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

Close more care gaps. Protect your quality revenue.

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

A doctor talks with an older patient at home
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 the HEDIS measures in the 2028 Star Ratings. Each gap shows why it is open.

STEP 2

Engage

Marples ranks who to contact and drafts the message. Your care team reviews any message with clinical details before it goes out through a secure link.

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.

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 review every message with clinical details. Your clinical lead controls automation.

HOW WE WORK

The power of AI, with guardrails.

Responsible recommendations for careful decisions.

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 and FQHCs

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 their preferred language
The outcome: more patients get recommended care, with the staff you have.
How a pilot works

Six weeks. Your data. A ranked list your team can act on.

Step 1

Share your data

We start with four data sets: member, clinical, claims and pharmacy data. Adding more data makes our recommendations more accurate.

Step 2

Get your priority list

Marples ranks the members to focus on first and shows why.

Step 3

Review and send

At the end of the pilot, Marples drafts a personalized message for each member. Your care management team reviews any message with clinical details and decides what to send through a secure link. Routine reminders don't need a review each time.

See how much quality revenue Marples can recover for you.

One working session. Your measures, your population.

An older man smiles while reading a text on his phone