The Inovalon ONE® Platform
Our Platform brings together national-scale connectivity, real-time primary source data access, and advanced analytics to power 100+ cloud-based solutions that enable improved clinical outcomes and economics across the healthcare ecosystem.
Data Cloud
Drive better health outcomes and economics, informed by diverse, longitudinally linkable data.
Payer Cloud
Improve member care and outcomes while achieving greater performance with sophisticated analytics and dynamic business intelligence.
Provider Cloud
Optimize revenue cycle management, care quality management, and workforce management in one single-sign-on, easy-to-use portal.
Pharmacy Cloud
Streamline pharmacy operations and improve performance with automated processing, real-time data exchange, and electronic decision support.

DataStream
Improve the patient experience and care coordination with comprehensive, patient-specific data at the point of care.
Real-World Data
Accelerate research and improve healthcare outcomes with longitudinally linkable, deidentified data.
Data Solutions
Partner with our research and analysis experts to answer the complex healthcare questions of today for a better tomorrow.
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.

Converged Quality
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 Risk
Ensure compliance with advanced analytics and flexible member engagement solutions enabling efficient and accurate documentation of member conditions.
Converged Outreach
Customize and coordinate integrated, patient-specific intervention programs and outreach for better patient outcomes and economics.
Converged Provider Enablement
Translate organizational goals to the provider point of care with shared insights into patient care quality, documentation, program performance, utilization, 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.

Back-end Revenue Cycle
Improve back-end revenue cycle efficiency, accuracy, and ultimately, speed to payment with streamlined SaaS-based workflows.
Front-end Revenue Cycle
Enhance front-end revenue cycle workflows with accurate patient data collection, automated eligibility verification, and reducing uncompensated care.
Care Quality Management
Optimize reimbursement and CMS Star Rating performance with enhanced post-acute quality reporting and care management.
Workforce Management
Streamline and automate the scheduling process across teams, job levels, and locations. Track licenses, credentials, staffing trends, and more.
Strategic Partnerships
We’re better together. Discover how a seamless, successful partnership can provide your customers with endless possibilities.

ScriptMed Specialty
Reduce time and cost to fill with real-time healthcare connectivity, advanced analytics, and automated processing.
ScriptMed Infusion
Access meaningful clinical data at the point of care to enable better treatments and patient outcomes.

Home › Products › Inovalon Payer Cloud › Converged Risk Analytics

Converged Risk Analytics

Redefining the market with an integrated analytics solution to empower all your quality and risk initiatives with one comprehensive member view.

Powered by the Inovalon ONE® Platform

More than 100 health plans rely on Inovalon to deliver over 80% of the nation’s clinical quality analytics.

Overview

Inovalon Converged Risk Analytics is the industry’s first and only fully integrated, compliant, member-centric software as a service (SaaS) analytics solution that both improves quality of care for members and supports risk score accuracy for health plans.

Certified Quality Measurement

Fulfill all your quality measurement and reporting requirements along with forecasting and benchmarking to drive HEDIS® score improvement.

Predictive Risk Adjustment and Intervention Planning Analytics

Create your own cohorts and run predictive gap identification and intervention planning analytics on demand.

Member and Provider Engagement

Implement proven education and multi-channel intervention strategies to improve quality measure compliance and documentation.

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Benefits

Reduce administrative burden while improving insight into member-specific gaps in care and documentation. Our HITRUST certified solution enables comprehensive care encounters with a robust member view that spans quality and risk needs.

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Unparalleled Data Access

Gain a holistic view of your member population with quality and risk analytics informed by the nation’s largest primary source, longitudinally linkable healthcare dataset.

Innovative Technology Infrastructure

Improve data access and intelligence across your quality and risk initiatives with one single, automated data feed for all programs on one platform.

Proven Customer Experience and Stability

Inovalon supports quality programs for 100+ health plans and has more than 15 years of risk adjustment experience across all markets.

Robust Toolsets and Dynamic Reporting

Arm your team for success with enterprise, program, and custom analytics and data intelligence on performance trends and tailored improvement strategies.

How it Works

Converged Risk Analytics delivers an integrated suite of tools that standardize and automate manual processes to get comprehensive member insights into your hands faster with improved reliability, efficiency, and performance.

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Converged Risk Analytics - How HEDIS software solution works

A single data feed to inform your quality and risk program efforts.

Health plans often have separate analytical systems to measure the care quality and risk profile of their membership. These systems independently generate a set of intervention activities, that when executed, can lead to unnecessary spend and member abrasion through multiple outreach campaigns. The result is lower clinical quality, less accurate risk scores, and lower member satisfaction.

Converged Risk Analytics allows health plans and partners to identify and predict care needs for members at an individual, cohort, or plan level using proprietary clinical quality, risk score accuracy, and social determinants of health algorithms.

Advanced analytics leverage underlying clinical evidence and statistical measures to construct a member-centric outreach plan to engage members with interventions and their care providers to document and address personalized care needs.

Armed with a comprehensive view of each patient and their unique care needs, health plans can act earlier to improve member health outcomes, reflect an industry-leading compliance posture, and support delivery of appropriate care.