Year-End ACO Gap Closure: How ACOs Can Close Gaps Faster With Zynix AI

 Zynix AI's extension showing patient gaps

As 2025 draws to a close, Accountable Care Organizations (ACOs) across the U.S. are racing to meet their quality targets and ACO gap closure metrics before CMS deadlines hit. But here's the problem: most teams are understaffed, overbooked, and already burned out. Chronic care follow-ups, overdue screenings, lab test reminders, and risk score updates — these aren’t small tasks. And with only weeks left, many ACOs are now facing the brutal reality that they simply don’t have the bandwidth to close all known gaps manually.

This isn’t just frustrating — it’s financially damaging. Every unclosed gap means missed revenue opportunities, lower quality scores, and in some cases, lost shared savings. But that’s exactly where Zynix steps in.

The Year-End ACO Gap Closure Problem for MSSP ACOs

According to the Centers for Medicare & Medicaid Services (CMS), ACO quality scoring, care gap completeness, and documentation accuracy are all evaluated during year-end audits. These requirements create an intense operational crunch for MSSP organizations. (Source: https://www.cms.gov/medicare/quality)

The National Association of ACOs (NAACOS) also highlights that many ACOs face significant Q4 backlogs due to staffing shortages, manual workflows, and limited outreach capacity — all of which make timely gap closure extremely difficult. (Source: https://www.naacos.com)

By Q4, most MSSP leaders are staring down a wall of year-end MSSP tasks - from quality submissions to late-stage ACO gap closure work - with limited staff to execute.

The last quarter of the year is always crunch time. Based on CMS reporting cycles and benchmarking audits, ACOs typically see:

• A spike in chronic care management interventions needing last-minute follow-up

• A backlog of HEDIS and quality measure tracking for diabetes, CRC, breast cancer, and hypertension

• Overdue annual wellness visits or lab panels that went unnoticed

• Lack of real-time visibility on which gaps have already been closed or which remain open

• Limited internal staff to coordinate outreach, triage issues, and log results into the EMR

In short? Even the best ACO teams are struggling to keep up. The American Hospital Association reports ongoing workforce shortages throughout the year, with the steepest decline in care coordination capacity occurring in Q4 due to holiday rotations and attrition. (Source: https://www.aha.org/fact-sheets/2023-workforce) They don’t need more dashboards or data dumps — they need immediate execution support.

This is Where Zynix Makes the Difference

Zynix offers a suite of plug-and-play, AI-powered tools designed to eliminate

last-minute scrambling.

Why This Matters Right Now

 According to NCQA, performance in key measures like diabetes control, colorectal cancer screening, and hypertension control directly influences final quality scores and bonus potential — creating even more urgency for ACOs to close these gaps before deadlines.

(Source: https://www.ncqa.org/hedis/measures/)

The last month of the year is when:

• CMS scoring deadlines become rigid

• Shared savings attribution freezes

• Internal teams go on holiday rotations

• Gaps can no longer be retroactively closed

Every day lost now is a dent in your bottom line.

Zynix helps ACOs instantly:

• Identify remaining high-value gaps (by quality measure weight)

• Auto-schedule outreach for patients with pending interventions

• Surface under-coded HCCs before year-end submission

• Track improvement in real-time with zero integration delays

Seamless, Same-Week Onboarding — No IT Delay

We get it. You don’t have time for a 6-week implementation plan. That’s why Zynix is designed to be deployed quickly:

• No custom builds or internal tech stack overhauls

• Secure, HIPAA-compliant data onboarding in under 48 hours

• Dedicated success managers and VBC specialists ready to jump in

• Real results within 7 days, not months

You don’t have to wait until next year to recover your performance. You still have time — if you act now.

Let’s Finish the Year Strong, Together

You’ve done the hard work all year — don’t let the final weeks undo it. Our team of value-based care experts is ready to partner with you and ensure every possible dollar and quality point is captured.

Schedule a Demo

Zynix: Real-time, rapid gap closure. Just when you need it most.