Close HEDIS care gaps at scale with AI-driven outreach
by CareCORE AnalyticsCare Gap Analyzer from CareCORE Analytics continuously analyzes patient populations against 78 HEDIS, CMS Stars, and commercial quality measures, identifying open gaps, supplemental data opportunities, and estimated closure rates. It integrates with claim feeds, EHR data via FHIR Bulk Export, and health plan rosters to provide a unified care gap registry. AI-powered outreach scoring ranks patients by closure probability and assigns them to appropriate outreach modalities — automated text (via Twilio), nurse call campaign, or portal message. In partner value-based care programs, Care Gap Analyzer has improved HEDIS composite scores by an average of 7.3 quality points in the first performance year.
78
Quality Measures Covered
+7.3 pts
HEDIS Score Improvement
41%
Gap Closure Rate
28%
Outreach Engagement Rate
64%
Supplemental Data Hit Rate
Accredited
NCQA Accreditation
HIPAA BAA included with all enterprise plans