What Are Gaps in Care?
A gap in care is when a patient does not receive a necessary or recommended medical treatment or when there is a breakdown in the continuity and quality of care provided by healthcare providers.
They can occur for various reasons, such as:
- Lack of access to healthcare services
- Inadequate communication between healthcare providers
- Patient non-adherence to treatment plans
Identifying and addressing gaps in care is vital to improving healthcare outcomes, ensuring your patients receive the best possible care, and qualifying for payment bonuses.
Why Should You Care About Closing Gaps in Care?
As many payers shift towards value-based payment models, improving patient outcomes and receiving additional payments go hand-in-hand.
Under these models, organizations must show proof of strong performance in closing care gaps and improving patient outcomes to qualify for payment bonuses.
These programs include:
- Medicare Quality Payment Program/Merit-Based Incentive Payment System (MIPS)
- Healthcare Effectiveness Data and Information Set (HEDIS)
- Medicare Advantage Star Ratings
How Can Chronic Care Management (CCM) Help?
An effective CCM program can help healthcare organizations close gaps in care by:
- Expanding care in-between office visits
- Coordinating preventive care appointments vital to closing Gaps in Care
- Working with patients to overcome any obstacles to preventive care
- Improving patient vitals/outcomes through patient engagement and self-management
- Improving communication and collaboration between healthcare providers
Closing Gaps in Care with Gap Closer™
Our Gap Closer™ technology, which is included in our comprehensive chronic care management solution, is specifically designed to help healthcare organizations identify, track, and close care gaps to improve quality, ratings, and revenue.