Close Care Gaps.
Improve Member Outcomes.
Closing care gaps is one of the most effective ways health plans can improve quality performance, enhance member health, and maximize value-based care initiatives. TotalMed’s Care Gap Closure Services help identify members who are overdue for preventive care, screenings, chronic disease management, and other recommended services.
Through targeted outreach, clinical support, and coordinated engagement, we help your organization improve quality metrics while delivering a better member experience—whether you’re focused on HEDIS®, STAR Ratings, Medicare Advantage, Medicaid, or commercial populations.
Comprehensive Care Gap Closure Solutions
TotalMed provides end-to-end support to help health plans move from identifying gaps to successfully closing them.
Member Outreach & Engagement
Personalized phone outreach, digital communications, and educational support to encourage completion of recommended services.
Preventive Care Coordination
Help members schedule annual wellness visits, preventive screenings, immunizations, and routine evaluations.
Chronic Disease Management Support
Encourage follow-up appointments, laboratory testing, medication adherence, and ongoing clinical care.
Care Coordination
Work with providers, care managers, and members to remove barriers to care and improve continuity.
Provider Support
Help provider organizations identify outstanding care opportunities and streamline communication.
Reporting & Performance Tracking
Actionable reporting on outreach efforts, care gap completion rates, and program performance.
Supporting Key Quality Initiatives
By proactively engaging members before preventive opportunities are missed, health plans can improve key quality measures while reducing unnecessary utilization. Our solutions help support initiatives such as:
Preventive Health Screenings
Annual Wellness Visits
Immunizations
Cancer Screenings
Diabetes Management
Cardiovascular Health Monitoring
Medication Adherence
Follow-up Care After Hospitalization
Chronic Condition Management
Behavioral Health Follow-up
Why partner with TotalMed?
01
Improve Member Engagement
Experienced outreach teams build meaningful conversations that encourage members to complete recommended care.
02
Support Quality Improvement
Strengthen HEDIS®, STAR Ratings, and other initiatives through targeted outreach and coordinated care.
03
Reduce Administrative Burden
Let your clinical staff focus on complex cases while we support routine outreach and coordination.
04
Flexible Workforce Solutions
Seasonal support during reporting periods or year-round care gap management, tailored to your organization.
05
Data-Driven Outreach
We focus outreach on the highest-impact opportunities using your member data and quality priorities.
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Built for value-based care
Partner with TotalMed to strengthen your quality programs, improve member engagement, and build healthier populations through comprehensive Care Gap Closure Services.