Care Insights displays gaps, or actionable patient information, like quality measures and risk adjustment coding opportunities at the point of care based on clinical guidelines and health plan data.
The gaps that are shown in Care Insights are provided directly by participating health plans. Vim connects to these payers through secure integrations to surface actionable gap information at the point of care.
Payers may include:
(Exact coverage may vary by patient and region.)
Yes. Vim meets rigorous HIPAA and data security standards. Click here to learn more.
Not all patients are covered by participating health plans. You’ll only see gaps for patients whose payer data is connected through Vim.
Vim shows the most recent care gap data received from payers. That said, gaps are only as accurate as the payer's records. If you believe a gap is incorrect, document it in your EHR using your normal workflow and flag this discrepancy to the Vim Network Team.
Sometimes. Many payers offer incentives for quality gap closure (e.g., HEDIS, Stars, Risk Adjustment, ACO metrics). If your practice participates in a value-based care program, closing gaps in Vim may contribute to those quality scores.
Contact your network or payer rep to confirm which incentive programs you’re part of.
Gap data is refreshed on a regular basis by each participating payer—often monthly or quarterly, depending on the plan.
You can request additional data connections directly the Vim Connect Canvas™ Marketplace.
Visit Vim’s Practice Knowledge Base to learn more.
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