Daily, dynamic intelligence to elevate quality, contain costs, and personalize member care.
Closing care gaps isn’t just about ticking boxes anymore. It’s about delivering the right care, at the right time, with precision and purpose.
Affinitē Care Gap Analytics empowers health plans to do just that, transforming fragmented processes into a cohesive, intelligent strategy.
By leveraging a holistic data approach with industry-sourced and endorsed measures, our solution becomes the unified source of truth for smarter, more efficient care management.
Bridge the critical gap between insight and intervention with real-time, next-best-action guidance.
Embed intelligence directly into clinical and operational systems for intuitive, low-friction adoption.
Support emerging HEDIS and behavioral health measures with clinical-grade precision.
Dissolve departmental silos with a unified view of performance, priorities, and progress.
Affinitē Care Gap Analytics unifies data and industry-endorsed measures into real-time intelligence, giving every stakeholder – from member services to providers – a single source of truth. Powered by intelligent hyperautomation, insights flow directly into workflows to streamline outreach, lower costs, and improve member experiences. Dynamic dashboards and flexible reporting keep performance clear and actionable, driving measurable progress in quality and value-based care.
Leverage a powerful data engine for the ingestion, aggregation, and cleansing of all necessary healthcare data. Incorporate the most timely and robust information with pre-adjudicated claims, SDOH, EMR, and HIE data.
Calculate care gaps on evidence based, sourced and endorsed measures as frequently as daily using cloud-native solutions. Daily outputs derived from NCQA, NQD, CMS, AHRQ, and JCAHO, among others.
Leverage built-in intelligent automation and interoperable cloud-based tools to instantly route the right information to the right people at the right time - including care managers, providers, members, customer service, social workers, and behavioral health teams.
Capitalize on advanced micro-targeting to drive clinical impact to populations with unique characteristics. Utilize real-time data as a strategic tool to continuously optimize towards plan initiatives, such as health equity and value-based contracting.
With daily updates, care gaps are identified and addressed faster—well before they impact member outcomes or quality scores.
Deliver only the most accurate, actionable insights - cutting through the noise and streamlining workflows for providers.
Centralize inputs from claims, EMRs, remote monitoring, and more to create a comprehensive and reliable clinical view.
Strengthen your performance in risk adjustment and quality metrics while supporting broader population health initiatives.
Equip your teams with the insights they need to reach members thoughtfully, effectively, and right on time..
Affinitē Care Gap Analytics is a real-time analytics solution that helps health plans identify, prioritize, and close gaps in care faster. By combining healthcare data, industry-endorsed quality measures, and intelligent automation, the platform provides actionable insights that improve quality performance and member outcomes.
Affinitē Care Gap Analytics calculates care gaps as frequently as daily and delivers timely insights directly into operational workflows. This allows health plans, providers, and care teams to intervene sooner and engage members before quality measures are negatively impacted.
Affinitē Care Gap Analytics leverages sourced and endorsed measures from organizations including NCQA, CMS, AHRQ, NQF, and other industry-recognized authorities. This helps health plans align quality initiatives with established standards and reporting requirements.
The platform aggregates and normalizes data from claims, pre-adjudicated claims, electronic medical records (EMRs), health information exchanges (HIEs), social determinants of health (SDOH), remote monitoring systems, and other healthcare data sources to create a comprehensive view of member care needs.
Affinitē delivers accurate, actionable care gap information to providers, reducing unnecessary alerts and minimizing provider abrasion. By ensuring providers receive relevant insights at the right time, organizations can improve collaboration and accelerate gap closure efforts.
Affinitē Care Gap Analytics helps organizations improve quality performance, identify intervention opportunities earlier, and align care delivery around measurable outcomes. These capabilities support value-based care programs focused on improving quality while managing costs.
Yes. Affinitē uses intelligent automation to route care gap insights to the appropriate stakeholders, including care managers, providers, member services teams, behavioral health teams, and social workers. This helps organizations act quickly without relying on manual processes.
Unlike traditional reporting solutions that rely on retrospective data and static reports, Affinitē Care Gap Analytics combines near real-time data, daily care gap calculations, intelligent automation, and workflow integration. This enables health plans to move from reporting on gaps to actively closing them.
