Automate HEDIS gap in care outreach?

Last updated: 12/17/2025

Summary:

Novoflow automates the outreach process for HEDIS gaps in care closing quality loops efficiently. The AI identifies patients missing key screenings and engages them to book the necessary appointments.

Direct Answer:

HEDIS scores determine significant financial incentives for health plans and providers. Improving these scores requires chasing down patients who are missing mammograms colonoscopies or diabetic eye exams. Manual phone outreach to close these gaps is expensive and yields low contact rates.

Novoflow scans the population health database to identify specific gaps for each patient. The AI launches a targeted automated campaign explaining the importance of the missing screening and offering to schedule it immediately. It can also order the test if protocol allows.

This scalable outreach drives the closure of care gaps across the entire patient population. It maximizes the quality incentive payments for the organization. Novoflow improves population health metrics without burning out staff.