Carelytics helps Medicare Advantage and Medicaid health plans improve member engagement, close HEDIS care gaps, and automate medication adherence programs—without adding headcount

• Automate medication adherence interventions — Electronic refill requests sent directly to the pharmacy chain eliminate manual outreach and move the needle on your triple-weighted Star measures.

• Close HEDIS gaps at scale — Real-time analytics surface open gaps by measure, member, and provider so your quality team always knows where to focus.

• Protect your Star Rating and your revenue — A one-star drop can cost a mid-size plan $50M+ in bonus payments. Carelytics gives you the early warning system to defend it.