Laguna Companion now shows each member's top five open HEDIS care gaps in Call Prep and keeps them in view during the live call, read only from the plan's care gap system. Laguna reports that at one national health plan, comparing 2,749 calls before with 800 after, care gap conversations rose by 102 per 1,000 calls from a base of 16.4 percent of calls, a lift of more than 60 percent.
Our readCare managers raise gaps more often when they can see them on the call, which is what moves quality scores. The study counts conversations, not closed gaps, and comes from a single plan.