Healthcare Services Payers & Providers

Healthcare Services Payers & Providers

The entirety of the healthcare ecosystem is undergoing a massive transformation driven by the shift from volume-based to value-based forces. From healthcare services to diagnostics, devices, and pharmaceuticals, the need to deliver and improve value is impacting all segments of healthcare. Data, its aggregation, analysis, and targeted application is the key to enabling the desired outcomes and economics within this new healthcare paradigm. To this need, Inovalon brings an unparalleled platform empowering the transformation of healthcare.

Inovalon is a cloud-based, analytics platform company empowering the healthcare ecosystem’s transition from volume to value. Our modular solutions leverage unparalleled proprietary datasets, advanced analytics, and data-driven intervention capabilities to assess and improve clinical & quality outcomes, utilization efficiency and financial performance. Payers, providers, pharma/life sciences, specialty pharmacy, and device manufacturers – all share the same need for data-driven insights to help drive meaningful business impact and improve care.

The Solution

To support this transition, healthcare organizations need the necessary insights to make better decisions. Inovalon’s modular and flexible integrated platform solutions empower healthcare services payers and providers to improve patient outcomes, while achieving quality and performance goals.

  • Quality Measurement, Reporting and Improvement: Inovalon’s integrated quality solution helps healthcare organizations and providers with quality measurement, reporting, improvement, strategy and research. Leveraging advanced analytics, modular and flexible big data technologies, innovative, multi-channel strategies and an experienced clinical workforce, Inovalon’s solution provides multi-year performance analysis and support to guide decision making at every level, bringing the power of data, analytics, and point-of-care technologies to support strategic operations, point-of-care utilization efficiency, clinical and quality outcomes, operational insight, and financial performance. Learn More
  • Risk Score and Documentation Accuracy: Inovalon's comprehensive, modular risk score accuracy solution platforms delivers an effective determination and substantiation of disease and comorbid condition data, yielding significant improvements in risk score accuracy and financial performance. With an integrated, flexible approach combining retrospective and prospective programs, Inovalon’s data-driven algorithms leverage more than 38 billion medical events to identify and close gaps in assessment, provider disease burden documentation, and care for Medicare, Medicaid, and commercial ACA populations in a targeted and efficient manner. Learn More
  • Healthcare Data Insights: Inovalon provides solutions that healthcare organizations require to quantify and contract against cost, quality, risk, and real-world effectiveness of their business solutions. With the unique combination of large scale real-world datasets, sophisticated cloud-based predictive and comparative analytics, data-driven solutions, business intelligence, reporting and visualization and deep subject matter expertise, Inovalon executes innovative value-based agreements and enables health economic and comparative effectiveness research, market intelligence, clinical trial recruitment, utilization analysis, and more, to achieve improved clinical and quality outcomes and financial performance. Learn More
  • Data Integration and Validation: Inovalon’s highly-automated data integration and validation solution provides healthcare organizations the ability to securely ingest and process a myriad of data sources and feeds in real time to support the analysis and standardization to create a single source of truth reflecting comprehensive data matching, linking and normalization. Learn More

Key Solution Components

From data integration to value realization, Inovalon’s platform enables end-to-end realization of impact and value with unmatched effectiveness, speed, and efficiency, leveraging the following key components

  • Modular, Cloud-Based Solutions: Inovalon’s modular platform can seamlessly integrate with any system and enables speed-to-market with big data technologies with up to 15x faster processing speeds.
  • Extensive Datasets: Inovalon harnesses the power of its proprietary dataset informed by clinical data pertaining to over 252 million unique patients and more than 39 billion medical events.
  • Advanced Analytics: Inovalon leverages the combination of extensive data assets, a proprietary analytical design platform, and an industry-leading 360° subject matter expert perspective to deliver actionable analytic insights.
  • Targeted Multi-Channel Approach: Inovalon is able to translate the insights garnered from its analytics into meaningful impact through data-driven, multi-channel intervention capabilities and targeted multi-channel outreach strategies.


Improved Clinical and Quality Outcomes
Increased Utilization Efficiencies
Improved Financial Performance
Better Care Continuity
Accelerated Speed to Value