For years, health plans have been trapped in a frustrating cycle. Quality teams work hard, but they're always playing catch-up—chasing care gaps that opened months ago because they’re waiting for the next quality report to drop. By the time they flag a member for a missed refill or overdue screening, the moment to help has often passed. The problem isn't effort. It's timing.
For years, health plans have been trapped in a frustrating cycle. Quality teams work hard, but they're always playing catch-up—chasing care gaps that opened months ago because they’re waiting for the next quality report to drop. By the time they flag a member for a missed refill or overdue screening, the moment to help has often passed. The problem isn't effort. It's timing.
Most quality teams are steering their plans while looking in the rearview mirror. When your "real-time" data is actually 60 to 90 days old, you're not managing care gaps—you're documenting what already happened.
This delay creates a permanent state of looking backward. When your team calls a member about a gap from last quarter, it feels disconnected to the patient and costs you twice: once in the missed intervention, and again in the expensive outreach that comes too late.
The shift toward digital quality measures, as detailed in the NCQA’s HEDIS MY 2026 technical updates, reflects what we all know: the industry is moving toward faster, more responsive reporting. At CaryHealth, we've learned that better quality ratings don't only come from making more phone calls. They come from eliminating the delay to action.
Instead of waiting for claims to process, imagine catching care gaps within 24 hours of them happening. That’s the Zero-Latency model enabled by OneDash.
Here’s what it enables:
While your competitors are discovering gaps in their quarterly data, you've already closed them—often automatically, before your team even logs in.
Medication adherence is, of course, one of your most powerful financial levers. With historically triple-weighted adherence measures in the CMS Star Ratings program, being slow is expensive.
Automated clinical interventions let you take control of the member experience. Instead of passively paying claims, you become a proactive partner in your members' health. The goal is simple: close gaps before they become permanent marks on your performance record.
Healthcare needs a human touch—we all believe that. But humans don't scale to reach every member at the right moment. Automation is how we deliver that personal touch at scale.
When you replace manual outreach with intelligent workflows, your clinical staff can focus on complex cases while routine interventions happen automatically. This strategy aligns with the new HHS HTI-5 Interoperability standards, which prioritize AI-enabled, real-time data exchange. It also mirrors the data-driven approach to longitudinal care found in the NIH Precision Medicine "All of Us" protocol.
By utilizing a Member 360 view, you're not just improving a metric. You're changing health outcomes in real time.
The old model of chasing claims is behind us. Quality and speed are no longer separate goals—they're the same thing.
Stop looking at where your members were three months ago. Start seeing where they are today.
Schedule a demo to see OneDash in action.
