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Obtain Higher Quality Scores and More Accurate Risk Adjustment Coding

Software built to empower health plans and providers to achieve better outcomes.

Increase Risk Gap Closure While Remaining RADV Compliant

Ensure efficient, precise member documentation and accurate reimbursement with Inovalon’s Converged Risk, a scalable, end-to-end software solution.

A doctor, focused on Converged Provider Enablement, gently touches the shoulder of a smiling patient in a hospital gown during a reassuring conversation in a medical exam room.

Blog: Why Is Provider Engagement So Important?

Health plans find that provider engagement improves clinical outcomes, quality ratings, and member retention.

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A man in a suit and a female doctor with a stethoscope are seated at a table, looking at a laptop screen, discussing Converged Provider Enablement, while another woman stands nearby, engaged in the conversation.

Blog: Advancing Value-Based Healthcare by Integrating Quality and Risk Gaps

Discover how UnitedHealthcare can combine quality and risk data for greater transparency, lower costs, and smoother alignment.

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Infographic showing a doctor and text stating: Nearly 50% of providers cite data consolidation as a key obstacle, and over 40% need help converting data into insights—highlighting the need for converged provider enablement for value-based program success.

Case Study: How Direct Patient Insights Empower Providers to Improve Quality Performance

Learn how a health plan saved $2 million in operational costs.

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Thought Leadership

Harvard Medical School and Inovalon have partnered to conduct a first-of-its-kind study to characterize the emerging Medicare population during the one-year period before and after enrolling at age 65.

In a series of four white papers, you’ll learn about who enrolls in Medicare Advantage (MA) vs. Medicare Fee-for-Service, healthcare utilization rates and quality of care between the two plans, and the importance of plan design with MA.

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How It Works

The Inovalon ONE® Platform allows UnitedHealthcare to seamlessly deploy and integrate Converged Provider Enablement with your existing Converged Risk and Quality software.

Since UnitedHealthcare is already a Converged customer, connecting Converged Provider Enablement as the next piece of the puzzle creates:

  • Real-time data access to drive immediate provider action
  • One platform to manage your quality, risk, and customized programs
  • Rapid custom measure and metric development and implementation
  • Self-service program configuration and management

By implementing Inovalon’s advanced provider technology that combines, curates, and analyzes data, UnitedHealthcare can determine meaningful action, reduce administrative burden, and enhance transparency – resulting in measurable impact and success for both UnitedHealthcare and its providers.

Benefits

Reduce the complexity of managing value-based contracts and other performance programs with multiple solutions.

Instead, implement the software that delivers direct, up-to-date performance data and actionable patient insights.

A smiling doctor wearing glasses and a white coat shakes hands with a man in a suit across a desk, illustrating positive Converged Provider Enablement in a friendly, professional setting.
Simple blue line drawing of a stethoscope on a light gray background, with the chest piece on the right and earpieces on the top left.

Engage and Empower Providers

Translate differing initiatives into one set of patient-specific insights and goals delivered to individual providers at the point of care and updated in real time -all in one platform.

A blue line drawing of a dollar bill, a coin with a dollar sign, a rising graph line with an arrow, and horizontal bars, symbolizing financial growth or economic trends through converged provider enablement.

Enhance Transparency and Maximize Incentives

Gain accurate, system-wide transparency into the ongoing performance of your initiatives and see how you can hone in on programs and incentives for increased impact.

A blue outline of three ascending bars with an upward-pointing arrow above them, symbolizing growth or progress in Converged provider Enablement.

Streamline Management of All Initiatives with a Single Solution

From standard federal and state-level initiatives to fully customized goals, improve quality outcomes, risk score accuracy, population health, and more.

Ready to see the software in action?