search

Healthcare Software Solutions

Inovalon Healthcare Software Solutions

Our solutions help healthcare teams make faster, better-informed decisions to improve care and financial outcomes.

Request A Demo

Solutions Built for Every Step of Care

Our portfolio delivers the insights you need right into daily workflows. We help you make better sense of complicated healthcare data so you can act faster and with more confidence.

Simple illustration of a hospital building with a grid of windows and a shield featuring a medical cross symbol on the roof. The building is outlined in blue with a light gradient fill.

Payers

Improve quality reporting, audit readiness, and value-based care.

Learn More
Line drawing of a faceless person wearing a lab coat and a stethoscope around their neck, representing a medical professional or doctor.

Providers

Empower your revenue cycle, staffing, and clinical teams with the right data, at the right time.

Learn More
An icon of a checklist with four items and a shield featuring a checkmark in front, symbolizing security or verified information. The background has a soft, pastel rainbow gradient.

Pharmacies

Turn complex therapy into coordinated care with one connected system for specialty pharmacy.

Learn More
Simple illustration of a DNA double helix with blue outlines and a gradient fill in the center, transitioning from blue to yellow.

Life Sciences

Generate defensible real-world evidence with extensive primary source data and seasoned research experts.

Learn More

Real-World Data & Insights

Answer healthcare's toughest questions with research-ready data and seasoned experts. Our primary source, longitudinal data registry includes more than 300 million unique lives, 99 billion medical, pharmacy, and lab events, 1.1 million clinicians, and 736,000 clinical facilities.

For authorized users, we deliver curated real-world data extracts spanning open and closed claims, analytics expertise for healthcare research, and on-demand data access for up to two years of patient historical data.

Patient History

Improve the patient experience and care coordination with comprehensive, patient-specific data at the point of care.

Real-World Data

Accelerate research and improve healthcare outcomes with longitudinally linkable, deidentified data.

Data Solutions

Partner with our research and analysis experts to answer the complex healthcare questions of today for a better tomorrow.

SDOH Market Insights

Identify and address social determinants of health (SDOH) to drive better access, higher engagement, improved outcomes, lower costs, and equitable healthcare.

Clinical Trial Analytics

Increase diversity and representation of clinical trials planning and protocols with real-world data.

HEOR

Gain insights into real-world patient experiences, treatment trends, social drivers of health, and outcomes.

Commercial Analytics

Elevate customer engagement and improve patient access and outcomes.

Inovalon Clinical Trial Patient Finder product detail page

Clinical Research Patient Finder

Recruit eligible, diverse patients faster for your next clinical trial with this AI-powered, EMR-integrated software.

Research Network

Connect health systems and sponsors to accelerate recruitment and improve patient outcomes.

Payer Solutions

Combine your efforts across clinical care, quality reporting, risk score accuracy, and value-based care into a single, secure platform.

Trusted by health plans across commercial, Medicare, and Medicaid, including the top 15 U.S. health plans,1 our solutions help plans move from fragmented data and disconnected initiatives to confident, measurable performance.

Converged Quality

Discover how our leading HEDIS® software and deep industry expertise enable health plans to achieve high-quality performance in today's data-driven healthcare ecosystem.

Converged Risk

Ensure compliance with advanced analytics and flexible member engagement solutions enabling efficient and accurate documentation of member conditions.

Converged Outreach

Boost patient outcomes and economics with member-centric outreach planning software and seamless integration with third-party engagement solutions.

Converged Provider Enablement

Translate organizational goals to the provider point of care with shared insights into patient care quality, documentation, program performance, utilization metrics, and custom initiatives.

Electronic Record On Demand

Exchange data with more than 750,000 providers connected to the Inovalon ONE® Platform today to access relevant digital patient medical records 10 times faster than manual retrieval.

Health Equity Index Dashboard

Data analytics to help Medicare Advantage plans understand their performance on the new CMS Health Equity Index.

Explore Products

1 Top 15 health plans based on AIS List of Top U.S. Payers, Dec. 2025. Inovalon internal reporting based on Q3 2025 enrollment data, July 2026.

Provider Solutions

Gain the clarity your teams need to move faster and with more confidence across the revenue cycle, staffing, and clinical care.

Our Provider solutions turn complex, disconnected data into the connected, easy-to-use processes your teams need to operate more effectively.

Revenue Cycle Management

Improve revenue cycle efficiency, accuracy, and ultimately, speed to payment with streamlined, SaaS-based workflows.

Care Quality Management

Optimize reimbursement and CMS Star Rating performance with enhanced post-acute quality reporting and care management.

Workforce Management

Streamline and automate the scheduling process across teams, job level, and locations. Plus, track licenses, credentials, staffing trends, and more.

Pharmacy Solutions

Streamline pharmacy operations and improve clinical performance by combining every step of the pharmacy workflow, from referral to drug dispensing and ongoing care.

Our Pharmacy solutions help specialty and infusion pharmacies improve time to treatment, clinical outcomes, and financial performance while delivering and managing life-saving therapies

ScriptMed Specialty

Reduce time and cost to fill with real-time healthcare connectivity, advanced analytics, and automated processing.

ScriptMed Infusion

ScriptMed Infusion provides unmatched patient clinical data at the point of care leading to optimal patient care.

See What Customers Have Said

Our providers are now more engaged and more involved. Trust, transparency, and support are key – and Inovalon helps us have all three.

A woman with curly hair smiles joyfully while holding a red apple in her hand, standing in a sunlit field during golden hour, capturing a vibrant moment that feels as authentic as real world data.
Tony Graboski Account Manager, Geisinger Health Plan
Geisinger Health Plan logo with Geisinger in large blue letters above Health Plan in smaller gray letters on a light background, representing success stories in healthcare coverage.

Inovalon has enabled some unique improvements to our processes, and the company’s culture was consistent with ours. They have helped us with some enhancements that have made a big difference.

A woman with curly hair smiles joyfully while holding a red apple in her hand, standing in a sunlit field during golden hour, capturing a vibrant moment that feels as authentic as real world data.
Steve Flannery Division Director of Reimbursement Services, BAYADA
Stylized gray dove holding an olive branch, positioned to the left of the bold red word BAYADA in uppercase letters on a light background.

I’ve never found another system to get claims to Medicare. Claims Management Medicare Pro is amazing – we can do the same thing, but in a better way.

A woman with curly hair smiles joyfully while holding a red apple in her hand, standing in a sunlit field during golden hour, capturing a vibrant moment that feels as authentic as real world data.
Marco Ochoa A/R Manager
Logo for MGM Healthcare featuring “MGM” in purple script inside a circular outline, with “Healthcare” in blue cursive and the tagline “Empowering Better Living” in gray beneath.

Implementing Schedule Management has been, hands down, the most immediate value-added business solution and user-friendly technology I’ve been a part of in 25 years of healthcare operations.

A woman with curly hair smiles joyfully while holding a red apple in her hand, standing in a sunlit field during golden hour, capturing a vibrant moment that feels as authentic as real world data.
Holly Shepherd Regional Director of Operations, Providence Home and Community Care
Providence logo with a blue and green cross design on the left and the word Providence in blue text on the right.

There’s so much that Inovalon has brought to the provider community with automation efficiency that has made a huge difference. Inovalon has the best clearinghouse and functionality that exists.

A woman with curly hair smiles joyfully while holding a red apple in her hand, standing in a sunlit field during golden hour, capturing a vibrant moment that feels as authentic as real world data.
Julie Ann Kemman President, Health Care Professional Consulting Services
Logo for Health Care Professional Consulting Services, Inc. with the acronym H.C.P.C.S. in blue script, a stylized medical symbol on the left, and a horizontal and vertical gray line beneath the text.

Reducing our A/R days from the 90s to the 30s has given our organization greater financial stability. We’re able to grow our services and our physical landscape of the hospital. We’ve added more specialists to the facility that our patients need.

A woman with curly hair smiles joyfully while holding a red apple in her hand, standing in a sunlit field during golden hour, capturing a vibrant moment that feels as authentic as real world data.
Rachel Dallmann Revenue Cycle Director, Phelps Memorial Health Center
Logo for Phelps Memorial Health Center featuring a maroon circle with Phelps Memorial Health Center around the border and a white banner with PMHC in bold maroon letters across the center.