Quality Measurement, Reporting, & Improvement

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.

Powered by the Inovalon ONE® Platform

More than 100 health plans, including the top 25 as defined by AIS Health, depend on Inovalon's QSI-XL® to empower their quality measurement, reporting, and improvement initiatives.

Overview

Inovalon delivers a flexible, fully integrated solution for health plans and provider systems. Our solution puts insights into your hands faster with analytics that create a honed, personalized strategy to engage members and improve outcomes and ratings performance.

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Certified Measurement and Reporting

From our leading HEDIS® software to expert support and everything in between, fulfill all your quality initiatives with a support model designed to match your unique needs.

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Data-Driven Analysis
and Planning

Utilize advanced predictive analytics and benchmarking metrics to help you understand your current performance, your future goals, and the right strategy to ensure success.

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Targeted Member Engagement

Implement proven education and multi-channel intervention strategies to improve compliance and patient encounter documentation.

Benefits

Improve health outcomes, achieve performance incentives, and advance your financial performance with seamlessly integrated capabilities to support all your quality initiatives.

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Unparalleled Data Access

Increase efficiencies and gain a holistic view of your member population by leveraging quality analytics informed by the nation’s largest primary source dataset.

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Innovative Technology Infrastructure

Improve data access and intelligence across your quality initiatives, with the ability to accelerate data processing on-demand to meet tight deadlines.

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Proven Customer Experience and Stability

Inovalon supports quality programs for 100+ health plans with an average 96% satisfaction rating and has been NCQA certified for HEDIS® measures for 21 years.

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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

Quality measurement, reporting, and improvement is an art and a science. When you partner with Inovalon, you get more – we deliver dedicated expertise and the industry's leading HEDIS® software.

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Empowering your quality measurement, reporting, and improvement initiatives with greater scale, flexibility, and speed

Inovalon processes the clinical quality metrics of more than 180 million lives each year. That’s about 9,000 decision points per member and nearly 1.6 trillion decisions calculated per month on average to address quality gaps and improve member outcomes.

We combine our industry-leading technologies with deep healthcare expertise to deliver a comprehensive solution tailored to fit your unique business needs to support:

    • Seamless, secure data ingestion
    • Electronic clinical data extraction
    • Quality measurement and reporting
    • Prospective and comparative analytics
    • Intervention planning and outreach
    • Population health management
    • Data intelligence and reporting

Inovalon Converged Risk Analytics

Achieve Greater Insight, Efficiency, and Satisfaction with An Integrated Program

Even the strongest quality program is limited when siloed from the health plan’s risk score accuracy initiatives.

Inovalon Converged Risk Analytics is the industry’s first and only solution that improves the quality of care for members and supports risk score accuracy for health plans. This integrated solution improves insight into member gaps in care and documentation – delivering a complete member view that enables greater care coordination and more comprehensive care encounters.

The results: improved member health outcomes, reduced member and provider abrasion, and greater operational efficiency and performance.

Read the press release for more information.

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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