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.

Powered by the Inovalon ONE® Platform

Improve patient outcomes and provider engagement while enhancing performance and eliminating the complexity of managing overlapping federal, state-specific, and localized quality, risk, and custom value-based initiatives.


Converged Provider Enablement empowers health plans, “payviders,” and other value-based healthcare organizations to coordinate countless programs and initiatives across large provider systems at the point of care and achieve better quality outcomes, reduce costs, and improve economics.

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Intuitive and Insightful Data Visualization and Reporting

Leverage an intuitive interface to understand value-based program performance at the patient and measure levels and engage providers to close gaps in care.

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Streamlined Management and Oversight

Reduce manual errors and administrative costs with self-service tools to configure patient attribution and provider hierarchy settings, as well as certify-before-publish features.

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Accelerated Reporting Implementation

Rapidly deliver quality performance metrics to provider partners via easy data integration, accurate analytics, and single sign-on (SSO) capabilities.


of nation’s quality analytics performed by underlying platform


measures and metrics to choose from – with ability to design new


patients supported with value-based care programs


Reduce the complexity of managing value-based contracts and other performance programs with a solution that delivers direct, up-to-date performance data and actionable patient insights.

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Engage and Empower Providers

Translate differing initiatives into one set of patient-specific insights and goals delivered to individual providers at the point of care and updated in real time.

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Enhance Transparency and Maximize Incentives

Gain accurate, system-wide transparency into the ongoing performance of your initiatives and how to hone programs and incentives for greater effectiveness.

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Streamline Management of All Initiatives with a Single Solution

From standard federal and state-level initiatives to fully customized goals, improve quality outcomes, risk score accuracy, population health, and more.

How it Works

Improve patient care through data-driven action. Access the next level of healthcare data integration, analytics, and intelligence to empower value-based program success.

Real-time connectivity for industry-leading data integration and analytics.

Data-driven analytics play an integral role in supporting payers and providers to succeed under value-based models. Payers and providers need advanced analytics that bring together data from multiple sources to provide timely, comprehensive insights into patient gaps in care.

By implementing advanced technology to combine, curate, and analyze data, healthcare organizations can determine meaningful action, reduce administrative burden, and enhance transparency – resulting in measurable impact and success for payers and providers.

Comprehensive datasets to support reporting on value-based and custom initiatives

Converged Provider Enablement allows for highly flexible, tailored encounters informed by dynamic, user-friendly dashboards. Payers can deliver online access for healthcare systems to enable transparency into contract performance and improved quality outcomes. Payers also use this solution for tracking quality and risk adjustment measure scores, which will ultimately impact financial payments by CMS and other state health agencies.

Engage providers and enable action with performance reports

Providers have access to an integrated platform to receive information on gaps in care from multiple payers (effectively replacing a myriad of delivery channels and formats from various payers). Providers are equipped with concise and actionable patient-specific care information. This ensures timely reporting of gaps in care information.

Converged Provider Enablement 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.

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

Converged Healthcare Data Explorer

Combine your structured and unstructured data with applicable longitudinally linkable data to improve healthcare outcomes and economics.

Doctor discusses health with patient with data pulled from Inovalon HEDIS software solution

Converged Patient Assessment

Leverage advanced analytics to drive complete and compliant clinical documentation for face-to-face and virtual encounters with our cloud-based, point-of-care support tool.

Shared population health knowledge benefits his coworkers and patients

Converged Population Health

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.

Additional Payer Cloud Products

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.

Two women discuss health with data pulled from Inovalon HEDIS software solution

Converged Risk

Ensure compliance with advanced analytics and flexible member engagement solutions enabling efficient and accurate documentation of member conditions.

Converged Outreach

Boost patient outcomes and economics with member-centric outreach planning software and seamless integration with third-party engagement solutions.

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.


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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