | Demographics | Eligibility | Recertification | Care Team | Last Contact | Actions |
|---|---|---|---|---|---|---|---|
PA Patient A Policy # XXXXXXXX | 52 yrs / Female 01/22/1974 | 10/01/2023 – Active | 09/30/2026 Active | Care Team 1 Organization 1 | — | ||
PB Patient B Policy # XXXXXXXX | 74 yrs / Female 04/06/1952 | 03/04/2024 – Active | 12/31/2026 Active | Care Team 2 Organization 1 | — | ||
PC Patient C Policy # XXXXXXXX | 70 yrs / Male 10/12/1955 | 09/01/2021 – Active | 12/31/2026 Active | Care Team 3 Organization 1 | — | ||
PD Patient D Policy # XXXXXXXX | 39 yrs / Male 12/31/1986 | 02/01/2025 – Active | 06/30/2026 Expiring Soon | Care Team 4 Organization 1 | — | ||
PE Patient E Policy # XXXXXXXX | 26 yrs / Male 09/17/1999 | 04/21/2025 – Active | 02/28/2026 Expired | Care Team 4 Organization 1 | — | ||
PF Patient F Policy # XXXXXXXX | 30 yrs / Female 05/21/1996 | 09/01/2024 – Active | 08/31/2026 Active | Care Team 5 Organization 1 | — | ||
PG Patient G Policy # XXXXXXXX | 10 yrs / Female 01/23/2016 | 08/01/2023 – 07/31/2026 Active | 07/31/2026 Active | Care Team 6 Organization 1 | — |
Showing 7of 26,032 filtered · Eligibility & recertification reconciled across payer feeds in near real-time
ElevateCare is the foundation. ElevateIQ is the accelerant.
Roster accuracy, RAF precision, and care gap closure aren't possible without a trusted data foundation. ElevateCare builds that foundation — then ElevateIQ puts AI on top of it.
Intelligence Layer
ElevateIQ
Natural-language AI that queries your ElevateCare data in real time — surfacing answers, care plans, and opportunities at patient, cohort, and population scale.
Operational Foundation
ElevateCare
Accurate patient attribution, prospective HCC coding, and real-time HEDIS gap tracking — the verified operational truth your programs run on.
Nine modules. One operational truth.
Every module reads from the same unified roster, claims, and clinical layer — so action in one place updates the whole picture instantly.
Roster
Accurate patient attribution, eligibility tracking, and physician mapping with aligned accountability.
Quality
Tracks HEDIS and claims-based measures. Identifies care and documentation gaps continuously.
Risk
Stratifies populations by clinical and utilization risk for proactive outreach and care management.
Annual Visits
AWV scheduling and completion tracking — closes preventive care gaps at scale.
Provider Dashboard
Real-time KPIs and performance metrics. Visibility for leaders and care teams in one view.
Hospitalization
Tracks admissions, discharges, and ED visits. Supports post-discharge follow-up workflows.
HCC
RAF score tracking and coding compliance. Closes HCC documentation gaps at point of care.
Cohort Building
Segments populations by clinical criteria — enables targeted outreach and care programs.
Transitions of Care
Reduces readmissions and avoidable utilization. Coordinates across post-acute settings.
Then ask it anything.
ElevateIQ sits on top of your ElevateCare data — transforming every roster record, RAF gap, and care measure into a natural-language answer your team can act on in seconds, not weeks.
- Ask natural-language questions about patients and populations
- Run reports in minutes — not weeks
- Analyze care gaps, documentation gaps, and utilization patterns
- Generate AI-assisted care plans and surface hidden opportunities
Selected Question
Which diabetic members are overdue for an A1C test and haven't had a visit in the last 6 months?
Claude, OpenAI & Ollama ensemble — orchestrated over your ElevateCare data in real time
From a prompt to a cohort in seconds.
Describe the cohort in plain English. ElevateIQ assembles it across roster, claims, EMR, pharmacy, and SDOH — then previews size, RAF impact, gap closure ROI, and outliers before you commit a single workflow.
- Natural-language queries across every connected data source
- Pre-flight RAF, quality, and revenue impact before you act
- Push the cohort straight into outreach, AWV, or care management workflows
Pre-visit summaries clinicians actually read.
One paragraph. Active diagnoses, open gaps, risk factors, recent utilization, prior visit highlights — generated automatically before every appointment, with source citations and confidence flags.
62yo M with T2DM (HbA1c 9.2, Apr), HTN, CKD-3. AWV due — last completed 14 months ago. Open quality gaps: retinal screen, diabetic foot exam, ACE/ARB renewal. ED visit 6 weeks ago for atypical chest pain — workup negative. Recent A1c trending up despite metformin + glipizide. Suggested:intensify therapy, schedule retinal + foot exam at today's visit, refill ACE.
- Real-time, EMR-native — generated overnight, refreshed at check-in
- Aligned to AWV, HCC capture, and quality measure workflows
- Every claim traceable to source data with confidence scoring
Built for how VBC actually works.
A single intelligence layer that integrates with the infrastructure you already use — and unifies the tools your teams rely on every day.
Real-time attribution
Roster updates in hours, not months. Care teams always know who they're managing — and who just joined or left.
Prospective RAF capture
HCC opportunities surfaced before encounters, not during retroactive year-end reviews that create audit risk.
Year-round gap closure
HEDIS gaps identified the moment data lands — not discovered in Q3 when the window to act is nearly gone.
Works with your existing systems
Integrates with Epic, Cerner, Athena, and every major payer feed. Adds intelligence on top of the infrastructure you already have.
One platform. Every care model.
Configurable for the organizations driving the value-based care ecosystem.
ElevateIQ in the real world.
Two stories that show what happens when AI intelligence meets everyday care operations.
Patient switches PCP, find out first.
Near real-time roster adjudication ensures attribution is always accurate, so care teams never manage a patient that isn't theirs — or miss one who is.
Challenge
Roster changes lagged by weeks. Care managers were contacting patients who had switched providers, and missing newly attributed members entirely.
Action
ElevateIQ continuously reconciles attribution data across payer feeds, EHR rosters, and claims — surfacing PCP changes within hours, not weeks.
Result
Outreach accuracy jumped dramatically. Care teams stopped wasting effort on patients who left and started capturing value from newly attributed members immediately.
Real-time
Roster updates
Zero
Stale outreach
100%
Attribution accuracy
Tomorrow's patients, prepared today.
Physicians and care coordinators use ElevateIQ to scrub EMR data and generate patient summaries for the next day's schedule — enabling proactive, not reactive, care.
Challenge
Providers walked into appointments cold — no time to review records, identify gaps, or prepare targeted questions. Care was reactive by default.
Action
ElevateIQ runs an end-of-day EMR scrub, surfaces open gaps, flags risk factors, and generates a structured pre-visit summary for every patient on tomorrow's schedule.
Result
Providers arrive prepared. Gap closure rates increased, visit quality improved, and care coordinators spend time acting — not searching for information.
Daily
Pre-visit summaries
Proactive
vs. reactive care
Higher
Gap closure rates
We don't replace systems — we connect them.
Seamless integration via FHIR, HL7, CCDA, APIs, and SFTP. Works across major EHRs, payer systems, and healthcare ecosystems — connecting the infrastructure you already have, not replacing it.
Where clinical expertise meets intelligent innovation.
Dr. Nimish Dharia
CEO & CFO
Strategic vision and financial discipline. Physician leader driving the intersection of clinical excellence and data intelligence.
Adam J. Voice
COO
Leads operations and performance. Ensures seamless delivery and measurable client success.
Cirron Ray
CSO
Leads strategy and growth. Scaling Elevate's market presence across value-based care organizations.
Christel Dagher
Head of Strategy & Operations
Turns strategy into disciplined execution. Aligns teams, priorities, and delivery so clients see value fast.