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 Population Health

Converged Population Health

Inform patient-centered care and reduce costs with population health analytics software that delivers a holistic view of your member populations.

Powered by the Inovalon ONE® Platform

Drive your health plan strategy with population health analytics software informed by the industry's largest primary source dataset.

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.

Data Breadth and Depth

Access longitudinally linked, normalized and validated healthcare data pertaining to more than 72 billion medical events and more than 361 million patients.

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)].

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.

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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 profiles within this population health analytics solution 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 social determinants of health factors to identify population segments requiring attention.

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.

Allocate Resources For Maximum 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.

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.

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.