Galaxy Quality Suite
AI-powered quality management for proactive gap closure, greater efficiency, and audit-ready compliance.
Close care gaps faster, enhance Stars and HEDIS performance, and reduce manual effort with AI that unifies data, automates reviews, and drives measurable quality outcomes across every member touchpoint.
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Comprehensive Quality Management Solutions
AI-powered capabilities to enhance measure performance and ensure audit-ready, compliant reporting.
Analytics & Performance
Get the visibility you need to make accurate and confident decisions
Monitor HEDIS, Star, and VBC measures across all lines of business with unified dashboards and drill-downs by member, measure, or provider.
Predictive models identify measures and members most at risk of non-compliance.
Intelligent chase lists prioritize interventions by rating impact and closure potential.
Chart Retrieval & Coding
AI Agents automate chart chase and improve coding precision
AI agents automate chart retrieval and abstraction with NLP to simplify evidence collection and validation.
Surface required documentation automatically for each measure and review.
Reduce redundant chart pulls and operational overhead through a single, unified workflow.
Prospective, Concurrent, and Retrospective Reviews
Close gaps and improve quality performance
Surface open measures before, during, and after encounters with predictive analytics and real-time prompts.
Equip payers with intelligence to support compliant documentation and timely measure closure at the point of care.
Validate and reconcile post-encounter data across claims, EHRs, and supplemental sources to ensure reporting integrity and in-year performance gains.
Multipoint Gap Closure
Close every care gap, across every channel
Point-of-Care: Deliver real-time prompts for open quality measures during visits.
Pharmacy: Improve medication adherence, enable preventive screenings, and support vaccination.
Member Outreach: Engage members with targeted scheduling, reminders, and education to close care gaps and improve HEDIS/Star performance.
At-Home Test Kits
Extend preventive care to every home.
Enable screenings for diabetes, kidney health, colorectal cancer, and more with clinically validated home kits.
Reach hard-to-engage members and boost completion rates through seamless distribution and tracking.
Integrate results for measure completeness and Stars reporting.
Ensure compliance and audit readiness with certified lab partners and traceable data flows.
Supplemental Data, Reporting & Compliance Readiness
Ensure compliant, validated quality data for every review
Combine and verify supplemental data from EHRs, labs, pharmacies, and HIEs to ensure accurate, compliant submissions for HEDIS, Stars, and VBC programs.
Generate NCQA- and CMS-aligned reporting packages with transparent audit logs and end-to-end traceability.
Ensure continuous compliance with plan audit standards through explainable AI, governance controls, and defensible documentation.
Delivers Measurable Outcomes
0.5 ↑
Point in
STAR Ratings
Medicare Advantage Plans
34% ↑
Care Gap 
Closure Rate
Payer partner enabling VBC for senior populations
14% ↑
HCC Gap Closure 
MA Plans
Payer partner enabling VBC for senior populations
11% ↑
Coding Gap 
Closure for MA
Large PLHP with VBC focus operating in 6+ states
The Intelligence Behind Accurate, Defensible Risk Capture
Unified Risk Intelligence
Integrate claims, clinical, pharmacy, lab, and other data into a single interoperable source of truth for complete visibility across risk operations.
Automated Coding Workflows
Streamline chart retrieval, coding, and validation with full transparency and traceability across the entire risk-coding workflow.
AI-Driven Validation & Explainability
Detect missed HCCs, flag suspect codes, and validate documentation for completeness and audit readiness to reduce manual review effort and operational cost.
Real-Time Risk Analytics
Monitor documentation completeness and coding performance with predictive insights that enable proactive, compliant risk adjustment.
Built on the Galaxy Core
Empowering payers to automate manual work, ensure compliance, and scale performance with confidence.

One Data Model

Integrates clinical, claims, lab, pharmacy, and supplemental data into a single, governed source of truth, eliminating silos and improving data consistency across programs.

AI Agent Enablement

Build and deploy AI agents with full transparency and oversight to automate retrieval, coding, validation, and reporting workflows.

Configurable
workflows

Adapt quickly to plan policies, benefit structures, and compliance requirements with drag and drop configuration, and get access to a library full of pre-built agents

Built-In Intelligence

Surface actionable insights, coding prompts, quality alerts, and compliance checks directly within user workflows to accelerate decisions and reduce rework.

Interoperability by design

FHIR+, NCQA-certified, and CMS compliance-certified for secure, bidirectional data exchange standards to ensure seamless, bidirectional connectivity and audit-ready traceability.
Experience how a unified AI platform transforms quality performance, enabling your teams to close gaps faster, lift ratings, and achieve measurable outcomes.
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