Population health management
Population health management that actually closes the gap.
Most population health management software stops at a dashboard of yesterday's care gaps. Quaility is an AI-native PHM platform that does the whole loop: it unifies your data, proves it maps to your quality programs, then closes the gaps with AI and staff-led outreach — built for FQHCs, community health centers, ACOs, IPAs, and value-based clinics.
The PHM loop
Four steps. Most platforms only do the first two.
Population health management is a loop — and it only works if every step does. Quaility runs all four on one platform.
1 · Unify the data
EHR, claims, eligibility, scheduling, and payer portals into one identity-matched patient record — the foundation every measure runs on.
2 · Prove it maps
We validate that your codes actually register against each quality program's logic — so measures don't silently undercount and you can trust the numbers.
3 · Close the gaps
Care-gap closure through AI voice and SMS agents — or your own staff in the same workspace — reaching every patient in their language and booking the visit.
4 · Measure & improve
Every closed gap writes back to the record and ties to the outreach that closed it — so quality improvement is continuous, not a once-a-year scramble.
Why PHM platforms fail
The features don't matter if the data is wrong.
Quality teams abandon population health management software when the data never maps to their EHR, measures undercount, and the numbers can't be trusted. Quaility starts at the data layer — and proves the mapping measure by measure before you rely on a single dashboard.
- One universal patient record. 20+ clinical entity types, probabilistic identity matching across every source.
- Measure mapping validation. We detect whether your codes hit each program's logic and flag exactly what needs mapping — instead of silently undercounting.
- Trusted onboarding. You reach numbers you believe before go-live, not months after.
- Your EHR stays. Quaility is the intelligence layer on top — eClinicalWorks, Epic, NextGen, or several at once.
Care-gap closure
The part other PHM tools leave to your staff and a phone list
A dashboard doesn't close a care gap — a conversation does. Quaility's outreach agents hold real two-way conversations by voice and text, in English, Spanish, and beyond, and book the visit. Not ready to automate? Your team works the same care-gap workspace, and you hand cohorts to AI when you're ready.
- AI voice + SMS agents with voicemail detection, live language switching, attempt limits, and instant opt-out.
- Staff-led on-ramp. Adopt AI at your pace — same worklists, same logging, same analytics.
- Outreach tied to outcomes. Every closed gap traces back to the call or text that closed it.
Who it's for
Population health management for value-based care
The same platform, scoped to how your organization carries quality and risk.
FQHCs & community health centers →
Population health management built for the safety net — UDS reporting, payer quality programs, and multilingual outreach, on the EHR you already run.
ACOs →
One quality score across every participant practice and EHR, with centralized care-gap and AWV outreach in each practice's name.
IPAs & medical groups →
A shared population health layer across member practices and every payer program — outreach run as a service the small practices could never staff alone.
Payers & health plans →
Provider-enablement for gap closure — members answer their own clinic, and structured supplemental data flows back to the plan.
Why the intelligence layer wins
We built the public record of healthcare quality. Then the software to improve it.
Our research across all 1,510 federally funded health centers found that performance varies far more within each EHR than between them — the difference is the population health layer on top, not the system underneath.
Sources: HRSA UDS 2024 (the EHR Quality Gap report) and our first deployment. Explore the public Quaility Index.
See it on your own data
Watch our AI call a patient.
Then imagine it calling
thousands of yours.
A 30-minute demo: live AI outreach, your quality measures on a unified record, and an honest conversation about what we'd build for your workflows.