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Quality Measurement, Reporting & Improvement

Delivering Improved Outcomes and Performance

With increasing complexity stemming from federal- and state-based quality rating programs and the impact of HEDIS® on NCQA ratings, health plans and provider systems need real-time actionable insight to manage their quality performance proactively throughout the year.

Delivering an end-to-end quality and reporting solution, we empower health plans and provider systems to achieve the quality results they need to succeed in a healthcare ecosystem that is becoming increasingly data driven.

How we're different

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Unparalleled Dataset: The Inovalon ONE® Platform is informed by Inovalon’s proprietary MORE2 Registry®, which includes primary sources data pertaining to more than 271 million patients and 45 billion medical events — numbers that are growing every day, resulting in the expanding success of our clients. This massive dataset enables Inovalon to provide superior forecasting and bench-marking capabilities—with more than 95% of quality measure cut points forecast with directional accuracy for 2018 Star Ratings—empowering health plans to better understand and impact their quality outcomes and drive greater financial performance. Unlike other organizations that use old data and batch processing, and require long lags to translate information into operational plans, Inovalon’s datasets, high-speed analytics, and point-of-care toolsets allow clients to know during a date-of-service period precisely where to focused and then drive meaningful impact on the right patients at the right time—allowing for a highly efficient focus of resources and predictability of results.

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Large-Scale Connectivity: Inovalon’s extensive connectivity with electronic health records, health information exchanges and more than 170,000 providers enables connectivity to the data of approximately one in every three patients within the United States, increasing speed to value for quality measurement and reporting initiatives.

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Powerful Advanced Predictive Analytics: Utilizing member-level insights gained through the MORE2 Registry®, Inovalon’s predictive analytic capabilities identify potential member care gaps before they occur — enabling the identification of members who are expected to become compliant, as well as the number of members needed to become compliant on a measure-level basis to reach the next measure rating level.

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Industry-Expert Support Team: Inovalon has been NCQA-measure certified for 18 years—serving as a beta-tester for many of those years—and our industry experts have an average of 14 years of experience delivering meaningful impact to our clients. We believe in the power of partnership to ensure client success, assigning a dedicated product service manager for each engagement and ensuring you have access to technical and IT support teams.



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