Home   >   News & Events   >   News   >   EmblemHealth Expands Relationship With Inovalon to Include Commercial ACA Health Insurance Marketplace Solutions
November 19, 2014

EmblemHealth Expands Relationship With Inovalon to Include Commercial ACA Health Insurance Marketplace Solutions

Leading Regional Health Plan Again Chooses Inovalon's Integrated Solutions Portfolio to Support Medicare, Medicaid and Commercial Health Insurance Marketplace Members

BOWIE, Md. – November 19, 2014Inovalon, Inc., a leading technology company providing advanced cloud-based analytics and data-driven intervention platforms to the health care industry, announced today that EmblemHealth has agreed to a multi-year expansion of its relationship with Inovalon. EmblemHealth will work with Inovalon to address Commercial ACA risk adjustment accuracy and provide integrated solutions for improving member care and health plan performance.

The relationship between Inovalon and EmblemHealth dates back to 2006.  Since that time, Inovalon and EmblemHealth have expanded their engagement to add prospective analytical processes and intervention platforms as well as new market segments such as EmblemHealth’s Medicaid membership population, affiliates and provider partners. In addition, EmblemHealth members with coverage through the NY State of Health marketplace also benefit from the relationship through the use of a multitude of reporting innovations focused on better understanding and improving care quality, utilization and financial performance.

“EmblemHealth has a long legacy of commitment to providing accessible, quality health care for its membership,” said Dan Rizzo, Inovalon’s Chief Innovation Officer. “We are pleased to be expanding our relationship to ensure a continued focus on improving the health status within EmblemHealth’s member population.”

“We look forward to continuing our work with Inovalon to implement innovative and customized programs and services to make access to health care resources and services more convenient,” said Shawn Fitzgibbon, Senior Vice President, Government Programs at EmblemHealth.

About EmblemHealth

EmblemHealth, Inc., through its companies Group Health Incorporated (GHI) and HIP Health Plan of New York (HIP), provides quality health care coverage and administrative services to approximately 3.4 million people. Groups and individuals can choose from a variety of PPO, EPO and HMO plans, as well as coverage for prescription drugs and dental and vision care. EmblemHealth offers a choice of networks, including quality doctors and other health care professionals throughout the region, leading acute care hospitals across the tristate area, and physicians and hospitals across all 50 states. For more information, visit

About Inovalon, Inc.

Inovalon is a leading technology company that combines advanced cloud-based data analytics and data-driven intervention platforms to achieve meaningful impact in clinical and quality outcomes, utilization, and financial performance across the healthcare landscape. Inovalon’s unique achievement of value is delivered through the effective progression of Turning Data into Insight, and Insight into Action®. Large proprietary datasets, advanced integration technologies, sophisticated predictive analytics, and deep subject matter expertise deliver a seamless, end-to-end platform of technology and nationwide operations that bring the benefits of big data and large-scale analytics to the point of care. Driven by data, Inovalon uniquely identifies gaps in care, quality, data integrity, and financial performance – while also bringing to bear the unique capabilities to resolve them.  Supporting hundreds of healthcare organizations in 98% of the U.S. counties and Puerto Rico, Inovalon’s analytical and data-driven intervention platforms are informed by data pertaining to more than 744,000 physicians, 244,000 clinical facilities, and more than 118 million Americans, this differentiating combination provides a powerful solution suite that drives high-value impact, improving quality and economics for health plans, ACOs, hospitals, physicians, patients, and researchers. For more information visit


Inovalon, Inc.
Kim E. Collins
4321 Collington Road
Bowie, Maryland 20716
Phone: 301-809-4000 x1473

Greenough Communications,
on behalf of Inovalon, Inc.
Andrea LePain
Phone: 617-275-6526

© 2019 Inovalon. All rights reserved.