Quality Gap Closure Solutions for Health Plans

Focus Care plays a vital role in closing those critical gaps for health plans with targeted member outreach and services provided by a nationwide provider network of compassionate nurses and technicians. Our proven member engagement approach meets or exceeds client quality standards and yields a 95% member satisfaction rate.

Health Assessment Solutions

Close Care Gaps, Improve Quality, and Enhance Member Satisfaction

Ensuring your members receive the preventive care they need is crucial for their well-being and your organization’s success. Focus Care is dedicated to closing care gaps and improving quality outcomes.

Our Approach:

Targeted Member Outreach: We identify members who are at risk of missing essential screenings and proactively contact them.
Comprehensive Screenings: Our team of compassionate technicians and registered nurses provides a wide range of screenings, including:
- Bone Density
- Diabetic Retinal Exam
- Fecal Immunochemical Test (FIT)
- Microalbumin
  - A1c
  - LDL
  - Spirometry (Peak Flow Meter)
  - PAD Testing

How Focus Care Can Help

Focus Care addresses the key pain points health plans face resolving quality gap closures by offering:

Targeted Member Engagement

Our personalized outreach programs connect with members to increase response rates and encourage active participation in their care. By leveraging data analytics and tailored communication strategies, Focus Care ensures members receive the right message at the right time, fostering trust and improving health outcomes. This targeted approach enhances member engagement and helps close care gaps.

Regulatory Compliance

Staying current with evolving industry standards and regulatory requirements is a top priority at Focus Care. Our team is well versed in compliance mandates such as HEDIS, CMS Star Ratings, and risk adjustment guidelines. By aligning your gap closure programs with these regulations, we can minimize compliance risks and help you maintain trust with stakeholders while achieving quality care standards.

Enhanced Provider Collaboration

Strong provider partnerships are the cornerstone of successful gap closure initiatives. Focus Care fosters seamless communication and coordination between health plans and healthcare providers, ensuring accurate data exchange and timely follow-ups. This collaboration streamlines care delivery and strengthens relationships, leading to better member experiences and improved health outcomes.

Data-Driven Insights

Our advanced analytics capabilities transform raw data into actionable insights, empowering your team to make informed decisions. Focus Care reports program performance, member engagement, and care gap trends. These insights enable you to identify areas for improvement, allocate resources effectively, and maximize the impact of your gap closure strategies.

Streamlined Operations

Managing care gap closure programs can be complex. Focus Care simplifies the process with efficient workflows and robust operational support. From member outreach to comprehensive data tracking, our services reduce administrative burdens and allow your team to focus on delivering high-quality care. This streamlined approach leads to better resource utilization and measurable results.

Comprehensive Screening Services

Our experienced, certified clinicians conduct screenings tailored to address key health conditions, including diabetes, hypertension, and cancer. These screenings are conducted in members' homes or other convenient settings, ensuring accessibility and comfort. By proactively identifying at-risk members, Focus Care helps mitigate potential health risks and improve overall population health.

Schedule your free consultation with our experts today!

By partnering with Focus Care, health plans can:

Improve quality scores

Focus Care's targeted outreach programs and comprehensive screening services are tailored to address specific care gaps that improve quality scores. We ensure your health plan meets and exceeds industry standards by prioritizing key HEDIS, Star Ratings, and other key quality benchmarks. Our proactive approach drives better clinical outcomes and strengthens your organization's reputation as a quality-focused healthcare partner.

Enhance member satisfaction

Member satisfaction is at the heart of everything we do. Focus Care’s personalized engagement strategies prioritize clear communication, empathy, and convenience, ensuring members feel valued and supported. From tailored education to proactive follow-ups, we create a positive member experience that drives loyalty and trust, resulting in consistently high satisfaction ratings and improved retention rates.

Reduce costs

Preventive care is a proven way to lower healthcare expenses, and Focus Care specializes in identifying and addressing gaps before they escalate into costly complications. By connecting members with screenings, preventive care, and timely follow-ups, we help your health plan avoid unnecessary hospitalizations and reduce the financial burden of chronic disease management to deliver significant cost savings.

Help Streamline Operations

Managing care gap closure programs can be operationally demanding. Focus Care’s streamlined processes ensure efficiency at every stage. From data collection to reporting and member outreach, we provide a seamless experience that reduces administrative workloads. Our team handles the complexities so your staff can focus on core responsibilities, improve productivity, and achieve operational excellence.

Any Question: 781-376-6900