Inovalon
Enables data-driven improvements in healthcare outcomes and economics through advanced analytics and connectivity solutions for providers, pharmacies, and life sciences.
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Overview
Inovalon leverages the power of data to enhance healthcare outcomes and economics. The company offers solutions for providers, pharmacies, and life sciences organizations, focusing on optimizing revenue cycle management, care quality, and workforce management through a user-friendly portal.
For pharmacies, Inovalon streamlines operations and boosts performance with automated processing, real-time data exchange, and electronic decision support. In the life sciences sector, the company provides analytics solutions to optimize product life cycle strategies and performance using primary source data.
The Inovalon ONE® Platform is a key offering, integrating national-scale connectivity, real-time data access, and advanced analytics to deliver actionable insights. This platform supports over 50,000 active customers, including top U.S. provider systems, health plans, and global pharmaceutical companies, to inform and accelerate patient care and business decisions.
- 25 of the top 25 U.S. Provider Systems
- 15 of the top 15 U.S. Health Plans
- 13 of the top 15 Global Pharmaceutical Companies
- 3 of the top 10 U.S. Specialty Pharmacies
Inovalon impacts over 416 million unique lives, processes over 93 billion medical events, and collaborates with over 1.1 million physicians across 706,000+ clinical settings.
Tools
Attendance Management
Healthcare time and attendance software offering real-time visibility into shifts, breaks, and variances to ensure accurate payroll and compliance.
Care Management
Enhance care quality, reduce risks, and streamline clinical and financial operations with a comprehensive suite of solutions.
Claims Management
Software that enhances claims processing efficiency, reduces errors, and accelerates payments by managing claims from submission to payment in one system.
Clinical Analytics
Enhances clinical trial diversity and efficiency using real-world data and analytics to identify patient regions and optimize recruitment.
Clinical Research Patient Finder
Recruit eligible, diverse patients faster for clinical trials, reducing bottlenecks and trial failure risk.
Converged Analytics Benchmarking
Monthly insights into quality performance, enabling competitive analysis, goal setting, and data-driven decision-making.
Converged Outreach
Software for planning health plan interventions, optimizing member interactions, and improving care coordination and outcomes.
Converged Patient Assessment
Software enhancing risk score accuracy and care management by closing documentation gaps and ensuring compliance.
Converged Provider Enablement
Centralized solution for managing value-based care, enhancing provider engagement, and delivering timely insights.
Converged Quality
HEDIS® quality measurement software for health plans to enhance reporting, improve ratings, and manage compliance.
Converged Record Review
AI-powered software for efficient medical record reviews, improving accuracy and reducing manual workload.
Converged Risk
Software for health plans to enhance risk score accuracy, reduce audit risk, and improve care for chronic conditions.
Converged Stars Health Outcomes
Analytics software providing insights into CMS health equity measures, enabling Medicare Advantage plans to improve care and forecast rewards.
DataStream
Access comprehensive patient health history through FHIR-based APIs for informed care decisions.
Electronic Record On Demand
Access digital medical records quickly, securely, and cost-effectively, simplifying medical record retrieval with extensive connectivity and data integration.
Eligibility Verification Software
Automates insurance eligibility verification to reduce denials, speed up claims, and improve cash flow by confirming patient benefits upfront.
Encounter Submissions
Streamlines risk adjustment data and encounter submissions, ensuring compliance with CMS and HHS updates while minimizing errors and improving efficiency.
Healthcare Credential Management
Manage and track healthcare staff licenses and certifications securely, ensuring compliance and patient safety.
Healthcare Data Lake
Centralized platform for storing, enriching, and analyzing healthcare data to generate actionable insights and improve outcomes.
HEOR
Provides real-world evidence using healthcare data to answer critical questions about treatment outcomes, costs, and disparities.
Inovalon ONE Platform
A platform that integrates healthcare data and analytics to enhance clinical outcomes and healthcare economics.
Insurance Discovery
Software that identifies billable insurance coverage to enhance revenue and patient satisfaction by reducing missed revenue opportunities and improving claim accuracy.
MDS Intelligence
Enhances MDS accuracy, reduces errors, and ensures compliance for skilled nursing facilities through streamlined workflows and automated validations.
Medicare Revenue Cycle Management
Software providing full visibility and management of Medicare revenue cycles, simplifying claims, audits, and appeals processes.
Member Outreach Software
Software for managing health plan outreach and intervention initiatives with personalized care and advanced analytics.
Provider Market Insights
Identify and target healthcare providers and patient populations using unique data insights for effective market engagement.
Quality Measurement Software
Gain visibility, confidence, and control over quality programs with predictive analytics and benchmarking for health plans.
RCM Intelligence
Analytics software providing actionable dashboards for comprehensive revenue cycle management insights.
Revenue Cycle Management
Enhances the revenue cycle from patient intake to payment by verifying coverage, simplifying billing, and speeding claims processing.
Risk Adjustment
Enhances risk score accuracy and simplifies regulatory submissions with real-time analytics and comprehensive data management.
Schedule Management
Efficient, mobile-friendly scheduling software for healthcare organizations to streamline staff management, reduce overtime, and enhance team connectivity.
ScriptMed
End-to-end software for managing specialty and infusion pharmacy operations, streamlining workflows, and reducing delays in patient care.
ScriptMed Infusion
Infusion pharmacy software that automates tasks, manages nurse scheduling, and enhances patient care with a single, intuitive solution.
ScriptMed Specialty
Advanced software that accelerates prescription processes, simplifies workflows, and enhances patient care in specialty pharmacies.
SDOH Market Insights
Gain insights into patient access by linking clinical, economic, demographic, and social data to identify care gaps and improve outcomes.
Value-Based Care Management
Software for managing value-based care with real-time insights and provider collaboration.
VigiLanz Audit Management
Automates patient record audits to enhance compliance, reduce risk, and improve patient outcomes with real-time insights.
VigiLanz Infection Prevention
Near real-time infection prevention software providing insights to prevent harm, improve safety, and enhance patient care.
VigiLanz Pharmacy Surveillance
Empowers pharmacists to prevent adverse drug events and improve patient safety with real-time clinical support and smarter alerts.
VigiLanz Quality Management
Software for spotting risks early, acting quickly, and enhancing patient outcomes to prevent escalation of issues.
VigiLanz Safety Management
Software for real-time safety event reporting to prevent harm, protect patients, and ensure compliance.
Workforce Management Software
A comprehensive solution for healthcare staff scheduling, time tracking, credentialing, and agency management, reducing burnout and overtime with mobile-friendly access.