CloseMoreHEDISandUDSCareGapsWithoutAddingStaff
Identify true gaps, reach patients via SMS and voice AI, and book appointments directly from your Athena workflows. Mammograms, colonoscopies, A1C, diabetic eye exams, with closed-loop tracking for UDS and HEDIS reporting.
Your staff is drowning in phone tag. Your trackers are always outdated. And Q4 is coming.
Your team gets MCO files from Aetna, Meridian, Molina, and half a dozen other payers, each in a different format. Someone has to normalize that data, figure out which patients actually have open gaps versus documentation errors, then make dozens of calls to get them scheduled. Multiply that across multiple clinic locations and your coordinators spend 80% of their time on coordination instead of care.
Your coordinators toggle between 5+ MCO portals and Athena all day, manually checking which gaps are real
80% of time spent on coordination, not care
Patients who already completed their screening show as 'open' because the visit was coded wrong
False positives tank your quality scores
Phone tag eats entire shifts. Patients don't pick up. Voicemails go unreturned
35% of outreach attempts never connect
Excel trackers are outdated the moment someone saves them. Status is invisible across sites
No real-time visibility into gap closure progress
The Hidden Cost
of care gaps flagged by MCOs are actually documentation errors, not missed screenings. Your team wastes time chasing gaps that are already closed.
35%
in wasted resources
“Our team of eight used to spend entire days chasing care gaps across five different MCO files, manually checking if patients had already been seen, and calling patients who never picked up. Linear Health ingests all of our MCO data, catches the billing errors we were missing, and handles the patient outreach automatically. We're closing gaps we didn't even know were recoverable.”
Audrey Pennington
COO, Aunt Martha's Health & Wellness
From MCO file to closed gap, fully automated
Six steps. Zero phone tag. Every gap tracked from identification to documented closure.
MCO data ingested
AI ingests gap data from payers, EHRs, and quality reporting systems automatically.
AI validates gaps
Cross-references payer claims with EHR records to eliminate false positives and documentation gaps.
Risk stratification
Prioritize outreach based on clinical urgency, engagement likelihood, and quality measure impact.
Multi-channel outreach
Contact patients via SMS, email, and voice AI with personalized care gap information.
Intelligent scheduling
Book mammograms, colonoscopies, A1C tests based on payer rules and provider availability.
Closed-loop tracking
Confirm completion, update documentation, and generate reports for UDS, HEDIS, and quality programs.
MCO data ingested
AI ingests gap data from payers, EHRs, and quality reporting systems automatically.
AI validates gaps
Cross-references payer claims with EHR records to eliminate false positives and documentation gaps.
Risk stratification
Prioritize outreach based on clinical urgency, engagement likelihood, and quality measure impact.
Multi-channel outreach
Contact patients via SMS, email, and voice AI with personalized care gap information.
Intelligent scheduling
Book mammograms, colonoscopies, A1C tests based on payer rules and provider availability.
Closed-loop tracking
Confirm completion, update documentation, and generate reports for UDS, HEDIS, and quality programs.
Enterprise platforms treat care gaps as one of seven priorities. We treat it as our only one.
The big "AI workforce" platforms promise to automate everything on one platform. In practice, that means your care gap closure is competing for engineering attention with six other product lines and you're paying for breadth you'll never use.
Single focus, deeper product
Every sprint, every feature request, every customer conversation is about closing more care gaps. We're not splitting attention across seven product lines.
4-week go-live, not 4-month onboarding
Enterprise platforms take 3 to 6 months because they're configuring a general-purpose tool. We're purpose-built, so we ship faster.
Built for community health, not just health systems
Our team knows the difference between Meridian and Molina file formats, understands UDS reporting timelines, and won't try to sell you modules you don't need.
No vendor lock-in
We complement your existing stack. Keep your EHR, your analytics, your patient portal. We handle the gap closure workflow that sits between all of them.
Most platforms hand you a list of gaps. We hand you closed gaps.
Enterprise Platforms
- Care gaps as one of 7+ product modules
- RPA bots that mimic clicks inside your EHR
- EHR-agnostic (works everywhere, optimized nowhere)
- Built for 500-bed health systems
- Gap identification reports your staff still has to act on
- 3 to 6 month enterprise implementations
- Single MCO data source or manual uploads
Linear Health
- Care gap closure is our singular focus
- Native, bi-directional Athena integration via certified APIs
- Purpose-built for Athena with deep, certified integration
- Right-sized for FQHCs, primary care, and specialty clinics
- End-to-end: ingest, validate, outreach, schedule, close, document
- Live in 4 weeks with zero EHR migration
- Multi-MCO ingestion normalized automatically
See what care gap automation saves your team
Adjust the sliders to match your organization. The savings update in real time.
This estimate only counts coordinator time savings. It does not include recovered quality bonuses from higher closure rates or revenue recovered from billing error corrections.
Your coordinators shouldn't be drowning in
Excel trackers and phone tag
We built for the reality of community health centers: multiple MCO plans per patient, multi-site scheduling complexity, UDS deadlines, and teams that are already stretched thin.
"We're drowning in manual follow-ups, calls, and paperwork."
Automated outreach via SMS, email, and voice AI replaces hundreds of manual calls per month. Patients respond at 3x the rate of phone calls.
"Our Excel trackers are always outdated."
Real-time dashboards replace spreadsheets. Gap status updates automatically as patients schedule, complete visits, or get flagged for billing corrections.
"Athena handles some things, but there's no automation for what really matters."
We close the loop Athena can't: MCO file to patient outreach to scheduled appointment to documented closure. Native integration, not a bolt-on.
"We looked at the big platforms, but they're built for health systems, not for us."
Those platforms need 3 to 6 months to implement, charge enterprise pricing, and treat your FQHC like a small afterthought. We built for your reality from day one.
The financial reality: Nearly 50% of FQHCs operate with negative margins. Every unclosed care gap is revenue left on the table in your value-based contracts. Every miscoded visit is a bonus you earned but never collected.
By March 31, 2026, payers must publicly report PA approval rates and response times. The January 2027 FHIR-based API mandate is next. Organizations that automate now will be positioned.
Questions quality directors and COOs ask us
4 weeks from contract to live. Week 1 is discovery and Athena API setup, Week 2 is data integration and MCO file configuration, Week 3 is workflow and outreach setup, Week 4 is go-live and team training. A 30-day hypercare period follows.
All outreach follows TCPA and state-level consent requirements. Patients can opt out of SMS, email, or voice outreach at any point, and opt-out preferences sync back to the EHR automatically. We never contact patients without documented consent.
English and Spanish are supported out of the box for SMS, email, and voice AI outreach. Additional languages can be configured during implementation based on your patient population.
We track every gap from identification through completed appointment. Documentation updates are written back to the EHR with pre-visit notes, post-visit confirmation, and an audit trail showing the closure pathway. Reports are ready for UDS submissions, HEDIS scores, and MCO quality program reporting.
Yes. We integrate natively with Athena Health via certified marketplace APIs. There is no EHR migration, no screen-scraping, and no changes to your existing workflows. We sit alongside your current setup and handle the care gap closure workflow.
Our system cross-references MCO gap files against your EHR records to catch visits that happened but were coded incorrectly. These false positives get flagged for correction rather than triggering unnecessary patient outreach, recovering quality scores without wasting coordinator time.