Closing Care Gaps at Scale. Driving Stars & HEDIS Performance.
Good Medics Solutions partners with health plans, provider groups, and pharmacies to systematically improve quality measure performance across populations. We deliver member outreach, provider engagement, and pharmacy adherence programs that move numerators, reduce denominators, and raise Stars and HEDIS scores.
At-Scale Outreach
Weekly reporting, stratification, and member engagement.
Stars & HEDIS Expertise
Breast cancer screenings, colorectal cancer screenings, A1c control, blood pressure control, med adherence, and more.
Integrated Solutions
Coordinators, clinicians, and pharmacists aligned with your quality strategy.
Physician-Led Quality Improvement at Scale.
We help health plans and provider networks close care gaps across Medicare Advantage, Medi-Cal, and Commercial populations. Our team includes licensed clinicians, coordinators, and pharmacists who engage members directly to complete screenings, refills, and preventive visits.
Why Choose Us
Deep Quality Knowledge
Familiar with CMS Star Ratings methodology and NCQA HEDIS measures.
Operational Scale
Outreach programs capable of thousands of member touches per week.
Proven ROI
Every closed gap translates to higher plan revenue and bonus maximization.
Stars & HEDIS Gap Closure
- Breast Cancer Screenings (BCS)
- Colorectal Cancer Screenings (COL)
- Diabetes HbA1c Control (HBD)
- Controlling High Blood Pressure (CBP)
- Statin Therapy for Patients with Cardiovascular Disease (SPC)
- Osteoporosis Management (OMW)
- Childhood Immunizations (CIS)
Pharmacy Adherence & Medication Gaps
- Pharmacy Technician Outreach: Refill reminders, synchronization, and home delivery coordination.
- Pharmacist-Led Adherence Counseling: Addressing barriers to persistence.
- MTM & Med Reconciliation: Reducing drug-drug interactions and therapy interruptions.
- Reporting: PDC (proportion of days covered) rates monitored at the member level.
Provider Engagement & Virtual Outreach
Coordinators
Telehealth visits for screenings and blood pressure follow-ups.
Clinical Team
Familiar with CMS Star Ratings methodology and NCQA HEDIS measures.
Integration
Fax, portal, or EHR-compatible documentation returned to the PCP.
Impact
Increases numerator while protecting provider satisfaction.
Telehealth Gap Closure Programs
BP Checks & A1c Testing
At-home monitoring integrated with telehealth encounters.
Preventive Screenings
Virtual counseling and scheduling for mammograms, colonoscopies, and immunizations.
Member Engagement at Scale
National telehealth reach with weekly activity reports.
ROI
Virtual completion ensures denominator reduction with minimal cost per closure.
Provider Networks (IPA/MSO)
- Designed for provider networks focused on quality, cost, and compliance.
- Reduce care gap closure costs by outsourcing outreach, adherence, and screenings.
- Improve value-based performance and maximize quality bonuses.
Pharmacies & PBMs
- Adherence Support: Direct outreach, synchronization, refill coordination.
- PBM Reporting: Transparent adherence tracking and numerator lift.
Who We Serve
- Medicare Advantage: Improve Stars ratings across Part C and Part D measures.
- Medi-Cal / Medicaid: Enhance compliance and reduce penalties.
- Commercial Plans: Boost NCQA accreditation performance.
Get started with good medics solutions today
Good Medics Solutions partners with health plans, provider groups, and pharmacies to systematically improve quality measure performance across populations. We deliver member outreach, provider engagement, and pharmacy adherence programs that move numerators, reduce denominators, and raise Stars and HEDIS scores.