Quality Management
AI-driven quality performance for MSSP, Medicare Advantage, Commercial VBC, and UDS reporting — across 245+ measures, monitored continuously, closed automatically.
The Challenge
Care gaps go unnoticed between visits. HEDIS measures plateau because staff lack the bandwidth to work every list. Quality scores stagnate, payer bonuses are missed, and shared-savings opportunities quietly disappear — not because your team isn't trying, but because manual processes simply can't keep pace with thousands of attributed patients.
Five Core Capabilities
AI scans every attributed patient daily across 245+ measures, surfacing open gaps with priority scoring and recommended next actions — before payer deadlines, not after.
Live composite quality scores by payer, measure set, and individual provider — updated continuously from EMR and claims data, always current.
Auto-generated daily lists of patients due for specific measures, ranked by clinical impact and payer deadline proximity — ready for your care team each morning.
Monitor UDS reporting progress, CMS Star ratings, and NCQA accreditation metrics from a single unified view — with trend lines showing trajectory toward annual targets.
Threshold alerts when quality scores approach contract penalty zones, with AI-recommended patient-level interventions to recover performance before the deadline.
Quality Programs Supported
ROI: 10-Provider Clinic
| Metric | Before Unity | After Unity |
|---|---|---|
| Quality Score | 68% | 85% ↑ |
| Care Gaps Closed | 58% | 87% ↑ |
| Quality Incentives | $120K | $370K ↑ |
| CMS Star Rating | 3.5 ★ | 4.2 ★ ↑ |
47 patients due for Colorectal Screening this week · 12 patients have missed HbA1c for 90+ days · AI has auto-generated outreach tasks for all · Estimated quality impact: +3.2%
Illustrative sample — fictional, de-identified data.
Explore Other Modules
All eight modules share the same AI engine, patient data, and action pipeline.
See Unity close care gaps
in your EMR today.
We'll walk you through a live demo using your payer mix and measure set. No prep required.
Built for HIPAA · Aligned with SOC 2-type controls · FHIR R4 Ready · ROI in 90 Days