Consumer Health Gateway

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

Powered by the Inovalon ONE® Platform

Consumer Health Gateway makes it easy, fast, and cost-effective to be compliant with CMS’s Interoperability Final Rule via a consolidated view made possible by secure data connectivity.

Overview

Ensure compliance with member data-sharing requirements easily and effectively. Through a FHIR®-based exchange of patients’ claims and clinical data, payers can deliver the information members need in a way that is secure and seamlessly integrates with authorized third-party applications.

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On-Demand Data Access

Real-time API responses leverage applicable comprehensive, primary source data to deliver patient- and provider-specific information.

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Compliant Connections

Our secure infrastructure is easy to integrate, runs over 1,100 data integrity checks, and meets CMS data-sharing API mandates (FHIR® 4.0, Oauth2, OpenID Connect, CPCDS, USCDI).

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Industry-Standard Development

This solution is HITRUST certified, built with regulations and requirements in mind.

Benefits

Achieve consumer access, connectivity, and compliance with ease.

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Apply Expert Data Integration, Mapping, and Standardization

Consolidate large amounts of applicable patient health history into one system with consistent data ingestion and analysis processes.

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Deliver a Patient-First User Experience

Display relevant patient data in an easy-to-understand format, empowering individuals to engage with their clinical and claims history.

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Exceed Member Expectations

Go beyond base-level API requirements. Leverage technology that can deliver rapid, accurate responses for each member within seconds.

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Implement Quickly

Enjoy a streamlined implementation process that avoids workflow disruption while delivering industry-leading capabilities.

How it Works

Enabling payer compliance and accelerating consumer access to relevant health information through FHIR®-based, real-time data exchange.

Secure interoperability, powered by extensive connectivity.

The business of healthcare is evolving as access to secure patient- and provider-specific information is no longer an option – it is a requirement. With more than 20 years of managing clinical and claims data and proven success developing innovative, data-driven technologies, Inovalon is proud to help payers meet the requirements of all three CMS data-sharing API mandates in a compliant, standardized format.

Consumer Health Gateway is a single, comprehensive solution that meets all patient access API, provider directory API, and payer-to-payer data exchange requirements, delivering fast responses to claims, clinical, and provider history inquiries.

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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

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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.

Resources

Inovalon Resources

Explore case studies, white papers, webinars, videos, podcasts, infographics, and more to realize the power of applied, relevant healthcare data.

Let’s transform healthcare together.

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Questions? Call (301) 809-4000

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