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 Quality

Quality Measurement Software

Discover how our leading HEDIS® software (formerly QSI-XL®) and deep industry expertise enable health plans to achieve high-quality performance in today's data-driven healthcare ecosystem.

Converged Quality, 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.

Overview

Inovalon delivers a flexible, fully integrated solution for health plans and provider systems participating in federal, state, and accredited quality measurement programs. Our HEDIS® quality measurement 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 Quality and Reporting

Gain cloud-based data access and validated national and state extracts with our leading HEDIS® quality measurement software. Select the support model to match your unique needs, with our in-house industry experts here to help.

Data-Driven Analysis
and Planning

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.

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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 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
Customer Testimonial

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 measurement software 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

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Converged Quality Add-ons

Converged Analytics Designer

Design and share custom measure strategies to advance priority healthcare initiatives for improved outcomes and performance.

Coming soon

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.

Coming soon

Business people discussing HEDIS software solution with one comprehensive member view

Converged Healthcare Data Explorer

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