Care gap intelligence and patient engagement for health plans and health centers

Close more care gaps. Protect your quality revenue.

Marples finds HEDIS gaps early, reaches each patient the right way and puts the next step in the systems your teams already use.

A nurse checks an older man's blood pressure during a visit
Measure watchlist
Illustrative view
Controlling high blood pressureOn track
Statin adherenceWatch
Eye exam for patients with diabetesAt risk
Early warning: eye exam rate is below target. Outreach is drafted for approval.
SOC 2 certified
SWaM certified in Virginia
Built on NCQA HEDIS MY 2026
$13.4B+

Federal spending on Medicare Advantage quality bonuses in 2026.

Plans rated 4 stars or higher get a 5 percentage point benchmark increase in most counties. Closing HEDIS gaps lifts the measures behind those ratings.

Source: KFF, Medicare Advantage quality bonus program, 2026

The challenge

Quality performance is won or lost one patient at a time.

Visibility arrives too late

Gap reports arrive too late. A missed refill in April is a missed measure in December.

Outreach does not connect

Mailers and call lists reach few patients.

Capacity is the constraint

Teams spend hours building lists instead of closing gaps.

The solution

One closed loop: find, engage, measure.

STEP 1

Identify

Every patient is checked against NCQA HEDIS MY 2026, including every Star-weighted measure. Each gap shows why it is open.

STEP 2

Engage

Marples ranks who to contact and drafts the message. Your team approves before anything is sent.

STEP 3

Measure

Track closures by measure, provider and channel. Put outreach dollars where they work.

EHR integration

Built into the workflow, not beside it.

The Marples agent works 24/7 in the background. It delivers work inside your EHR and writes results back. No new application to learn.

READS FROM
Your data warehouse
Claims, pharmacy, labs, encounters, ADT alerts and HIE feeds. One connection, updated daily.
DECIDES
Marples
Works 24/7. Finds gaps, ranks priorities and drafts the next step.
DELIVERS INTO AND WRITES BACK TO
The patient chart
Clinicians see open gaps and the next step. Closed gaps are recorded automatically.
Worklist and operations dashboard
Care teams get ranked tasks. Ops teams track data feeds, measure progress and bottlenecks in one view.
Two-way patient text and voice
Patients schedule visits, refill prescriptions and check benefits, including supplemental benefits and usage. They can speak instead of type. Every conversation is saved to the chart.
WRITES BACK TO YOUR EHR PLATFORM
Closed gaps, patient conversations and outreach notes go straight to the chart. Your EHR stays the system of record.

Faster to implement

One data connection replaces many point-to-point interfaces.

Adopted by design

Gaps show in the chart. Tasks show in the worklist.

Clinically governed

Staff approve every recommendation. Your clinical lead controls automation.

Who we serve

Built for teams accountable for quality.

A team reviews results together around a conference table

Health plans

Medicare Advantage and Medicaid managed care
  • See Star and HEDIS risk early
  • Protect quality bonuses and state withholds
  • Scale outreach without adding staff
The outcome: fewer year-end surprises, more quality revenue.
A hospital building with a covered patient entrance

Hospital systems / Health centers

FQHCs, rural clinics, free clinics and health systems
  • See every open gap on your panel
  • Return staff hours to patient care
  • Reach patients by text, in English or Spanish
The outcome: more patients get recommended care, with the staff you have.

See how much quality revenue Marples can recover for you.

One working session. Your measures, your population.

An older woman smiles while talking on her phone