--- title: Health Plans Need These 5 Critical Elements to Close Care Gaps Faster description: A care gaps tool needs these 5 components to help close care gaps faster, reduce provider & member abrasion, and reserve resources. image: https://insights.vitaldatatechnology.com/hubfs/AdobeStock_228931204%20(1)-1.jpeg --- [![Vital Data Technology Logo](https://insights.vitaldatatechnology.com/hs-fs/hubfs/VitalData_Main%20Logo.png?width=2793&height=595&name=VitalData_Main%20Logo.png "Vital Data Technology Logo")](https://vitaldatatechnology.com/) - [Home](https://vitaldatatechnology.com/) - [Solutions](https://vitaldatatechnology.com/solutions/) - Affinitē Clinical Workflows - [Care Management (CM)](https://vitaldatatechnology.com/care-management/) - [Utilization Management (UM)](https://vitaldatatechnology.com/utilization-management/) - [Affinitē Benefit Query Engine (BQE)](https://vitaldatatechnology.com/benefit-query-engine/) - [Quality Improvement (QI)](https://vitaldatatechnology.com/quality-improvement/) - [Appeals & Grievances (AG)](https://vitaldatatechnology.com/appeals-grievances/) - [Affinitē Intelligent Insights](https://vitaldatatechnology.com/intelligent-insights/) - [Predictive Insights](https://vitaldatatechnology.com/predictive-insights/) - [Population Health Analytics](https://vitaldatatechnology.com/population-health-analytics/) - [Care Gap Analytics](https://vitaldatatechnology.com/care-gap-analytics/) - [Risk Analytics](https://vitaldatatechnology.com/risk-analytics/) - [Affinitē Platform](https://vitaldatatechnology.com/affinite-platform/) - [Analytics + Execution](https://vitaldatatechnology.com/analytics-plus-execution/) - [Intelligent Automation](https://vitaldatatechnology.com/intelligent-automation/) - [Health Data Management](https://vitaldatatechnology.com/health-data-management/) - [Member and Provider Engagement](https://vitaldatatechnology.com/provider-member-engagement/) - [Who We Serve](https://vitaldatatechnology.com/who-we-serve/) - Company - [About Us](https://vitaldatatechnology.com/about-us/) - [Careers](https://vitaldatatechnology.com/careers/) - [Privacy Policy](https://vitaldatatechnology.com/privacy-policy/) - [Resources](https://vitaldatatechnology.com/resources/) - [Blog](https://insights.vitaldatatechnology.com/) - [Videos](https://vitaldatatechnology.com/videos/) - [Solution Briefs](https://vitaldatatechnology.com/solution-briefs/) - [Contact Us](https://vitaldatatechnology.com/contact-us/) [May 10, 2023](https://insights.vitaldatatechnology.com/author/vital-data-technology) [Quality Improvement](https://insights.vitaldatatechnology.com/tag/quality-improvement), [Care Management](https://insights.vitaldatatechnology.com/tag/care-management) # Health Plans Need These 5 Critical Elements to Close Care Gaps Faster ![AdobeStock_228931204 (1)-1](https://insights.vitaldatatechnology.com/hs-fs/hubfs/AdobeStock_228931204%20(1)-1.jpeg?width=741&height=494&name=AdobeStock_228931204%20(1)-1.jpeg) Innovation in the healthcare industry takes time, but that doesn’t mean health plans should settle for the status quo when it comes to technology. And while payers research new and exciting ways to serve their population, most of the tools themselves are severely lacking in updated functionality worthy of the 21st century. One of these tools is a care gaps analytics solution. A well-developed care gaps tool should not only help you close care gaps faster, it should also aid in reducing provider and member abrasion, reserving resources, and help make everyone’s job easier across the organization. But to achieve all of that, there are five critical components a payer needs to consider before investing in a care gap analytics tool for the best return on investment. ## 1. Daily Processing with Up-to-Date Data Extracts One of the biggest issues in the industry right now is the circulation of old data.  Most health plans have a 45-day claim lag when it comes to receiving the information they need to close care gaps and a lot of care gaps tools in the market right now only send reports on a monthly basis. This can be a huge problem not only for the health plan but for the providers, as well. Receiving data that late means there's a higher probability that the data has changed or the gaps have closed naturally since then.  So providers are getting information about care gaps that have potentially already been closed or are no longer relevant. Having daily processing cuts down on provider abrasion since payers are able to give providers the most up-to-date information on current care gaps that they need to focus on. ## 2. Includes Pre-Adjudicated Claims Data Pre-adjudicated claims data is claims data in its truest and rawest form, so there's a higher level of accuracy and comprehensiveness. And since it's not going through the adjudication process (which could take longer than 30 days), there's less lag time in which the health plans can get their hands on the information. And which it comes to an advanced care gap tool, the speed of the data is everything. ## 3. All Measures Are Sourced and Endorsed You want to be monitoring what matters, so having accurate and complete measure sets is a big non-negotiable when it comes to filling care gaps.  When you have sourced and endorsed measure sets, you know that they're following clinical practiced guidelines and typically the benefits that are offered to members match up to sourced and endorsed measures. So not only are you closing gaps at the right time, the health plan can get accurate comparisons against national standards and benchmarks, which is helpful when HEDIS season rolls around. Less member abrasion makes your team's job a lot easier. ## 4. Configurable Use within Different Environments and Workflows This is probably one of the more important elements that you need in a care gaps solution. Being able to feed accurate care gap insights into any workflow makes it easier to focus on those gaps year-round and easier for the whole organization to help close those gaps faster. With this kind of flexibility,  health plans can start to break down departmental silos and get multi-departmental support in their initiatives to close care gaps faster without using up more resources. It's a win-win-win!  ## 5. Increases Visibility and Collaboration Across Your Organization This is a natural by-product of everything that was mentioned above. When you're getting daily insights with clean, relevant data, you're able to empower your providers to help your organization close current care gaps. This will ultimately lead to better collaboration within your organization and outside stakeholders, along with more visibility on what your team needs to focus on to advance your care gap initiatives.  So before you invest in a solution that will help you with your quality and care initiatives, make sure it checks the boxes on these five elements so you can get the most bang for your buck. Vital Data Technology's [Affinitē Insights](https://vitaldatatechnology.com/affinite-insights-care-gaps/) solution leverages sourced and endorsed measures to provide health plans with daily and near real-time visibility into open care gaps. With this tool, health plans can close care gaps faster while reducing provider abrasion and increasing departmental collaboration, which promotes a more member-centric approach to closing gaps in care. [![Have questions about this article? Reach out now!](https://hubspot-no-cache-na2-prod.s3.amazonaws.com/cta/default/6044692/aa59a93e-f365-4afb-8939-04643d51149f.png)](https://hubspot-cta-redirect-na2-prod.s3.amazonaws.com/cta/redirect/6044692/aa59a93e-f365-4afb-8939-04643d51149f) Previous post [4 Ways Automation Can Reduce Prior Authorization Request Denial Rates for Medicare Advantage Plans](https://insights.vitaldatatechnology.com/4-ways-automation-can-reduce-prior-authorization-denial-rates-for-ma-plans) Next post [Vital Data Technology is Proud to Announce NCQA Population Health Management Prevalidation](https://insights.vitaldatatechnology.com/vital-data-technology-is-proud-to-announce-ncqa-population-health-management-prevalidation) ### Recent Posts - [Beyond Predictive Analytics: Why Health Plans Need an Operating Model for AI](https://insights.vitaldatatechnology.com/beyond-predictive-analytics-why-health-plans-need-an-operating-model-for-ai) - [Preparing for HEDIS® MY 2027: Five Trends Every Health Plan Should Be Planning for Now](https://insights.vitaldatatechnology.com/preparing-for-hedis-my-2027-five-trends-every-health-plan-should-be-planning-for-now) - [Vital Data Technology Achieves NCQA HEDIS® MY 2026 Certification](https://insights.vitaldatatechnology.com/vital-data-technology-achieves-ncqa-hedis-my-2026-certification) - [Beyond Silos: Why the Next Generation of Value-Based Care Depends on Integrating UM, Care Management, and Payment Integrity](https://insights.vitaldatatechnology.com/beyond-silos-why-the-next-generation-of-value-based-care-depends-on-integrating-um-care-management-and-payment-integrity) - [The Shift Left Imperative: Why the Future of Value-Based Care Starts Before the Visit](https://insights.vitaldatatechnology.com/the-shift-left-imperative-why-the-future-of-value-based-care-starts-before-the-visit) ### Archives - [December 2021 (4)](https://insights.vitaldatatechnology.com/archive/2021/12) - [July 2025 (4)](https://insights.vitaldatatechnology.com/archive/2025/07) - [May 2021 (3)](https://insights.vitaldatatechnology.com/archive/2021/05) - [March 2022 (3)](https://insights.vitaldatatechnology.com/archive/2022/03) - [November 2022 (3)](https://insights.vitaldatatechnology.com/archive/2022/11) - [December 2022 (3)](https://insights.vitaldatatechnology.com/archive/2022/12) - [December 2024 (3)](https://insights.vitaldatatechnology.com/archive/2024/12) - [February 2025 (3)](https://insights.vitaldatatechnology.com/archive/2025/02) - [September 2025 (3)](https://insights.vitaldatatechnology.com/archive/2025/09) - [January 2026 (3)](https://insights.vitaldatatechnology.com/archive/2026/01) - [March 2026 (3)](https://insights.vitaldatatechnology.com/archive/2026/03) - [May 2026 (3)](https://insights.vitaldatatechnology.com/archive/2026/05) - [June 2026 (3)](https://insights.vitaldatatechnology.com/archive/2026/06) - [July 2026 (3)](https://insights.vitaldatatechnology.com/archive/2026/07) - [March 2021 (2)](https://insights.vitaldatatechnology.com/archive/2021/03) - [July 2021 (2)](https://insights.vitaldatatechnology.com/archive/2021/07) - [October 2021 (2)](https://insights.vitaldatatechnology.com/archive/2021/10) - [January 2022 (2)](https://insights.vitaldatatechnology.com/archive/2022/01) - [April 2022 (2)](https://insights.vitaldatatechnology.com/archive/2022/04) - [July 2022 (2)](https://insights.vitaldatatechnology.com/archive/2022/07) - [August 2022 (2)](https://insights.vitaldatatechnology.com/archive/2022/08) - [July 2024 (2)](https://insights.vitaldatatechnology.com/archive/2024/07) - [August 2024 (2)](https://insights.vitaldatatechnology.com/archive/2024/08) - [January 2025 (2)](https://insights.vitaldatatechnology.com/archive/2025/01) - [March 2025 (2)](https://insights.vitaldatatechnology.com/archive/2025/03) - [April 2025 (2)](https://insights.vitaldatatechnology.com/archive/2025/04) - [June 2025 (2)](https://insights.vitaldatatechnology.com/archive/2025/06) - [August 2025 (2)](https://insights.vitaldatatechnology.com/archive/2025/08) - [December 2025 (2)](https://insights.vitaldatatechnology.com/archive/2025/12) - [February 2026 (2)](https://insights.vitaldatatechnology.com/archive/2026/02) - [September 2020 (1)](https://insights.vitaldatatechnology.com/archive/2020/09) - [October 2020 (1)](https://insights.vitaldatatechnology.com/archive/2020/10) - [November 2020 (1)](https://insights.vitaldatatechnology.com/archive/2020/11) - [January 2021 (1)](https://insights.vitaldatatechnology.com/archive/2021/01) - [February 2021 (1)](https://insights.vitaldatatechnology.com/archive/2021/02) - [June 2021 (1)](https://insights.vitaldatatechnology.com/archive/2021/06) - [November 2021 (1)](https://insights.vitaldatatechnology.com/archive/2021/11) - [February 2022 (1)](https://insights.vitaldatatechnology.com/archive/2022/02) - [June 2022 (1)](https://insights.vitaldatatechnology.com/archive/2022/06) - [October 2022 (1)](https://insights.vitaldatatechnology.com/archive/2022/10) - [April 2023 (1)](https://insights.vitaldatatechnology.com/archive/2023/04) - [May 2023 (1)](https://insights.vitaldatatechnology.com/archive/2023/05) - [June 2023 (1)](https://insights.vitaldatatechnology.com/archive/2023/06) - [August 2023 (1)](https://insights.vitaldatatechnology.com/archive/2023/08) - [September 2023 (1)](https://insights.vitaldatatechnology.com/archive/2023/09) - [October 2023 (1)](https://insights.vitaldatatechnology.com/archive/2023/10) - [November 2023 (1)](https://insights.vitaldatatechnology.com/archive/2023/11) - [January 2024 (1)](https://insights.vitaldatatechnology.com/archive/2024/01) - [February 2024 (1)](https://insights.vitaldatatechnology.com/archive/2024/02) - [March 2024 (1)](https://insights.vitaldatatechnology.com/archive/2024/03) - [April 2024 (1)](https://insights.vitaldatatechnology.com/archive/2024/04) - [May 2024 (1)](https://insights.vitaldatatechnology.com/archive/2024/05) - [June 2024 (1)](https://insights.vitaldatatechnology.com/archive/2024/06) - [September 2024 (1)](https://insights.vitaldatatechnology.com/archive/2024/09) - [October 2024 (1)](https://insights.vitaldatatechnology.com/archive/2024/10) - [November 2024 (1)](https://insights.vitaldatatechnology.com/archive/2024/11) - [May 2025 (1)](https://insights.vitaldatatechnology.com/archive/2025/05) - [April 2026 (1)](https://insights.vitaldatatechnology.com/archive/2026/04) See all ### Categories - [intelligent automation](https://insights.vitaldatatechnology.com/tag/intelligent-automation) - [Quality Improvement](https://insights.vitaldatatechnology.com/tag/quality-improvement) - [Artificial Intelligence](https://insights.vitaldatatechnology.com/tag/artificial-intelligence) - [Care Management](https://insights.vitaldatatechnology.com/tag/care-management) - [Data Science](https://insights.vitaldatatechnology.com/tag/data-science) - [AI](https://insights.vitaldatatechnology.com/tag/ai) - [Utilization Management](https://insights.vitaldatatechnology.com/tag/utilization-management) - [HEDIS](https://insights.vitaldatatechnology.com/tag/hedis) - [Industry Insight](https://insights.vitaldatatechnology.com/tag/industry-insight) - [Intelligent Prior Authorization](https://insights.vitaldatatechnology.com/tag/intelligent-prior-authorization) - [News](https://insights.vitaldatatechnology.com/tag/news) - [Population Health](https://insights.vitaldatatechnology.com/tag/population-health) - [Healthcare Payer](https://insights.vitaldatatechnology.com/tag/healthcare-payer) - [Predictive Models](https://insights.vitaldatatechnology.com/tag/predictive-models) - [Risk Adjustment](https://insights.vitaldatatechnology.com/tag/risk-adjustment) - [Medicare Advantage](https://insights.vitaldatatechnology.com/tag/medicare-advantage) - [NCQA](https://insights.vitaldatatechnology.com/tag/ncqa) - [Predictive Analytics](https://insights.vitaldatatechnology.com/tag/predictive-analytics) - [Agentic AI](https://insights.vitaldatatechnology.com/tag/agentic-ai) - [Prior Authorization](https://insights.vitaldatatechnology.com/tag/prior-authorization) - [Behavioral Health](https://insights.vitaldatatechnology.com/tag/behavioral-health) - [Medicare](https://insights.vitaldatatechnology.com/tag/medicare) - [Payer Industry Trends](https://insights.vitaldatatechnology.com/tag/payer-industry-trends) - [Social Determinants of Health](https://insights.vitaldatatechnology.com/tag/social-determinants-of-health) - [Value-Based Care](https://insights.vitaldatatechnology.com/tag/value-based-care) - [Appeals & Grievances](https://insights.vitaldatatechnology.com/tag/appeals-grievances) - [CMS-0057-F](https://insights.vitaldatatechnology.com/tag/cms-0057-f) - [COVID](https://insights.vitaldatatechnology.com/tag/covid) - [Cloud-Native Platform](https://insights.vitaldatatechnology.com/tag/cloud-native-platform) - [Interoperability](https://insights.vitaldatatechnology.com/tag/interoperability) - [AI Agents](https://insights.vitaldatatechnology.com/tag/ai-agents) - [AMP Certification](https://insights.vitaldatatechnology.com/tag/amp-certification) - [Care Gaps](https://insights.vitaldatatechnology.com/tag/care-gaps) - [CareFlow Intelligence](https://insights.vitaldatatechnology.com/tag/careflow-intelligence) - [Compliance](https://insights.vitaldatatechnology.com/tag/compliance) - [FHIR](https://insights.vitaldatatechnology.com/tag/fhir) - [Gen AI](https://insights.vitaldatatechnology.com/tag/gen-ai) - [Insights](https://insights.vitaldatatechnology.com/tag/insights) - [Rules Engine](https://insights.vitaldatatechnology.com/tag/rules-engine) - [Staffing Ratios](https://insights.vitaldatatechnology.com/tag/staffing-ratios) - [Star Ratings](https://insights.vitaldatatechnology.com/tag/star-ratings) - [Aii](https://insights.vitaldatatechnology.com/tag/aii) - [Cloud native](https://insights.vitaldatatechnology.com/tag/cloud-native) - [HEDIS Measurement Year 2026](https://insights.vitaldatatechnology.com/tag/hedis-measurement-year-2026) - [Integration](https://insights.vitaldatatechnology.com/tag/integration) - [Medical Loss Ratio](https://insights.vitaldatatechnology.com/tag/medical-loss-ratio) - [Medical Management](https://insights.vitaldatatechnology.com/tag/medical-management) - [Member Engagement](https://insights.vitaldatatechnology.com/tag/member-engagement) - [Provider Engagement](https://insights.vitaldatatechnology.com/tag/provider-engagement) - [Regulations](https://insights.vitaldatatechnology.com/tag/regulations) - [TPAs](https://insights.vitaldatatechnology.com/tag/tpas) ### Subscribe to Our Newsletter [![VitalData_Main Logo](https://insights.vitaldatatechnology.com/hs-fs/hubfs/VitalData_Main%20Logo.png?width=2793&height=595&name=VitalData_Main%20Logo.png "VitalData_Main Logo")](https://vitaldatatechnology.com/) Vital Data Technology is transforming the healthcare ecosystem by empowering healthcare stakeholders with prescriptive insights to improve member health and lower costs. Vital Data Technology leverages embedded, real-time data science, AI, and analytics together to drive intelligent automation through their cloud-based Affinitē platform. #### Follow Us - - #### Recent News - [Beyond Predictive Analytics: Why Health Plans Need an Operating Model for AI](https://insights.vitaldatatechnology.com/health-plans-need-5-critical-elements-to-close-care-gaps-faster) - [Preparing for HEDIS® MY 2027: Five Trends Every Health Plan Should Be Planning for Now](https://insights.vitaldatatechnology.com/health-plans-need-5-critical-elements-to-close-care-gaps-faster) - [Vital Data Technology Achieves NCQA HEDIS® MY 2026 Certification](https://insights.vitaldatatechnology.com/health-plans-need-5-critical-elements-to-close-care-gaps-faster) - [Beyond Silos: Why the Next Generation of Value-Based Care Depends on Integrating UM, Care Management, and Payment Integrity](https://insights.vitaldatatechnology.com/health-plans-need-5-critical-elements-to-close-care-gaps-faster) - [The Shift Left Imperative: Why the Future of Value-Based Care Starts Before the Visit](https://insights.vitaldatatechnology.com/health-plans-need-5-critical-elements-to-close-care-gaps-faster) #### Contact Info ###### Address 800 Newport Center Drive, Suite 450 Newport Beach, CA 92660 ###### Phone [(866) 482-8399](tel:%208664828399) ###### Email [info@vitaldatatech.com](mailto:info@vitaldatatech.com) Copyright © 2026 Vital Data Technology POWERED BY VITAL DATA TECHNOLOGY ![](https://ws.zoominfo.com/pixel/61e7005c1fad08001ae33ad3) ```json { "@context" : "https://schema.org", "@type" : "BlogPosting", "author" : { "@type" : "Person", "name" : "Vital Data Technology", "url" : "https://insights.vitaldatatechnology.com/author/vital-data-technology" }, "dateModified" : "2023-05-10T17:28:18.865Z", "datePublished" : "2023-05-10T17:15:00.000Z", "headline" : "Health Plans Need These 5 Critical Elements to Close Care Gaps Faster", "image" : [ "https://insights.vitaldatatechnology.com/hubfs/AdobeStock_228931204%20(1)-1.jpeg" ], "mainEntityOfPage" : { "@id" : "https://insights.vitaldatatechnology.com/health-plans-need-5-critical-elements-to-close-care-gaps-faster", "@type" : "WebPage" }, "publisher" : { "@type" : "Organization", "logo" : { "@type" : "ImageObject", "url" : "https://insights.vitaldatatechnology.com/hubfs/VitalData_Main%20Logo.png" }, "name" : "Vital Data Technology" } } ```