Population Health Insights

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.

Powered by the Inovalon ONE® Platform

The industry’s largest volume of primary source data informs population health insights and drives strategy for health plans nationwide.

Overview

With the ability to stratify sub-populations according to their risk profile and level of resource utilization, health plans can gain data-driven insights to inform quality improvement initiatives.

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Data Breadth and Depth

Access longitudinally linked, normalized and validated healthcare data pertaining to more than 68 billion medical events and more than 348 million patients.

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Population Segmentation and Risk Stratification

Achieve a more holistic view of member care informed by clinical and non-clinical data elements [e.g., demographics; social determinants of health (SDOH)].

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Predictive Analytics

Identify, predict, and prioritize at-risk populations to inform the optimal member-specific intervention strategy that addresses clinical and non-clinical needs of each member.

Benefits

Obtain population mix insights by segmenting according to chronic conditions, risk level, mental health, and surgical- and obstetric-related aspects. Measure disease prevalence and risk profile to forecast healthcare utilization and cost risk.

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Get a Holistic View of Members and Their Care

Evaluate prevalence of member disease by SDOH factors to identify population segments requiring attention.

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Enhance Financial Performance with Analytics

Segment member populations to obtain insights and compare against national and regional benchmarks. Measure disease prevalence and risk profiles to forecast expected healthcare utilization and cost.

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Allocate Resources Where They Have The Biggest Impact

Analyze the number of members by condition residing in rural versus urban areas and the volume of managed populations with specific diagnoses in certain counties.

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Inform Quality Improvement Initiatives

Perform rapid segmentation of your member population to target patients for intervention. Gain easy access to member and provider contact info, utilization profile, and other details.

Resources

Payer Resources

Gain insights from Inovalon case studies, infographics, videos, and other resources to get the most out of our products and solutions.

Let’s transform healthcare together.

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Questions? Call (301) 809-4000

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