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From Patient Insights to Quality Wins: Empowering Physicians to Act

Data challenges continue to hold back healthcare’s transition to value-based care. Leading health plans are tackling this challenge by giving providers clear, easily accessible patient insights to drive better outcomes.

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Data Challenges Derailing Value-Based Program Success

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75%

Of healthcare professionals cited lack of data interoperability as a primary barrier slowing adoption of value-based care.1

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59%

Of healthcare professionals believe improved datasharing capabilities with providers would accelerate value-based care adoption.1

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50%+

Of organizations plan to increase investment in technology to better support value-based care contracts.1

Boosting Value-Based Outcomes With Smarter Tools

Armed with the right technology, health plans can empower their network providers to:

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Gain clarity on the metrics that matter, aligning teams and tracking performance across value-based programs.

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Power patient outreach with smart, targeted patient lists that highlight care and documentation gaps.

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Close care gaps faster with a unified view of quality and risk insights at the patient and measure level.

Case Study: Improving Quality Performance and Operational Efficiency

The need:

A large national health plan with 2+ million members participating in value-based care programs sought to further improve quality outcomes by providing transparency to its 18K physicians.

The approach:

200+ providers in the plan’s network used Inovalon’s Converged Provider Enablement™ to support quality gap closure across Medicaid and Exchange members.

The results:

 

84%

Of quality measures in the program demonstrated better outcomes.2

The results:

34%

Average increase in compliance rates across measures.2

 

7+

Average increase in each measure’s compliance rate.2

Inform Each Patient Encounter With Actionable Data

Converged Provider Enablement gives payers and providers real-time patient insights and clear next steps to boost quality, reduce costs, and maximize incentives — all within their existing workflow.

Set Your Providers Up for Success

Improve quality outcomes and value-based care performance by giving providers the patient-level data they need.

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  1. “The State and Science of Value-base Care 2025”. Innovaccer, https://innovaccer.com/science-of-value-based-care
  2. Inovalon internal reporting. November 2022.

Inovalon and design® and Inovalon® are trademarks of Inovalon, Inc.

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