Product Overview of Inovalon
Inovalon is a leading provider of cloud-based healthcare software solutions, powered by the Inovalon ONE® Platform. This platform is designed to enable data-driven healthcare initiatives across the entire care continuum, serving a wide range of healthcare organizations, including health plans, provider sites, pharmaceutical companies, and more.
Key Features and Functionality
Data Integration and Analytics
Inovalon’s solutions leverage the nation’s largest primary source healthcare dataset, which includes over 391 million unique lives, 84 billion medical events, 1.1 million physicians, and 670,000 clinical facilities. This extensive data registry allows for real-time primary source data access and advanced analytics, enabling healthcare organizations to drive better health outcomes and economics.
Cloud-Based Solutions
The Inovalon ONE® Platform supports several cloud-based solutions tailored to different segments of the healthcare ecosystem:
- Payer Cloud: This suite helps health plans measure, manage, and improve healthcare outcomes, economics, and quality of care. It includes features such as clinical quality analytics, risk score accuracy, patient and provider engagement, and operational transparency.
- Provider Cloud: Designed for healthcare providers, this solution optimizes revenue cycle management, care quality management, and workforce management through a single-sign-on portal. It includes tools for patient access, claims management, eligibility verification, and clinical surveillance.
- Pharmacy Cloud: This solution streamlines pharmacy operations by automating processes, facilitating real-time data exchange, and providing electronic decision support. It covers various aspects of the pharmacy workflow, including billing, collections, fulfillment, and patient engagement.
Advanced Functionalities
- Risk Adjustment and Quality Improvement: Inovalon offers tools for risk adjustment and quality improvement, including HEDIS® certified engines for clinical quality analytics.
- Care Management and Patient Engagement: The platform includes features for care management, patient engagement, and chronic care management to enhance patient outcomes and satisfaction.
- Predictive Analytics and Clinical Data Exchange: Inovalon utilizes predictive analytics and supports clinical data exchange to provide actionable insights and improve care coordination.
- Interoperability and Regulatory Compliance: The platform ensures interoperability through solutions like the Consumer Health Gateway™, which complies with HL7 FHIR v4.0.1 API standards, and helps with regulatory compliance.
Additional Capabilities
- Population Health Management (PHM): Inovalon’s solutions support population health management through population stratification, health risk assessment, and utilization management.
- Telehealth Integration and Social Determinants of Health: The platform integrates telehealth services and considers social determinants of health to provide a comprehensive approach to patient care.
- Customizable Dashboards and Reporting: Users can benefit from customizable dashboards and robust reporting and analytics tools to make informed decisions.
Benefits
Inovalon’s solutions are designed to enhance care quality, improve operational efficiency, and drive better financial performance across the healthcare ecosystem. By leveraging national-scale connectivity, real-time data access, and advanced analytics, Inovalon empowers healthcare organizations to turn data into insights and insights into actionable improvements at the point of care.