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 Outreach

Converged Outreach

Customize and coordinate integrated, patient-specific intervention programs and outreach for better patient outcomes and economics.

Powered by the Inovalon ONE® Platform

Create a unified outreach plan that’s uniquely tailored to meet health plan goals across quality, risk adjustment, and population health management programs and seamlessly integrates with a growing ecosystem of third-party healthcare services vendors for efficient execution.

Overview

Converged Outreach empowers health plans to plan and coordinate targeted, effective, and unified member-centric outreach campaigns across quality, risk adjustment, and population health management programs, while providing streamlined connectivity with a growing ecosystem of Inovalon and third-party healthcare services vendors.

Data-Driven Outreach Planning

Customize outreach plans based on quality targets, budget, and economic goals. Identify risk score potential, future behavior and compliance likelihood, and the potential efficacy of an intervention modality to precisely prioritize outreach.

Outreach Connector

Transfer data easily, quickly, and securely to participating Inovalon and third-party healthcare services vendors to accelerate execution and gap closure and reduce administrative burden and cost.

Allocation Manager

Gain visibility into the available capacity of participating third-party healthcare services vendors to ensure optimal outreach allocation for a rapid and successful execution.

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Benefits

Discover the power of a single, cloud-based solution that combines quality and risk analytics with Inovalon and third-party engagement solutions to enable more rapid, targeted, and effective member and provider engagement campaigns.

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Elevate Patient Outcomes

Develop an effective outreach plan that reduces abrasion and ensures members and providers receive the right intervention at the right time.

Boost Economic Performance

Improve quality metrics to achieve greater incentives tied to regulatory programs and risk score accuracy to ensure appropriate reimbursement.

Increase the Synergy of Quality and Risk Initiatives

Move from silos to synergy to maximize effective, efficiency, and ROI by combining outreach plans for quality and risk adjustment initiatives.

Reduce Overhead

Onboard new member or provider engagement solutions quickly and eliminate the costs of building internal data integration processes.

How it Works

Break down data silos, identify the right actions for members, seamlessly integrate with third-party healthcare services vendors, and deliver a superior experience for members and providers with Converged Outreach.

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Self-service software and connectivity for more effective and efficient member-centric outreach.

Converged Outreach utilizes predictive analytics informed by the data of billions of medical events to provide health plans with effective and efficient comprehensive outreach plans. Outreach plans are available in real time for provision to existing health plan resources or Inovalon’s growing ecosystem of third-party healthcare services vendors.

- Seamlessly create member-specific intervention plans that address both quality and risk adjustment gaps
- Adjust the outreach plan based on desired ROI, budget, and risk adjustment improvement potential
- Leverage intelligent analytics that incorporate feedback from one campaign to inform and improve the next
- Create as many outreach plans as needed – as frequently as needed – to support organizational goals
- Outreach Connectors include a growing ecosystem of third-party healthcare services vendors to support outreach planning execution

Outreach is fully interoperable with the Inovalon Converged solution suite, allowing health plans to quickly build integrated quality and risk adjustment plans for their members.

Converged Outreach Add-ons

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.

Coming soon

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

Converged Healthcare Data Explorer

Combine your structured and unstructured data with applicable Inovalon data extracts in a secure data lake to improve your healthcare economics and outcomes.