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    • PayersImprove quality performance and risk adjustment accuracy with in-workflow intelligence that prioritizes outreach and gap closure.
    • ProvidersReduce denials, accelerate reimbursement, simplify scheduling, improve patient safety and care outcomes, and lower administrative burden.
    • PharmaciesAutomate complex specialty and infusion workflows to prevent delays and keep patients on therapy – all in one connected system.
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        • Real-World Data and Insights Overview
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          • See All Solutions
        • Member Outreach
          • Converged Outreach
          • Converged Patient Assessment
          • Converged Provider Enablement
          • Electronic Record On Demand
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        • Value-Based Care Management
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Jennah.Lane@inovalon.com
Jennah.Lane@inovalon.com

Medicare Advantage vs. Traditional Medicare: What Matched Quality Measures Show

Medicare policy debates keep returning to one question: Does Medicare Advantage (MA) deliver better quality than traditional Medicare after accounting…
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Rachel.Reed@inovalon.com
Rachel.Reed@inovalon.com

Open Claims vs. Closed Claims: Choosing a Research Foundation

Open claims and closed claims come from the same healthcare event, but separate at adjudication, where a health plan processes…
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Mariaelisa.Papadeas@inovalon.com
Mariaelisa.Papadeas@inovalon.com

How EHR Data and Clinical Notes Add Depth to Real-World Data

a tablet and laptop on a desk both showing social drivers of health data
EHR data captures care as it happens. Unlike claims, which document services after they occur, EHR data records what clinicians…
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Mariaelisa.Papadeas@inovalon.com
Mariaelisa.Papadeas@inovalon.com

How Closed Claims Build a Longitudinal Patient Record

a man and woman working together discussing data on a very large screen
Healthcare data is generated across claims, prescriptions, encounters, laboratory results, and eligibility records. Each source captures part of a patient’s…
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Rosina.Natter@inovalon.com
Rosina.Natter@inovalon.com

Linked Closed Claims and EHR Data: One Patient, Two Records

Linked closed claims and EHR data connect the payer record with the clinical record for the same patient. Together, they…
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Rosina.Natter@inovalon.com
Rosina.Natter@inovalon.com

Tracking Rare Disease Patient Data Across Payer Transitions: Why Closed Claims Matter

Four people stand and discuss rare disease patient data in front of large screens displaying various charts, graphs, and a world map in a modern office setting.
In rare disease, payer transitions are not the exception. They are the norm, which makes maintaining complete, longitudinal rare disease…
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Rosina.Natter@inovalon.com
Rosina.Natter@inovalon.com

The Quiet Failure Point in Clinical Trial Patient Recruitment

Two people discuss data in front of large screens displaying charts, graphs, and the text Phenomic data mapping. One person holds a laptop while the other gestures toward the displays, illustrating how advanced analytics can enhance clinical trial patient recruitment.
Clinical trial patient recruitment has a data problem. Most recruitment pipelines rely on self-reported patient information, and that foundation is…
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Rosina.Natter@inovalon.com
Rosina.Natter@inovalon.com

Inovalon Wins 2025 BioTech Breakthrough Award for HEOR Excellence

Woman pointing to analytics
For life sciences organizations, the pressure to generate high-quality, real-world evidence has never been greater. Payers expect proof. Regulators expect…
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abilityinov
abilityinov

ISPOR 2025 Poster Presentations Highlight Real-World Evidence

Woman analyzing data analytics
Discover insights from Inovalon’s nine ISPOR 2025 poster presentations, highlighting how real-world evidence drives better care.
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Rosina.Natter@inovalon.com
Rosina.Natter@inovalon.com

Breaking Through Again: Award-Winning SDOH Solution for Life Sciences

A woman in a yellow blouse presents data on a tablet to colleagues in an office, showcasing bar and pie charts about an SDOH solution for life sciences on a large screen. A man listens attentively, holding his own device.
Healthcare is at a crossroads. From delayed clinical trials to access challenges in underserved communities, life sciences teams are under…
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Rosina.Natter@inovalon.com
Rosina.Natter@inovalon.com

Rethinking Clinical Trial Recruitment: How Technology is Expanding Access to Clinical Trials

Women showing patients files
Despite years of innovation, patient recruitment remains one of clinical research’s toughest – and most persistent – challenges. Trials stall.…
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Rosina.Natter@inovalon.com
Rosina.Natter@inovalon.com

Medicare Advantage vs. Traditional Fee-for-Service Medicare: Different Populations, Different Outcomes

A doctor in a white coat sits and talks with a smiling older man in a plaid shirt, discussing MA vs FFS options as they sit together in a bright medical examination room.
Methodological Overview Introduction This article details the data sources, cohort selection, and analytic methods that Inovalon® used in its comprehensive…
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Carlos.Rodriguez1
Carlos.Rodriguez1

Treatment Patterns, Health Care Resource Utilization, and Costs of Chimeric Antigen Receptor T-cell vs. Standard Therapy for Relapsed/Refractory Mantle Cell Lymphoma in the United States

JTVCYXV0aG9yc19saXN0JTVEJTVCZ2V0X3RoZV90YWdzJTVESummary Mantle cell lymphoma (MCL) is a rare and aggressive form of blood cancer that often returns after treatment. This…
Read More
Carlos.Rodriguez1
Carlos.Rodriguez1

Impact of Social Determinants of Health on Hepatocellular Carcinoma Surveillance, Treatment, and Healthcare Costs

JTVCYXV0aG9yc19saXN0JTVEJTVCZ2V0X3RoZV90YWdzJTVESummary Liver cancer, specifically hepatocellular carcinoma (HCC), is more treatable when caught early through routine surveillance, typically using imaging like…
Read More
Carlos.Rodriguez1
Carlos.Rodriguez1

Real-World Treatment Patterns, Healthcare Resource Utilization, and Costs in a U.S. Medicare Population With Bronchiectasis

JTVCYXV0aG9yc19saXN0JTVEJTVCZ2V0X3RoZV90YWdzJTVESummary Bronchiectasis is a chronic lung disease marked by frequent lung infections and worsening symptoms called exacerbations. This study reviewed…
Read More
Carlos.Rodriguez1
Carlos.Rodriguez1

CAR T-Cell Access in Relapsed/Refractory LBCL Patients

JTVCYXV0aG9yc19saXN0JTVEJTVCZ2V0X3RoZV90YWdzJTVESummary Chimeric antigen receptor (CAR) T-cell therapy is a groundbreaking treatment that can offer long-term remission for some patients with…
Read More
Carlos.Rodriguez1
Carlos.Rodriguez1

Relationship Between Social Determinants of Health and Hospitalizations and Costs in Patients With Major Depressive Disorder

JTVCYXV0aG9yc19saXN0JTVEJTVCZ2V0X3RoZV90YWdzJTVESummary Major depressive disorder (MDD) is a debilitating, episodic, and recurrent illness and the second leading cause of disability in…
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  • Who We Help
    • PayersImprove quality performance and risk adjustment accuracy with in-workflow intelligence that prioritizes outreach and gap closure.
    • ProvidersReduce denials, accelerate reimbursement, simplify scheduling, improve patient safety and care outcomes, and lower administrative burden.
    • PharmaciesAutomate complex specialty and infusion workflows to prevent delays and keep patients on therapy – all in one connected system.
    • Life SciencesEngage research experts and access primary source data to find clinical trial participants faster, accelerate discovery, and get treatments to market on time.
  • Products
    • Extensive Data, Trusted SolutionsOur solutions connect healthcare teams with the right information, in the right workflow, at the right time to act with clarity, speed, and confidence.
    • Column 1
      • Real-World Data and Insights
        • Real-World Data and Insights Overview
        • Clinical Trials
          • Clinical Research Patient Finder
          • Clinical Trial Eligibility Screener
          • Medical Record Location
        • HEOR
        • Commercial Analytics
          • Commercial Analytics
          • SDOH Market Insights
          • Provider Market Insights
        • Real-World Data
          • Linked Datasets
        • Real-Time Patient Data
      • Payer
        • Payer Overview
        • Quality Measurement
          • Converged Quality
          • Converged Outreach
          • Converged Provider Enablement
          • Converged Analytics Benchmarking
          • Digital Quality Measures
          • Inovalon Healthcare Data Lake
          • See All Solutions
        • Risk Score Accuracy
          • Converged Risk
          • Converged Outreach
          • Converged Record Review
          • Converged Patient Assessment
          • Healthcare Data Lake
          • Converged Submissions
          • See All Solutions
        • Member Outreach
          • Converged Outreach
          • Converged Patient Assessment
          • Converged Provider Enablement
          • Electronic Record On Demand
          • See All Solutions
        • Value-Based Care Management
          • Converged Provider Enablement
          • Healthcare Data Lake
          • Converged Patient Assessment
          • See All Solutions
      • Provider
        • Provider Overview
        • Revenue Cycle Management
          • Registration Workflow
          • Insurance Discovery
          • Eligibility Verification
          • Claims Management
          • Claims Management Medicare
          • RCM Intelligence
          • See All Solutions
        • Care Management
          • Safety Management
          • Pharmacy Surveillance
          • Infection Prevention
          • MDS Intelligence
          • Audit Management
          • Quality Management
          • See All Solutions
        • Workforce Management
          • Schedule Management
          • Workforce Management
          • Attendance Management
          • Credential Management
          • See All Solutions
        • Strategic Partners
      • Pharmacy
        • Pharmacy Overview
        • Specialty Pharmacy Management
        • Infusion Pharmacy Software
    • Column 2
    • Column 3
  • Our Company
    • We Power the People Who Power CareWe help you turn complex data into decisive action for better patient and business outcomes.
    • Column
      • What We Do
      • Vision & Values
      • Leadership Team
      • Associate Engagement & Inclusion
      • Awards & Recognition
      • News
      • Events
  • Resources
    • CMO Conversations: Where Clinical Leaders Connect
    • Column
      • All Resources
      • Webinars
      • Customer Stories
      • INOvators
      • Meet the Experts
      • Research & Publications
      • Blog
  • Contact Us
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