Inovalon Payer Cloud

Improve member care and outcomes while achieving greater operational performance and efficiency with sophisticated analytics and dynamic business intelligence.

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Inovalon Payer Cloud

Powered by the Inovalon ONE® Platform

Inovalon's Converged SaaS suite of healthcare payer solutions deliver member-centric insights and actions to help health plans measure, manage, and improve healthcare outcomes, economics, and quality of care.

Overview

Improve clinical quality metrics, risk score accuracy, patient and provider engagement, patient outcomes, operational transparency, and economic performance, all with one comprehensive suite of software solutions.

The Inovalon Payer Cloud transforms traditional workflows into data-driven processes that support your health plan’s key objectives. Backed by industry-leading analytics capabilities, our Converged SaaS solutions deliver the member-centric insights and speed, accuracy, and flexibility you need to stay ahead in this diverse, ever-changing marketplace.

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Robust Data Ingestion and Integration

Deliver the right information to the appropriate people at the right time, with software that ingests, normalizes, cleans, and organizes data flowing in from disparate healthcare data sources – establishing one source of truth to drive all your key initiatives.

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Predictive and Comparative Analytics

Predictive analytics arm your plan with the insight to tailor effective strategies with the greatest potential to improve efficiencies, while comparative benchmarking analytics help you identify problems quickly and ensure resources are targeted at the right initiatives.

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Customizable, Modular Solutions

Get the insights you need, in the method that works best for you. Discover how our modular approach enhances the processes you currently have in place, to achieve better results without overhauling what already works.

Payer Cloud Products

Improve member care and outcomes while achieving greater performance and efficiency with sophisticated analytics and dynamic business intelligence.

Man reviewing quality measurement and reporting

Converged Quality (formerly QSI-XL®)

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.

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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.

Consumer Health Gateway

Give members quick, reliable access to their health data, enabled by a secure, compliant solution.

Converged Quality Add-ons

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 Analytics Designer

Design and share custom measure strategies to advance priority healthcare initiatives for improved outcomes and performance.

Converged Data Insights

Reduce the burden of manual and ad-hoc reporting with versatile, purpose-built software for health plan data management initiatives – all while gaining a more comprehensive view.

Healthcare data lake quality improvement, risk adjustment, HEDIS software solution

Converged Healthcare Data Explorer

Combine your structured and unstructured data with applicable longitudinally linkable data to improve healthcare outcomes and economics.

Doctor discusses health with patient with data pulled from Inovalon HEDIS software solution

Converged Patient Assessment

Leverage advanced analytics to drive complete and compliant clinical documentation for face-to-face and virtual encounters with our cloud-based, point-of-care support tool.

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Converged Population Health

Gain a holistic view of your member populations to support quality improvement, intervention, and case management programs that deliver patient-centered care and reduce costs.

Quality Medical Record Management

Effectively manage hybrid measures and clinical record retrieval with dynamic software for regulatory and prospective project management.

Converged Risk Add-ons

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

Converged Analytics Designer

Design and share custom measure strategies to advance priority healthcare initiatives for improved outcomes and performance.

Converged Data Insights

Reduce the burden of manual and ad-hoc reporting with versatile, purpose-built software for health plan data management initiatives – all while gaining a more comprehensive view.

Converged Encounter Submissions

Deliver complete, accurate, secure submissions, on-time and with fewer errors for Medicare EDS and ACA EDGE Server.

Healthcare data lake quality improvement, risk adjustment, HEDIS software solution

Converged Healthcare Data Explorer

Combine your structured and unstructured data with applicable longitudinally linkable data to improve healthcare outcomes and economics.

Converged Patient Assessment

Leverage advanced analytics to drive complete and compliant clinical documentation for face-to-face and virtual encounters with our cloud-based, point-of-care support tool.

Converged Population Health

Gain a holistic view of your member populations to support quality improvement, intervention, and case management programs that deliver patient-centered care and reduce costs.

Converged Outreach Add-ons

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

Converged Data Insights

Reduce the burden of manual and ad-hoc reporting with versatile, purpose-built software for health plan data management initiatives – all while gaining a more comprehensive view.

Healthcare data lake quality improvement, risk adjustment, HEDIS software solution

Converged Healthcare Data Explorer

Combine your structured and unstructured data with applicable longitudinally linkable data to improve healthcare outcomes and economics.

Converged Patient Assessment

Leverage advanced analytics to drive complete and compliant clinical documentation for face-to-face and virtual encounters with our cloud-based, point-of-care support tool.

Converged Vaccine Adherence

Promote improved vaccine awareness and uptake with member-level, analytical insights and healthcare ecosystem collaboration.

Converged Provider Enablement Add-ons

Achieve value-based objectives with shared insights into patient care quality, program performance, utilization metrics, and disease burden documentation.

Converged Data Insights

Reduce the burden of manual and ad-hoc reporting with versatile, purpose-built software for health plan data management initiatives – all while gaining a more comprehensive view.

Healthcare data lake quality improvement, risk adjustment, HEDIS software solution

Converged Healthcare Data Explorer

Combine your structured and unstructured data with applicable longitudinally linkable data to improve healthcare outcomes and economics.

Converged Patient Assessment

Leverage advanced analytics to drive complete and compliant clinical documentation for face-to-face and virtual encounters with our cloud-based, point-of-care support tool.

Shared population health knowledge benefits his coworkers and patients

Converged Population Health

Gain a holistic view of your member populations to support quality improvement, intervention, and case management programs that deliver patient-centered care and reduce costs.

Real-World Insights

Inovalon Data Cloud Products

Access years of comprehensive healthcare insights.

DataStream

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

people discussing Health Equity Index Dashboard

SDOH Market Insights

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

Health Equity Index Dashboard

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

Let’s transform healthcare together.

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Questions? Call (301) 809-4000

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