One member record. Clear answers. Better Stars. Built for Medicare Advantage.
Unify EHR, claims, labs, and wearables in your brand. Built to move Stars, CAHPS, and RAF recapture.
Designed to improve CAHPS proxies, support RAF recapture, and reduce avoidable ED visits.See methodology & sources.
“I've been feeling really tired lately, what could be causing this?”
Your recent labs show a slightly underactive thyroid (TSH: 6.1 µIU/mL, above normal range). Your wearable data also indicates reduced sleep quality and less than 20 minutes of deep sleep on average. Both can contribute to low energy.
Patient reports persistent fatigue despite maintaining healthy routines. Labs indicate mild hypothyroidism (TSH 6.1), and wearable data confirms suboptimal sleep. Consider evaluating thyroid replacement therapy and sleep hygiene reinforcement.
What Vytivo moves financially
Measurable impact on the metrics that drive your bottom line
Stars & CAHPS
Crossing to 4 Stars typically yields a benchmark bonus (5% or 10% in double-bonus counties). We model this transparently with rebate interaction; validate with your actuaries.
- •Plain-language explanations improve satisfaction proxies
- •Care gap nudges tied to each member's history
- •Self-service answers reduce friction and complaints
Experience gains via clear, member-specific explanations.
Risk Adjustment (RAF) capture
A +1% RAF lift is worth ~$141-$282 PMPY. Vytivo's doctor-ready packets support annual recapture.
- •Pre-reads surface uncaptured diagnoses
- •Member-specific annual recapture tasks
- •Complete longitudinal context for documentation
Automated chronic condition documentation and annual recapture workflows.
Avoidable utilization
Device-supported care programs show reduced hospital service use in a majority of trials; we model a conservative range and let you set the final assumption.
- •Event-triggered outreach from trends
- •Member education in context to reduce ED use
- •Care coordination via unified record
Vytivo gives plans a branded, context-rich channel to deliver these interactions.
Population-level intelligence
Surface actionable patterns across your entire MA population, not just individual members.
Cohort risk stratification
Segment members by risk level, chronic conditions, and engagement patterns to prioritize outreach and allocate resources where they move the needle.
Gap closure tracking
Monitor care gap closure rates across cohorts in real time. Identify which interventions drive completions and which populations need different approaches.
Utilization trend dashboards
Track ED visits, admissions, and readmissions by cohort. Spot utilization spikes early and correlate with engagement activity.
Why choose Vytivo?
See how Vytivo compares to other healthcare solutions in delivering comprehensive, actionable health insights.
Features | EHR Portals | HIE & Data Pipes | Generic Apps | AI Scribes |  |
|---|---|---|---|---|---|
Unifies EHR + claims + labs + RPM per member | |||||
Context-aware Q&A for members | |||||
Doctor-ready pre-visit reports | |||||
Personalized action plans | |||||
White-label mobile + web |
Unifies EHR + claims + labs + RPM per member
Complete health data integration
VytivoContext-aware Q&A for members
Not generic tips, but personalized insights
VytivoDoctor-ready pre-visit reports
Structured, comprehensive summaries
VytivoPersonalized action plans
With longitudinal context
VytivoWhite-label mobile + web
Your brand, SSO integration
VytivoAll member data in one record your members understand
Seamless integration with existing systems and data sources
EHR Provider Integrations
Wearables & Claims Data
FHIR, CDA, PDF, CSV/XLSX ingestion
Context-aware Q&A for members
Doctor-ready summaries
Personalized action plans
Population health insights
FHIR R4, USCDI v3, OAuth 2.0 authentication. Nightly EHR/claims sync with de-duplication & normalization to build a longitudinal health graph.
Standards & Compliance
- •FHIR R4 & USCDI v3 compliant
- •HIPAA-compliant data handling
- •Supports CCDA, HL7v2, X12 formats
Identity & Security
- •OAuth 2.0 authentication
- •Google OAuth; enterprise SSO on roadmap
- •End-to-end encryption at rest & in transit
Data Refresh & Processing
De-duplication and normalization build a longitudinal health graph per member - a comprehensive, connected view of their health journey that powers context-aware answers, doctor-ready reports, and personalized recommendations.
The member experience
Follow the journey from data to daily action
See your biomarker trends
Connect your labs, wearables, and health data into one unified view. Track changes over time, understand what’s in range, and learn why each marker matters for your health.
Explain “why it matters” to improve adherence and reduce unnecessary questions.
Ask anything about your health
Members ask natural-language questions grounded in their complete record: labs, meds, diagnoses, and wearable data. Answers are personalized, sourced, and actionable.
Fewer support calls and clearer next steps improve experience measures.
See where your health is heading
Predictive models show members how their current habits are likely to affect key biomarkers over the next 8 weeks, with confidence levels and contributing factors.
Cuts clinician pre-read minutes; supports proactive care gap closure.
Generate a personalized action plan
Set health goals, and the platform generates a tailored plan spanning nutrition, movement, sleep, and supplements, all calibrated to the member’s biomarkers and conditions.
Member-specific steps reduce avoidable utilization.
Build daily habits that stick
Gamified micro-habits tied to biomarkers. Members choose personalized habits, check in daily, earn XP, build streaks, and track commitments. Behavioral science drives lasting change.
Behavioral science (not willpower) drives lasting change and sustained engagement.
Planned multi-language support • White-label design • WCAG AA accessible
The engagement problem solved
Most health apps lose 75% of users in 90 days. Vytivo is different.
Felt goals
"Have energy for my kids" beats "lower LDL"
Members set goals that matter to them, connected to clinical outcomes.
Tiny habits
5-minute actions based on Stanford research
Built on leading behavioral science research to create a goal-setting and habit-tracking system users will actually use, backed by science.
Biomarker predictions
"At this pace, cholesterol may drop 12% in 8 weeks"
Personalized projections that show progress before the next lab.
Anti-punishment design
Miss a day? Get a recovery bonus, not a guilt trip
Compassionate mechanics that encourage return, not shame.
Gamification depth
40+ achievements. 15 levels. Streaks that survive real life.
Real progression systems that keep members engaged long-term.
Platform value for plans, providers, and members
One platform that unifies data, explains insights, and drives outcomes;white-labeled for your organization
Move the Metrics That Matter
Engagement, care gaps, clinical outcomes, and utilization - all in one platform
Member-First Experience
Context-aware answers grounded in each member's complete health record. Daily engagement through gamification drives habit formation, not just information access.
Doctor-Ready Intelligence
Auto-generated pre-visit summaries that save clinical minutes
Population Health at Scale
Surface risks, close gaps, and manage cohorts efficiently
AI That Explains Itself
Every insight traces to source data with citations for full transparency and auditability
Enterprise-Grade Security
SOC 2 Type II [In progress], HIPAA BAA, data residency - built for healthcare compliance
Ready to see how Vytivo can transform your organization?
See how early-access health plans are leveraging AI to improve outcomes
CMS Interoperability Ready
Built for CMS-0057-F compliance. Vytivo supports FHIR-based data exchange so your plan can meet federal interoperability requirements while giving members seamless access to their unified health record.
Learn more about our security and complianceSLAs & security
Enterprise-grade reliability, security, and compliance
Uptime
99.9% monthly; service credits up to 99.95% for enterprise
Support
24×7 critical incidents; 1-hour response (Sev-1), same-day (Sev-2)
Data refresh
Nightly ingest for EHR/claims; near real-time for member-initiated data
Portability
Export on request (FHIR & bulk formats)
Contract flexibility
Termination for convenience with defined hand-back window
SOC 2 Type II audit in progress
HIPAA BAA available.
HIPAA Safeguards
HIPAA-aligned safeguards; BAA available during contracting
Data residency
Regional data residency as required; backups stored in-region.
Backups & recovery
RTO 4h / RPO 1h; daily snapshots; access restricted to SRE on-call.
Access control
SSO (Google OAuth; enterprise federation on roadmap), least-privilege access
Encryption
At rest and in transit
PHI boundary
Member app, intake, and graph process PHI; marketing site and static assets do not. Subprocessors listed in Trust Center.
Prompt & chat logging
Off by default for PHI. Redacted prompts; 30‑day default retention; access limited to security/quality reviewers. Opt‑out available. Model providers never train on your data.
Pen‑test summary
Latest executive summary available in Trust Center; remediation SLA: Critical 7d, High 14d, Medium 30d.
Log retention
App logs retained 30 days. Security event logs retained 365 days. Export artifacts retained 7 days.
Frequently asked questions
Everything you need to know about implementation, security, and platform capabilities
Yes - export on request; standard FHIR & bulk formats.
Default managed; BYO key available via your cloud/marketplace.
Typical 8–12 weeks for SSO, branding, and initial data onboarding.
Both (iOS/Android + responsive web), fully white-labeled.
We de-duplicate and clean across data sources to avoid double counting.
Typical pilots stand up in weeks once feeds are ready. Full rollout depends on data readiness and branding.
Member UI supports plain language, multilingual content, and WCAG-aligned patterns.
Yes. We ship a white-label app and web experience for your brand. You can link from your current app via SSO and deep links.
Yes. Access, experience, and complaints move from weight 4 to 2 in 2026, but still influence QBP and are member-facing. We model the weight change and keep RAF alongside Stars.
The ROI output shows QBP and RAF as separate line items. QBP depends on crossing 4.0 and rebate; RAF depends on PMPM and documentation completeness.
Metrics shown are illustrative. Results vary by population and benefit design; confirm with your actuaries.