$200,000–$300,000 in missed shared savings your current EHR leaves uncaptured.
Tarevo is the value-based care EHR operating system built for MSSP Track ACOs, REACH ACOs, and Dual-Eligible entities. HCC-canonical RAF scoring, RAI code capture, MIPS CQM feeds, and audit-ready CMS extracts — running on sovereign, customer-owned AWS infrastructure compliance officers actually control.
Last updated 2026-07-19 · Built for ACO compliance and finance leadership
Built for your ACO model
MSSP Track, REACH, and DCE fit — by design.
Each ACO model has its own quality gate, its own benchmark math, and its own audit cadence. Tarevo is not a generic EHR retrofit — the RAF model, the CQM feed, and the audit posture are designed around how ACO compliance officers actually report.
MSSP Track ACO
MSSP Tracks Basic, Enhanced, and Track 1+ require accurate quality reporting, RAF-tuned risk adjustment, and clean benchmark math. Tarevo delivers MIPS CQM feeds and audit-ready extracts the CMS OPA reviewer will see — without rebuilding your workflows each measurement year.
REACH ACO
The ACO REACH model is capitation-driven. RAF accuracy determines your benchmark; under-coding is uncaptured revenue; over-coding triggers RADV clawback. Tarevo runs HCC-canonical RAF scoring, RAI codes, and signed audit logs every compliance officer asks for.
DCE (Dual-Eligible entity)
Dual-Eligible populations span Medicare and Medicaid with separate quality programs. D-SNP, LTSS, and behavioral-health reporting each pull from the same chart. Tarevo unifies the data model so your DCE team reports once and reconciles across both payers automatically.
Value-based capabilities
Four capabilities your CMS reviewer asks about first.
ACO compliance officers do not need every EHR bell and whistle. They need the four capabilities that determine whether shared savings are earned, captured, and defensible when CMS opens the file.
MIPS CQM Reporting
Generate CMS Quality Measure specs directly from the encounter — no manual registry pulls, no end-of-year chart chase. Quality scores feed straight into your MSSP quality gateway and the QPP submission.
RAI Code Capture
Resident Assessment Instrument workflows for PAC and LTC lines that intersect with ACO attribution. Codes flow to CMS in the format auditors expect, with the source documentation timestamped and signed.
RAF Risk-Adjustment
HCC-canonical RAF scoring with monthly recalculation. Captures the HCC-relevant conditions that move your benchmark — and the documentation defensibility index a RADV auditor can actually follow without requesting records.
Audit-Ready Data Extracts
One-click generation of CMS-compliant extracts for RADV, OPA, and concurrent reviews. Every query is logged; every export is signed; every record carries an immutable provenance chain your compliance officer can hand to CMS.
Revenue recovery, not cost cutting
The benchmark you already earned.
Most ACOs do not have a revenue problem — they have a documentation and risk-capture problem. Move HCCs from encounter to RAF, capture the RAI codes that qualify for shared savings, and the shared-savings revenue appears.
$200K–$300K
Missed shared savings per 5,000 attributed lives
HCC-Canonical
RAF scoring with monthly recalculation
RADV-Ready
Documentation defensibility index
CMS-OPA
Audit-ready extracts, signed and logged
For ACO compliance officers
The infrastructure model CMS asks about first.
Every Tarevo deployment runs in your AWS account — not ours, not a shared multi-tenant cluster. KMS keys stay in your account. Delegated IAM is revocable on a single API call. When the engagement ends, your PHI stays exactly where it is.
- OpenEMR on AWS Fargate — HIPAA-compliant, scalable, yours
- Delegated IAM access — revocable at any time, no hostage infrastructure
- Encryption keys stored in your AWS KMS — zero vendor key access
- Immutable audit log on every record access — RADV and OPA-ready
Audit posture
Talk to the ACO team
Schedule a Discovery Call
ACO procurement is not a 30-minute demo. It is a multi-stakeholder conversation — compliance, finance, IT, and the executive sponsor. We will walk through your current RAF pipeline, the documentation defensibility index, and the sovereign infrastructure model on a call that respects that process.
- RAF accuracy walkthrough vs your current risk-adjustment vendor
- Documentation defensibility index explained against your last RADV sample
- Sovereign-infrastructure proof — your AWS account, your KMS keys
- Migration plan that respects your MSSP/REACH measurement year cadence
Prefer email? tarevo@polsia.app