As Star Ratings cut points continue to rise, health plans face increasing pressure to close more care gaps, particularly across high-impact measures like GSD, KED and CCS. While healthcare organizations have unprecedented data at their disposal, bridging the final gap in care delivery remains a persistent hurdle. The core challenge extends beyond poor engagement—it lies in recognizing that different care gaps and member needs demand tailored approaches. Broad strategies like blast mailers, uniform testing kits, or limited home visits fail to maximize return on investment. Instead, health plans need a more precise approach that first determines whether a gap is truly open, then matches each member to the right intervention and care modality.

This webinar brings together two home-based care partners, Ash and Sprinter Health, who have combined their respective in-home care models to deliver care that meets members when and how it’s needed. Together with a mutual health plan partner, they’ve built a joint program that uses one shared set of member data to decide, gap by gap, what action is needed and which modality is most likely to close it, from existing clinical data to in-person and/or virtual care to at-home testing — and at what cost.

Through a real-world case study, attendees will see how integrated data, automated outreach and multiple in-home care modalities work together to close preventive screening and chronic care gaps, improve HEDIS^® performance and lift engagement without adding administrative burden. You’ll leave with a practical framework for evaluating ROI across in-home care options and building a home-first strategy that turns data into action.

What You’ll Gain

• How to use member-level data to validate open care gaps, and determine the right intervention for each member.
• Ways to identify false-positive gaps and exclusions using existing clinical data before initiating outreach and care delivery.
• A practical framework for evaluating ROI across in-home care modalities, not just outreach channels.
• Lessons from a live cross-vendor collaboration: how two home-based care partners integrated data and operations under one health plan program.
• Strategies to automate member identification, outreach and results integration across multiple in-home care options.
• Practical ways to improve HEDIS performance, member engagement and operational efficiency through data-driven gap closure, home-based testing and in-person and virtual visits.
• Lessons for using a multi-modality, home-first strategy to support long-term care management and advance health equity.

Why Attend

If your work touches quality improvement, population health, member engagement or care management, this session gives you a repeatable model for deciding how to move from an identified care gap to the right next action and which home-based option — a test kit or an in-home visit — earns your next dollar of outreach spend. You’ll leave with a practical playbook for closing care gaps, improving outcomes and creating a more seamless experience for members, grounded in a real partnership between two home-based care providers and a shared health plan client.