Care Gap Analytics

Affinitē Care Gap Analytics (CGA)

Harnessing the Power of Real-Time Care Gap Insights for Health Payers

Daily, dynamic intelligence to elevate quality, contain costs, and personalize member care. 

Computer monitor with a Affinite Care Gap Report displayed on screen

Transform the way you manage care gaps.

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.  

Empowering health plans with accurate, daily insights for faster, more targeted interventions

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.

From Insight to Action: Closing Care Gaps with Precision

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.

Seamless Data Gathering

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.

Measure & Care Gap Calculations

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.

Right Info to the Right People in Real Time

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.

Advanced Micro-Targeting

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.

Why Leading Health Plans Choose Affinitē Care Gap Analytics

Earlier Interventions, Better Results

With daily updates, care gaps are identified and addressed faster—well before they impact member outcomes or quality scores.

Minimize Provider Abrasion

Deliver only the most accurate, actionable insights - cutting through the noise and streamlining workflows for providers.

Unify Disparate Data

Centralize inputs from claims, EMRs, remote monitoring, and more to create a comprehensive and reliable clinical view.

Advance Quality & Value-Based Care

Strengthen your performance in risk adjustment and quality metrics while supporting broader population health initiatives.

Humanize Member Engagement

Equip your teams with the insights they need to reach members thoughtfully, effectively, and right on time..

Group of health payers and medical providers talking in a hospital lobby

Related Resources

Infographic: Harnessing the Power of Real-Time Care Gap Insights

Drive measureable progress in quality and value-based care.