Advancing the Future of Medicare Advantage through Responsible AI
For over 20 years, Cavulus has been at the forefront of Medicare Advantage (MA) technology - delivering innovative solutions that optimize member engagement, enrollment, and operational efficiency for leading health plans.
Founded in 2006, Cavulus introduced MedicareCRM - the first SaaS platform built exclusively for MA. By leveraging big data, predictive analytics, and proprietary algorithms, MedicareCRM has empowered startups, regional, provider-owned, university-affiliated, national insurers, and TPAs to drive CMS compliant membership growth.
Trusted by industry leaders such as UPMC Health Plan, Johns Hopkins, and Excellus BCBS, Cavulus clients have grown their membership 20% faster than the industry average over the past five years.
The Cavulus AI Lab builds on this legacy by pioneering research in generative AI and Model Context Protocol (mCP) technologies - designed exclusively for the Medicare Advantage market.
We develop HIPAA-compliant models that power:
- Personalized member outreachPredictive health risk assessments
- Automated, CMS-compliant workflows
- These tools support health plans in boosting acquisition, retention, and regulatory adherence.
Our mCP framework delivers secure, real-time interoperability between marketing, sales, and enrollment data systems—ensuring:
- Seamless integration with platforms like Cavulus MAP™
- PHI protection under HIPAA and CMS guidelines
- Unified analytics to drive better decision-making
Staffed by experienced AI researchers, data scientists, and Medicare Advantage specialists, the Cavulus AI Lab is committed to ethical, compliant, and transformative innovation in Healthcare IT.
By combining cutting-edge AI with two decades of domain expertise, we’re reshaping how Medicare Advantage organizations deliver superior member experiences and operational excellence.