Now accepting Founding Partner hospitals — DFW & nationwide

Most hospitals wait 14 months
to find out if patient experience
is improving. Beritus tells you in 30 days.

Real-time behavioral intelligence across all 8 HCAHPS domains — triggered by your EHR, domain by domain, the moment care happens. The first signal your scores are moving. Months before CMS confirms it.

Book a 20-minute demoRun my hospital's diagnostic →
Day 1
Live domain-level behavioral intelligence — before any survey data exists
Day 90
Press Ganey rolling data confirms score trajectory — documented proof of improvement
Month 18
VBP reimbursement recovery confirmed — you already saw it coming at day 90
$0
additional workload for your nurses, charge nurses, or clinical staff
Live Intelligence
Riverside Community · Today
Real-time
Med. Communication
↑71%
Nurse Communication
↑84%
Staff Responsiveness
68%
Discharge Information
⚑ 55%
⚑ Escalation flagged
Room 318 · Discharge Info gap · 6 min ago
EHR-triggered · Zero staff input · All 8 domains
The problem

You're managing patient experience
with data that's 14 months old.

Press Ganey results arrive 4–6 weeks post-discharge. CMS publishes star ratings using data that's 9–12 months old. By the time you see a score decline, hundreds of patients have already had the same experience. The gap between care delivered and scores published isn't just financial — it's an intelligence failure.

🕐
Press Ganey is a rearview mirror
Survey results arrive 4–6 weeks after discharge. Domain scores tell you what went wrong — not what's going wrong today, on your floor, right now.
📊
CMS data is already 9–12 months stale
The star ratings on Care Compare are built from data that's nearly a year old. You're being judged — and reimbursed — based on a performance period that already ended.
💸
The VBP penalty compounds every year
CMS withholds 2% of Medicare base revenue annually, then redistributes based on Total Performance Score. Low performers give more than they get back — every single year.
🔄
Rounding tools still require staff to remember
Every current approach — manual rounding, post-discharge calls, patient portals — requires a human to initiate. That's why they fail consistently. Beritus is architecture, not a reminder.
Example — 200-bed hospital, 2 ★ rating
Est. Medicare base operating revenue$120M
Annual VBP pool contribution (2%)$2.4M
Recovery at 2-star performance (~42%)$1.0M
Annual VBP gap — money left on table~$480K
Recovery at 3-star performance (~62%)$1.48M

Based on CMS Hospital VBP program data. Recovery rates estimated from published distribution of TPS scores by star tier. Actual results vary by facility. Source: CMS IPPS Final Rules, HCAHPS Fact Sheet (Dec 2024).

Why HCAHPS score improvement is a financial imperative — not just a quality initiative

The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey was designed to give patients a standardized voice about their hospital experience. Since 2012, CMS linked those voices directly to hospital reimbursement through the Hospital Value-Based Purchasing program. Today, every IPPS-participating hospital in the United States has 2% of its Medicare base operating revenue withheld annually — with reimbursement determined by how that hospital performs across clinical outcomes, patient safety, efficiency, and patient experience domains.

The patient experience component — weighted at 25–30% of the Total Performance Score — is determined entirely by HCAHPS survey results. And for most 2- and 3-star hospitals, HCAHPS is the highest-ROI lever they have. Clinical quality scores take years to move. Efficiency metrics require operational restructuring. But HCAHPS scores respond directly and measurably to how consistently patients feel informed, heard, and supported during their stay — which is exactly what a well-designed patient experience platform can systematically improve.

In 2025, CMS rolled out HCAHPS 2.0, the most significant update to the survey since its national implementation in 2006. The updated instrument adds new sub-measures, introduces online survey administration to capture younger patient demographics, and — critically — adds a Care Coordination composite measure that will become publicly reported on Care Compare in October 2026. Hospitals that begin building Care Coordination performance now will establish competitive baselines before the broader market understands what’s at stake.

Beritus was built for this environment. The platform doesn’t ask clinical staff to do more — it works invisibly alongside the care your team is already delivering, capturing the behavioral signals that translate directly into HCAHPS survey responses, domain scores, star ratings, and ultimately, recovered Medicare VBP reimbursement.

How Beritus works

Your EHR is already generating
the signal. We just make it visible.

Every clinical event in your EHR is a behavioral data point. Beritus reads those events, closes the communication loop with the patient, and surfaces real-time domain-level intelligence to your dashboard — without touching a single clinical workflow.

01
EHR event fires
Patient admits, medication order placed, nurse documents vitals, discharge initiated — your EHR is already capturing every HCAHPS-relevant moment. Beritus reads them all.
Epic · Cerner · any EHR
02
Beritus closes the loop
Each event triggers a personalized patient touchpoint — mapped to the correct HCAHPS domain, delivered at the right moment. No staff input. No new workflow. Zero clinical burden.
All 8 HCAHPS domains
03
Behavioral signal captured
Every patient response — or non-response — is timestamped, domain-tagged, and added to your intelligence record. Negative sentiment triggers an instant escalation. Everything else runs silently.
Real-time sentiment engine
04
Live dashboard. Real intelligence.
Domain scores update in real time. You see response rates by shift, by unit, by domain — the leading indicators that predict your Press Ganey score before it's published. Weeks ahead of anyone else.
Day 1 visibility

The core design principle: zero clinical workflow change

This is not a reminder system. It is not a new portal to log into. Beritus is infrastructure — it runs entirely beneath the clinical layer. The only thing your team ever sees is an escalation alert when a patient flags a concern. Everything else is invisible to them, and visible to you.

Coverage

Every HCAHPS domain. Every touchpoint.

Beritus maps automated SMS sequences to all 8 dimensions that feed your VBP Patient Experience score — from admission through 14 days post-discharge.

👩‍⚕️
Nurse communication
Nurse assignment event · mid-shift check-in
VBP: Communication with Nurses
👨‍⚕️
Doctor communication
Physician rounding event in EHR
VBP: Communication with Doctors
🔔
Staff responsiveness
Mid-stay check-in · reply escalates to nurse
Real-time escalation path
💊
Medication communication
Medication order placed in EHR
VBP: Communication about Medicines
🏠
Discharge information
Discharge order initiated · D+1 follow-up
Lowest national avg — highest opportunity
🌙
Environment: cleanliness & quiet
Admission welcome · nightly quiet-hours message
VBP: Cleanliness & Quietness
Overall hospital rating
Survey warm-up at D+14 recall window
Pre-warms HCAHPS survey response
New Oct 2026
🔄
Care coordination & transition
D+3 and D+7 post-discharge touchpoints
Reduces readmissions · VBP: Care Transition

The Care Coordination domain goes public in October 2026. Is your hospital ready?

As part of HCAHPS 2.0, CMS added a Care Coordination composite measure that will begin public reporting on Care Compare in October 2026, based on full calendar year 2025 discharge data. That means hospitals are already building — or failing to build — their Care Coordination performance baseline right now, without knowing it. Beritus covers Care Coordination from day one of deployment, capturing every D+3 and D+7 post-discharge touchpoint automatically.

The Proof Timeline

You'll know at 90 days.
CMS just confirms it later.

The VBP payoff takes 12–18 months because that's how CMS works. But the intelligence — and the proof — starts immediately. Here's exactly what you have and when.

Phase 1
Day 1
Intelligence is live.
Domain-level behavioral data across all 8 HCAHPS dimensions starts populating from your first EHR-triggered touchpoint. Response rates by shift, by unit, by domain. Escalation flags surfaced before they become complaints. You see things today that Press Ganey won't show you for six weeks.
What you have: Live dashboard · Real-time domain scores · Escalation alerts
Phase 2
Day 60–90
Scores are moving. You have documentation.
Your existing Press Ganey or Qualtrics rolling feed starts reflecting the improvement. Internal domain tracking confirms the trajectory. You walk into your next board meeting with a trend line and behavioral evidence — not a theory. This is your proof of return, well before any CMS dollar changes.
What you have: Press Ganey trend · Domain gap closure data · Board-ready report
Phase 3
Month 12–18
CMS confirms what you already knew.
The VBP performance period captured under Beritus feeds into your reimbursement adjustment. Recovery is modeled at month 6 — long before CMS publishes. No surprises. Just financial confirmation of the intelligence trail you've been building since day one.
What you have: VBP recovery · Documented ROI · Case study for peer referrals
The VBP performance period feeding your FY2027 reimbursement adjustment is being written right now. Every month without this intelligence is a month of performance data locked in at your current score.
Intelligence Diagnostic

What is your hospital
blind to right now?

Answer four questions. We'll show you your estimated behavioral intelligence gap — the domains where your real-time signal is weakest and where your VBP exposure is highest.

What is your current CMS HCAHPS star rating?
Which domain is your biggest gap vs. peers?
How are you currently monitoring patient experience in-stay?
Annual inpatient discharge volume?
ROI Calculator

What is your HCAHPS gap
costing you right now?

Adjust the inputs below to see your hospital's estimated annual VBP recovery gap — and what a single star improvement recovers.

$120M
2 ★
8,000
Your estimated numbers
Annual VBP pool contribution$2.4M
Est. current recovery rate42%
Est. annual recovery gap~$480K/yr
Beritus annual investment~$38K/yr
Your net annual gain+$442K
Get my personalized ROI analysis

Based on CMS VBP program data and published HCAHPS score distributions. Recovery rate estimates are conservative. Actual results depend on baseline performance, facility size, and implementation. Source: CMS IPPS Final Rules, Beauvais et al. (2023) PMC10606508.

See exactly where your hospital stands — in 60 seconds

Enter your hospital name. We pull your public CMS data and show you your domain scores, your peer ranking, and your estimated VBP gap. No sales call required.

Get my free scorecard →
Free · No signup required · Powered by public CMS data
Founding Partner Program

The first five hospitals recover the most.
The window is closing.

We're building this product with a small cohort of hospital partners — not for them. Founding Partners pay during development and shape the roadmap directly.

Limited availability — 2026 cohort
Direct co-design access
Your clinical workflows, your EHR configuration, your patient population shape the product. You're not buying software — you're building it.
Founding partner pricing — locked permanently
Partners who engage during development receive the lowest pricing Beritus will ever offer, protected against future price increases indefinitely.
First-mover advantage in your market
Founding partners become reference customers before any competitor in their region has the product. That positioning compounds as the market matures.
Measured results in 90 days
HCAHPS domain scores, patient response rates, escalation volume, and projected VBP reimbursement impact — tracked from day one and reported to your team monthly.
Request a Founding Partner conversation
5
founding partner spots — 2026 cohort

We are intentionally limiting the first cohort to ensure every founding partner receives direct founder attention, custom EHR configuration, and measurable results within the first quarter.

What founding partners receive
✓ Direct founder access & weekly check-ins
✓ Custom EHR integration & message sequences
✓ Monthly HCAHPS impact reports
✓ Permanent preferred pricing
✓ Reference customer designation
Security & compliance

HIPAA isn't a checkbox.
It's our architecture.

Every workflow was designed with compliance as the foundation. Your legal and compliance teams will find what they need here — and nothing they don't expect.

BAA Provided
Business Associate Agreement
A signed BAA is provided to every Beritus customer before go-live. No exceptions. Your covered entity obligations are met from day one.
Zero Retention
Ephemeral data processing
Patient PII is processed in memory and purged immediately after message delivery. No PHI is written to disk or retained in logs.
AES-256 + TLS 1.3
End-to-end encryption
All data in transit uses TLS 1.3. Any temporary processing uses AES-256. Patient data is never exposed in plaintext at any point.
Minimum Necessary
Data minimization by design
Beritus ingests only what it needs — appointment time and masked phone number. No diagnosis codes, no insurance data, no clinical notes — ever.
RBAC Enforced
Role-based access control
CFOs, CNOs, and charge nurses each see only the data their role requires. Access is scoped, logged, and auditable at all times.
In Progress — Q4 2026
SOC2 Type II roadmap
SOC2 Type I audit is underway. Type II certification is targeted for Q4 2026 — ahead of the enterprise procurement timeline for most hospital systems.
1
Secure ingestion
FHIR R4 API · TLS 1.3
2
Data minimization
Strip all PHI except event + masked phone
3
AI personalization
Isolated ephemeral container
4
HIPAA-safe delivery
Twilio (BAA signed) · SMS only
5
Ephemeral purge
All session data destroyed post-delivery
HCAHPS & VBP — common questions

Questions hospital executives
ask before their first demo

If you’re a CNO, CFO, or VP of Patient Experience evaluating HCAHPS improvement solutions, these are the questions that matter. Answered directly.

How does Beritus actually improve HCAHPS scores?
Beritus integrates with your EHR and sends patients personalized messages at every HCAHPS-relevant clinical moment — nurse assignment, physician rounding, medication orders, discharge initiation, and post-discharge follow-up. Patients who feel informed and heard during their stay answer HCAHPS survey questions differently than those who don't. The system works on the experience in real time, not on the survey after the fact.
How much VBP reimbursement can we expect to recover?
It depends on your current star rating, Medicare base revenue, and baseline domain scores. Use the ROI calculator above for an estimate. For context: a 2-star hospital with $120M in Medicare base revenue has an estimated $480K annual VBP gap. Moving from 2 to 3 stars typically closes the majority of that gap. We pull your live CMS data in the demo and show you the actual numbers for your facility.
What does deployment actually look like? How long does it take?
Beritus deploys in 2–4 weeks via Redox middleware integration with your existing EHR — Epic, Cerner, or others. No new IT project. No staff training. No workflow changes for clinical staff. We configure the integration, map clinical events to HCAHPS domains, test message sequences against your patient population, and go live. Your clinical team does nothing differently.
What is the HCAHPS Care Coordination domain and why does it matter now?
As part of HCAHPS 2.0, CMS added a Care Coordination composite measure that will begin public reporting on Care Compare in October 2026 — based on calendar year 2025 discharges. That means performance data is being collected right now. Hospitals that build strong Care Coordination scores before October 2026 will hold a public competitive position before most of the market understands the stakes. Beritus covers Care Coordination from day one.
How does HIPAA compliance work with a patient messaging platform?
Beritus is HIPAA-compliant by architecture. Patient PII is processed in memory and purged immediately after message delivery — no PHI is written to disk or retained in logs. SMS consent is captured at admission via a single sentence added to your existing registration paperwork. A signed Business Associate Agreement (BAA) is provided before go-live. All data in transit uses TLS 1.3. SOC2 Type II certification is targeted Q4 2026.
What EHR systems does Beritus integrate with?
Beritus integrates with Epic, Cerner (Oracle Health), and any EHR that supports Redox middleware connectivity — which covers the vast majority of IPPS-participating hospitals. Phase 1 uses Redox for fastest time-to-live. Phase 2 adds FHIR R4 direct integration. Phase 3 includes Epic App Orchard and Oracle Health Code direct certification, opening enterprise health system procurement channels.