Case Study: How Direct Patient Insights Empower Providers to Improve Quality Performance
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.
Powered by the Inovalon ONE® Platform
100 health plans, including 23 of the top 25 as defined by AIS Health, depend on Inovalon to empower their quality measurement, reporting, and improvement initiatives.
Inovalon delivers a flexible, fully integrated solution for health plans and provider systems participating in federal, state, and accredited quality measurement programs. Our HEDIS® software puts insights into your hands faster with analytics that create a honed, personalized strategy to engage members and improve outcomes and ratings performance.
Certified Measurement and Reporting
Gain cloud-based data access and validated national and state extracts with our leading HEDIS® software. Select the support model to match your unique needs, with our in-house industry experts here to help.
Utilize advanced predictive analytics and benchmarking metrics to help you understand current performance, future goals, and the right strategy to ensure success.
Targeted Member Engagement
Implement proven education and multi-channel intervention strategies to improve measure compliance and patient encounter documentation.
Improve health outcomes, achieve performance incentives, and advance your financial performance with seamlessly integrated capabilities to support all your quality initiatives.
Unparalleled Data Access
Increase efficiencies and gain a holistic view of your member population by leveraging quality analytics informed by the industry’s largest primary source dataset.
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.
Proven Customer Experience and Stability
Inovalon supports quality programs for 100 health plans with an average 88% customer satisfaction rating and has been NCQA certified for HEDIS® measures for 22 years.
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 than just HEDIS® software – we deliver dedicated expertise, consulting, and software.
Delivering scale, flexibility, and speed to empower your quality initiatives.
Inovalon processes the clinical quality metrics of nearly 190 million lives each year – with nearly 9,000 decision points per member. That’s nearly 1.6 trillion decisions calculated per month on average to address quality gaps and improve member outcomes.
Tailor our comprehensive, modular quality solution to fit your unique business and member population needs, with services and software to support:
- Seamless, secure data ingestion
- Cloud-based data access and querying
- Prospective and comparative analytics
- Accelerated data processing
- Validated data extracts
- Audit support
- Targeted intervention planning and outreach
- Electronic clinical data extraction
- Race and ethnicity data stratification
- Population health management
Converged Quality Add-ons
Converged Analytics Designer
Design and share custom measure strategies to advance priority healthcare initiatives for improved outcomes and performance.
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.
Converged Healthcare Data Explorer
Combine your structured and unstructured data with applicable longitudinally linkable data to improve healthcare outcomes and economics.
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.
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.
Quality Medical Record Management
Effectively manage hybrid measures and clinical record retrieval with dynamic software for regulatory and prospective project management.
Additional Payer Cloud Products
Ensure compliance with advanced analytics and flexible member engagement solutions enabling efficient and accurate documentation of member conditions.
Boost patient outcomes and economics with member-centric outreach planning software and seamless integration with third-party engagement solutions.
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.
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.
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