HEDIS Gap Closure for Health Plans
The last 10,000 members on your gap list aren’t going to come in.
So We Go To Them.
Principle Health Systems calls your outstanding members with care gaps, schedules them, and brings phlebotomy, laboratory testing, and diagnostic screening into their homes – at no cost to the patient – so the gaps your outreach couldn’t close still close before December 31.
Call – (832) 932-5968
Where We Go
- Texas
- Oklahoma
- Kansas
- Indiana
- Arkansas
Who We Work With
Medicare Advantage plans and MA-PD contracts. Medicaid managed care organizations. D-SNPs and I-SNPs. Commercial plans with NCQA accreditation requirements.
What Your Patients Pay
No cost to the patient. No copay, no transportation, no time off work, no appointment to drive to.
You Already Know Which Members Have Open Gaps.
Getting to them is the problem.
Your quality team has the list. It’s been risk-stratified, prioritized, and worked. Mailers went out. IVR ran. Care management called, twice.
And a stubborn share still hasn’t moved, because the barrier was never awareness. It’s the member who can’t drive. The member in a skilled nursing facility whose family never scheduled the follow-up. The member two hours from the nearest draw station. Or the member who is simply done with appointments.
Those members can have an outsized impact. Medicare Advantage quality bonuses turn on unforgiving thresholds. For 2026, roughly 175 MA contracts, about one-third of all contracts, landed at exactly 3.5 stars (CMS 2026 Star Ratings Fact Sheet). One tier below the bonus. In many cases, the difference comes down to a handful of measures and a few thousand members who never completed a blood draw.
The last mile of gap closure isn’t an outreach problem. It’s a logistics problem.
That’s the part we solve.
HEDIS Gap Closure for Critical Diagnostics
Send Us the List. We Handle the Rest.
1. Outreach
We call the members on your list — and we keep calling. Second attempts, third attempts, evenings, weekends, and the conversations with adult children and facility staff that actually get an appointment on the calendar. Your outreach already ran; what’s left is the population it didn’t reach. Persistence is the service.
2. Mobile Diagnostics
Our own phlebotomists and clinical staff go to the patient — at home, in a skilled nursing facility, in assisted living, or in a community setting. Blood draws, urine collections, blood pressure readings, FIT kits, and imaging, performed on site and processed in our own laboratories. At no cost to the patient. No transportation to arrange, no waiting room, no cost share to explain.
3. Patient Support
Someone walks the member through what’s happening and why, before the visit and during it. Results get where they need to go. Questions get answered. Members who’ve spent years avoiding the system get a reason to stop avoiding it — which is worth something next measurement year, and worth something to your CAHPS scores too.
What we close, and what it takes to close it
Not every gap can be closed in a living room, and any vendor who tells you otherwise hasn’t read the specifications. Here’s exactly what we do and exactly what the measure requires.
Contact us and then send us the shape of the problem – measures, member counts, geography – and we’ll tell you honestly what we can close and how fast. If we’re not the right fit for your footprint, we’ll say so.
We Are Proud Supporters Of:
