November 24, 2025
As the calendar year draws to a close, ACOs face mounting pressure to close quality gaps that directly impact their MSSP and ACO REACH performance scores. Open care gaps in preventive screenings, chronic disease management, and medication adherence can mean the difference between earning shared savings and owing money back to CMS.
A typical ACO managing 20,000 attributed lives may have thousands of open care gaps across HEDIS and STARS measures. Manually identifying, prioritizing, and outreaching to each patient is simply impossible with limited care management resources. Many organizations resort to mass mailer campaigns that generate minimal response rates.
Zynix AI's Care Gaps Closure Agent continuously monitors the entire attributed population, identifying open gaps in real time and prioritizing outreach based on gap severity, patient engagement history, and closure feasibility. This ensures that limited resources are focused on the gaps most likely to close and most impactful to quality scores.
Once gaps are identified and prioritized, the system automatically initiates outreach through the patient's preferred communication channel — SMS via the Zyncare brand, phone calls, or patient portal messages. The outreach is personalized, actionable, and designed to minimize friction in scheduling the necessary appointments or completing required screenings.
ACOs using AI-powered gap closure consistently outperform their peers on quality measures. The combination of comprehensive gap identification, intelligent prioritization, and automated outreach creates a systematic approach to quality improvement that delivers results in weeks, not months.