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HEDIS SOFTWARE SOLUTION

Converged Quality

Quality scores you can trust, from a seasoned HEDIS® partner.

Best in KLAS 2026 Quality Measurement & Reporting (Payer) Badge

Quality Measurement Software You Can Count On

Discover the solution that 12 of the top 15 health plans use to empower their quality measurement, reporting, and improvement initiatives.¹ For 2026 CMS Star Ratings, our customers achieved 11% higher ratings than health plans using other solutions.²

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Certified Quality Measurement and Reporting

Access cloud-based data and validated national/state extracts in this certified HEDIS software. Choose the level of in-house support that fits your needs.

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Data-Driven Analysis

Leverage predictive analytics and benchmarking to assess performance, set goals, and define the right strategy for success.

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Stay One Step Ahead With Forecasting

Avoid CMS Star rating drops with forecasting that measures cut points more accurately than prior-year estimates.

Digital Quality Measures, Done Right

Move to FHIR and CQL with the only partner that can run traditional HEDIS and digital measures side by side — so you're ready for 2030 without disrupting today.

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Benefits

Track quality performance, identify care gaps, and benchmark against industry standards, all in one solution. Get monthly insights to drive better ratings, stay compliant, and focus your team where it matters most.

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Extend Your Team With Expert Support

Take the pressure off your team during HEDIS season. Our expert-built quality measurement solution, with hands-on support, helps you hit your goals without added stress.

Always Current, Never Caught Off Guard

Keep up with evolving requirements effortlessly. Our solution is always current with the latest federal, state, and Medicaid measures as well as regulatory changes.

Spot Care Gaps Before They Cost You

See beyond the surface with predictive quality analytics. Uncover issues early and act fast to protect your scores.

12

Of the top 15 health plans use our software¹

11%

Higher Star Rating performance than plans using other solutions²

97%+

Accurate forecasting against CMS Ratings²

HOW IT WORKS

Clarity that Drives Confidence

When your health plan’s performance - and revenue - hinges on HEDIS and Star Ratings, you can’t afford unreliable analytics or slow-moving vendors. You need a partner who knows the stakes, keeps up with every regulatory shift, and gives your team the expert support they need to succeed.

That’s where we come in.

Our quality measurement software gives you x-ray vision into your quality analytics, up-to-date federal and state measures, and an extra set of hands when it matters most. No more scrambling, no more burnout, just the confidence that comes from knowing your reporting is under control.

Certified measurement and reporting
Data-driven analysis and planning
Validated national and state extracts
Cloud-based data access
Clear analytics to help close care gaps and engage members

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TESTIMONIALS

Real Results, Real Voices

Discover the Inovalon difference.

“

You can really lean on Inovalon; it’s always been a collaborative effort. In the past, there would have never been a day I would have taken off during HEDIS season – now I know I can step away for a day or two and everything will be okay.
Davina GreenHEDIS Manager, Health Services for Children with Special Needs

“

Being able to accurately and completely report our HEDIS and stars rates on a regular basis, and…figure out where our gaps in care are, to help make sure that we are… providing the care to our members timely, and then capturing the data about the care…accurately. That’s awesome.
Terance FowlerExecutive Director of Quality, Aetna

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HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
¹ Top 15 U.S. health plans based on AIS enrollment data, May 2026. Converged Quality customer count reflects parent companies and/or subsidiary organizations represented in the top 15, based on Inovalon internal customer/account mapping, May 2026.
² "Inovalon Powers 70% of Medicare Advantage Enrollees in 4+ Star Plans, Continuing to Outperform National Averages in 2026 CMS Star Ratings," Inovalon, October 30, 2025, https://www.inovalon.com/news/inovalon-powers-70-of-medicare-advantage-enrollees-in-4-star-plans-continuing-to-outperform-national-averages-in-2026-cms-star-ratings/
³ Based on Inovalon’s analysis of customer vendor consolidation following implementation of Converged solutions. October 2024.