Care Gap Closure

Are your care teams chasing gaps instead of prioritizing them?

Most care management programs have no shortage of gaps to work. The problem is knowing which ones to act on first — and having the data to do it. OnyxOS continuously analyzes your full member population so your teams always know where to focus

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The Problem

Care teams are working hard on the wrong gaps

The result is poor quality scores, missed interventions, and care management effort that doesn't translate to outcomes.
Without a unified view of member data, care gap programs rely on lists that are already stale — pulled from claims alone, missing clinical context, and prioritized by whoever built the last spreadsheet. Teams spend time on members who've already closed their gaps, and miss the ones who need intervention most.
How OnyxOS Enables This

Continuous gap intelligence across your full member population

OnyxOS continuously analyzes longitudinal member data — combining claims, clinical, and supplemental sources — to identify, stratify, and track care opportunities in real time. Gaps are prioritized by clinical urgency and quality measure impact.

Provider outreach is targeted. And closure is tracked and reconciled automatically as new data arrives.

Your care teams stop chasing and start acting on what matters.
What It Does

KEY CAPABILITIES

Gap Identification & Prioritization

Continuously surfaces open care gaps across your membership, ranked by clinical urgency, quality measure weight, and member engagement likelihood

Member Risk Stratification

Segments your population by risk level and intervention priority, so high-need members get attention before gaps become adverse events.

Closure Tracking & Reconciliation

Automatically reconciles gap status as new clinical and claims data arrives, eliminating the manual effort of confirming closures after the fact.

Population Health Dashboards

Real-time visibility into gap burden, closure rates, and quality measure performance across your full population and down to the individual member.

Provider Outreach Prioritization

Identifies which providers have the highest concentration of open gaps and surfaces targeted outreach lists to drive faster, more efficient closure.

Preventive Care Compliance Monitoring

Tracks compliance with preventive care measures across your membership, flagging members approaching deadlines before they miss them.

What Clients See

KEY OUTCOMES

Improved quality scores

gap closure rates that actually move Stars and HEDIS performance, not just activity metrics.

01

Earlier, timelier interventions

high-risk members identified and engaged before gaps become complications.

02

Better member engagement

outreach targeted to the right members, at the right time, through the right channels.

03

Higher quality care management

care teams working from complete, current data instead of outdated lists.

04
Powered by OnyxOS

Better care gap closure starts with better data

The quality of your care gap program is only as good as the data behind it. OnyxOS builds the longitudinal member record that makes continuous, accurate gap intelligence possible connecting claims, clinical, and supplemental data into a single view your teams can act on.

Explore the OnyxOS platform
In Practice

How an EMR provider achieved a 45% improvement in quality measure performance

A leading EMR provider needed to support value-based care contracts and population health management across its provider and ACO network. Fragmented third-party tools were leaving gaps in quality tracking and care coordination.

Onyx built an integrated suite of VBC modules tracking 100+ CMS, HEDIS, and payer-specific quality measures — unifying EHR, claims, and partner data with automated gap-in-care alerts.

Read the full case study
45%
Improvement in quality measure performance
30%
Broader provider and ACO platform adoption
50%
Reduction in manual reporting effort

Ready to build a care gap program that runs on complete data?

Talk to an Onyx expert about connecting your member data to a gap closure workflow that actually scales.