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* Who We Help
* PayersImprove member care and outcomes while achieving greater performance
with sophisticated analytics and dynamic business intelligence.
* ProvidersOptimize revenue cycle management, care quality management, and
workforce management in one single-sign-on, easy-to-use portal.
* PharmaciesStreamline pharmacy operations and improve performance with
automated processing, real-time data exchange, and electronic decision
support.
* Life SciencesOptimize your strategy and performance with diverse,
longitudinally linkable data and industry-leading expertise.
* Products
* The Inovalon ONE® PlatformOur 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.
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HEALTHCARE EMPOWERED®
Harnessing the power of data to improve healthcare outcomes and economics
PAYERS
Improve member care and outcomes while achieving greater performance with
sophisticated analytics and dynamic business intelligence.
PROVIDERS
Optimize revenue cycle management, care quality management, and workforce
management in one single-sign-on, easy-to-use portal.
PHARMACIES
Streamline pharmacy operations and improve performance with automated
processing, real-time data exchange, and electronic decision support.
LIFE SCIENCES
Optimize your product life cycle strategy and performance with industry-leading
primary source data and analytics solutions.
DATA HAS A STORY TO TELL.
WE GIVE IT A VOICE.®
Inovalon empowers payers, providers, pharmacies, and life sciences organizations
with cloud-based software and data solutions to drive meaningful change in
patient outcomes, business performance, and healthcare economics.
Request A Demo
MAXIMIZE CLAIMS RETURNS: DIVERSIFY WITH A TRUSTED RCM PARTNER
Ensure continuity for your claims management by diversifying claims submission.
Learn how Inovalon is helping providers improve payer relationships and remain
connected for claims submission with cloud-based, industry-leading RCM software.
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HOW INOVALON SUPPORTS THE FULL PATIENT JOURNEY
Meet Diane. See how data and insights powered by Inovalon enable her end-to-end
care journey, ensuring a personalized, efficient, and effective healthcare
experience.
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MINIMIZE CLAIMS DENIALS
This comprehensive software reduces manual tasks, boosts accuracy, and enhances
financial performance by streamlining the eligibility verification process.
Learn how.
See For Yourself
EMPOWER 2024: INOVALON’S ANNUAL DATA-DRIVEN HEALTHCARE SUMMIT
Step into the heart of data-driven healthcare at Empower 2024, previously known
as Customer Congress, where leaders from across the care continuum convene for
an unforgettable experience at the intersection of healthcare and technology.
Learn More
HARVARD-INOVALON MEDICARE STUDY: THE IMPORTANCE OF MA PLAN DESIGN
Harvard Medical School and Inovalon team up to shed light on how Medicare
Advantage (MA) plan design and out-of-pocket costs affect who enrolls.
Read White Paper
THE INOVALON ONE® PLATFORM
The Inovalon ONE® Platform brings together national-scale connectivity,
real-time primary source data access, and advanced analytics to power 100+
cloud-based SaaS solutions.
Learn More
DATASTREAM
Transform patient encounters with seamless data integration at the point of care
informing patient-centric decision-making.
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CONVERGED QUALITY
Measure quality and improve care with predictive analytics that enable early
detection of quality measure eligibility, to drive timely interventions.
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CLAIMS MANAGEMENT PRO
Streamline and automate claims processing with all-payer visibility to track,
monitor, and manage appeals.
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SCRIPTMED® SPECIALTY
Decrease time to fill and cost to serve, and improve medication adherence with
adherence risk predictions powered by machine learning.
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DISCOVER WHAT CUSTOMERS HAVE SAID ABOUT INOVALON SOLUTIONS
Read what customers across the continuum of care have to say about Inovalon
solutions.
Our providers are now more engaged and more involved. Trust, transparency, and
support are key – and Inovalon helps us have all three.
Tony Graboski Account Manager, Geisinger Health Plan
Inovalon has enabled some unique improvements to our processes, and the
company’s culture was consistent with ours. They have helped us with some
enhancements that have made a big difference.
Steve Flannery Division Director of Reimbursement Services, BAYADA
I’ve never found another system to get claims to Medicare. Claims Management
Medicare Pro is amazing – we can do the same thing, but in a better way.
Marco Ochoa A/R Manager
Implementing Schedule Management has been, hands down, the most immediate
value-added business solution and user-friendly technology I’ve been a part of
in 25 years of healthcare operations.
Holly Shepherd Regional Director of Operations, Providence Home and Community
Care
There’s so much that Inovalon has brought to the provider community with
automation efficiency that has made a huge difference. Inovalon has the best
clearinghouse and functionality that exists.
Julie Ann Kemman President, Health Care Professional Consulting Services
Reducing our A/R days from the 90s to the 30s has given our organization greater
financial stability. We’re able to grow our services and our physical landscape
of the hospital. We’ve added more specialists to the facility that our patients
need.
Rachel Dallmann Revenue Cycle Director, Phelps Memorial Health Center
THE NATION'S MOST WIDELY USED HEALTHCARE CLOUD PLATFORM
The Inovalon ONE® Platform supports nearly 20,000 customers, supporting more
than 53,000 sites of care, to deliver actionable insights that inform and
accelerate patient care and business decisions.
25 TOP U.S.
Provider Systems
23 OF THE TOP 25
U.S. Health Plans
19 OF THE TOP 25
Global Pharmaceutical Companies
5 OF THE TOP 10
U.S. Specialty Pharmacies
391M+
Unique Lives
84B+
Medical Events
1.1M+
Physicians
670K+
Clinical Settings
CUSTOMER STORIES
Celebrating customer achievements across the healthcare ecosystem.
* Payers
* Improving Provider Trust and Engagement to Drive Value-Based Care
* Delivering Better Member Care with Better Data Analytics
* Medicare billing, streamlined: How MGM Healthcare transformed their RCM
workflows with Inovalon
* Providers
* Decreasing Costly Errors and Improving RCM Success for Tribal Health
Organizations
* Improving Billing Success with an Integrated Clearinghouse Solution
* Improving the Behavioral Health Patient Experience with Better, Faster
Admissions
* Pharmacies
* Using Technology to Improve Communication and Patient Care in Home Infusion
* Life Sciences
* Harvard-Inovalon Medicare Study: Who Enrolls in Medicare Advantage vs.
Medicare Fee-for-Service
* Payers
* Providers
* Pharmacies
* Life Sciences
View All Customer Stories
* IMPROVING PROVIDER TRUST AND ENGAGEMENT TO DRIVE VALUE-BASED CARE
To achieve Star Ratings goals, health plans and providers must be aligned in
their member care efforts which requires massive amounts of data collection
and analysis.
Learn more
* TRANSFORMING OUTDATED WORKFORCE PROCESSES WITH MODERN STAFF SCHEDULING
Manual staff scheduling is tedious, difficult, and frustrating. Getting
staffing data in real time can transform scheduling workflows and efficiency.
Learn more
* MEDICARE BILLING, STREAMLINED: HOW MGM HEALTHCARE TRANSFORMED THEIR RCM
WORKFLOWS WITH INOVALON
Inovalon has a solution that’s amazing. We can work the claims with our mouse
and increase efficiency.
Learn more
* DECREASING COSTLY ERRORS AND IMPROVING RCM SUCCESS FOR TRIBAL HEALTH
ORGANIZATIONS
Tribal health organizations are funded about 40% of the cost to render care,
which makes every claims dollar paid even more valuable compared to other
care settings.
Learn more
* IMPROVING BILLING SUCCESS WITH AN INTEGRATED CLEARINGHOUSE SOLUTION
Netsmart, an electronic health records (EHR) software vendor, delivers
intuitive and easy-to-use EHR solutions to behavioral health, care at home,
senior living, and social services providers.
Learn more
* IMPROVING THE BEHAVIORAL HEALTH PATIENT EXPERIENCE WITH BETTER, FASTER
ADMISSIONS
Rockford Center, a behavioral health center in Delaware, serves patients who
are typically in some form of distress upon arrival
Learn more
* USING TECHNOLOGY TO IMPROVE COMMUNICATION AND PATIENT CARE IN HOME INFUSION
Discover the importance of communication in home infusion and how innovation
in healthcare technology helps deliver better care, in a better setting.
Learn more
* HARVARD-INOVALON MEDICARE STUDY: WHO ENROLLS IN MEDICARE ADVANTAGE VS.
MEDICARE FEE-FOR-SERVICE
Who Enrolls in Medicare Advantage vs.Medicare Fee-for-Service
Learn more
LET'S TRANSFORM HEALTHCARE TOGETHER.
QUESTIONS? CALL (301) 809-4000
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* Who We Help
* Back
* PayersImprove member care and outcomes while achieving greater performance
with sophisticated analytics and dynamic business intelligence.
* ProvidersOptimize revenue cycle management, care quality management, and
workforce management in one single-sign-on, easy-to-use portal.
* PharmaciesStreamline pharmacy operations and improve performance with
automated processing, real-time data exchange, and electronic decision
support.
* Life SciencesOptimize your strategy and performance with diverse,
longitudinally linkable data and industry-leading expertise.
* Products
* Back
* The Inovalon ONE® PlatformOur 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 Overview
* Clinical Trial Analytics
* HEOR
* Commercial Analytics
* Back
* Commercial Analytics
* SDOH Market Insights
* Provider Market Insights
* Real-World Data
* Real-Time Patient Data
* Data Cloud
* Back
* Data Cloud Overview
* Clinical Trial Analytics
* HEOR
* Commercial Analytics
* Back
* Commercial Analytics
* SDOH Market Insights
* Provider Market Insights
* Real-World Data
* Real-Time Patient Data
* Payer Cloud
* Back
* Payer Cloud Overview
* Quality Measurement
* Back
* Converged Quality
* Converged Outreach
* Converged Provider Enablement
* Converged Analytics Benchmarking
* Converged Stars Health Equity Analytics
* See All Solutions
* Risk Score Accuracy
* Back
* Converged Risk
* Converged Outreach
* Converged Patient Assessment
* Healthcare Data Lake
* Converged Submissions
* See All Solutions
* Member Outreach
* Back
* Converged Outreach
* Converged Patient Assessment
* Converged Provider Enablement
* Electronic Record On Demand
* See All Solutions
* Value-Based Care Management
* Back
* Converged Provider Enablement
* Healthcare Data Lake
* Converged Patient Assessment
* See All Solutions
* Provider Cloud
* Back
* Provider Cloud Overview
* Patient Access
* Back
* Registration Quality Assurance
* Eligibility Verification Medicare
* Eligibility Verification Pro
* Insurance Discovery
* See All Solutions
* Revenue Cycle Management
* Back
* Claims Management Pro
* Claims Management Medicare Pro
* Patient Statement Management
* Patient Payment Management
* RCM Intelligence
* See All Solutions
* Care Management
* Back
* Safety Management
* Pharmacy Surveillance
* Infection Prevention
* MDS Intelligence
* Audit Management
* Quality Management
* See All Solutions
* Workforce Management
* Back
* Schedule Management
* Workforce Management
* Attendance Management
* Credential Management
* See All Solutions
* Strategic Partners
* Pharmacy Cloud
* Back
* Pharmacy Cloud Overview
* Specialty Pharmacy Management
* Infusion Pharmacy Software
Our Company
* Back
* Data has a story to tell. We give it a voice.®Inovalon is dedicated to
delivering solutions that empower our customers to use data to improve
healthcare outcomes and efficiencies.
* Vision & Values
* Leadership Team
* Diversity, Equity & Inclusion
* History
* News
* Events
* Careers
Resources
* Back
* Harvard-Inovalon Medicare Study: Quality Outcomes Under Medicare Advantage vs.
Medicare Fee-for-Service
* All Resources
* Webinars
* Customer Stories
* INOvators
* Research & Publications
* Blog
* FAQ
Contact Us Careers Support