From care-gap list to next step

Help the patients on your care-gap list get to care

Give care teams a practical way to contact members, arrange needed visits, and check what was completed. Start with one population and the care gaps you want to address.

For ACOs, provider groups, and payer care teams.

Illustrative example · not live patient data

An overdue wellness visit

  1. 1.

    Care need identified

    Your team confirms the member is due and eligible for outreach.

  2. 2.

    A time that works

    The member prefers afternoons. That preference informs scheduling.

  3. 3.

    Visit booked

    An appointment is arranged. The care gap is still open.

  4. 4.

    Completion checked

    Your team’s agreed evidence confirms whether the gap can close.

Knowing who needs care is only the beginning.

Your team has the list. The harder part is reaching each person, finding a time that works, and confirming the care happened. Ethon connects those administrative steps with the information your team already has.

Agree who to contact

Review eligibility, the care-gap list, and which requests are appropriate for outreach.

Track: eligible members

Help arrange care

Contact members using approved language and help find a suitable appointment.

Track: contact and booking status

Check what happened

Reconcile the visit and supporting records against your agreed definition of completion.

Track: verified completion

The patient’s part of the story

Sometimes the barrier is finding a time that works

Outreach should help people take the next step, not just count another attempted call. Here’s an example of asking about a member’s availability.

Sample conversation · not a live call

Helping a member find a time

Wellness-visit outreach example

  1. Ethon AIYour care team asked us to help arrange your annual wellness visit. Is now a good time to talk about scheduling?
  2. PatientYes, but mornings are difficult for me.
  3. Ethon AIWe can look for afternoon appointments at your usual clinic. What days work best?
  4. PatientTuesday or Thursday would help.

Illustrative dialogue only. No appointment is made. Actual booking and handoff options depend on your setup.

Build a grounded business case

Use your baseline, not a generic savings promise

A defined population

Start with one contract or member group and the data your team is authorized to use.

A trustworthy baseline

Agree the starting gap list, contact status, and measures before estimating improvement.

Verification rules

Define what evidence closes a gap. A booking or conversation alone is not proof of completed care.

Compare delivery costs, contact rates, and verified care before estimating financial impact. Clinical decisions and documentation remain with clinicians; a scheduled visit is not a diagnosis or a closed care gap.

Discuss data access and safety →

Questions before you start

Do we need to replace our population health tools?

Not necessarily. We review the lists and data your tools can provide, then scope the outreach and follow-up that can be supported.

How do we evaluate the business case?

Use your own baseline, contact rates, verified completion, and delivery costs. Any savings estimate should state its assumptions and avoid counting the same benefit twice.

Does Ethon choose diagnoses or submit codes?

No autonomous diagnosis or code submission is part of the approach described here. Clinical review and documentation decisions remain with clinicians.

What should we bring to an initial conversation?

Describe the population, the care gap, your existing tools, and what you want to improve. Do not send patient-level information through this website.

Talk it through

Start with one population and one care need

Tell us what your team is trying to improve. We’ll discuss the data, outreach, and verification needed for a focused pilot.

What we’ll cover

  • The calls and tasks you want help with
  • When your staff need to step in
  • System compatibility, setup, and next steps