MEDICAID MODERNIZATION

Accelerate Medicaid Modernization

Unify disparate data, deploy AI, and leverage advanced analytics with Innovaccer's scalable, intelligent, and cloud-based platform

Accelerate Medicaid Modernization Through Intelligent, Integrated Care

Enhance Program Effectiveness
Leverage comprehensive 360-degree beneficiary profiles to identify opportunities for improvement and optimize Medicaid program outcomes.
Improve Care
Coordination
Strengthen integrated case management for better care coordination and improved patient experiences.
Drive Data-Informed
Decisions
Utilize advanced analytics and AI-powered insights to enhance preventive care and improve public health interventions.

All Powered by the
Consumer Data Platform

Power your healthcare marketing with Innovaccer's Consumer Data Platform. CDP unifies data from hundreds of sources across your network to create a single source of truth for personalized patient engagement.
Integrate
Raw data is received from source systems & stored in a data lake.
3X
more accurate than off-the-shelf AI
Harmonize
Data is parsed & codified, then stored in a simple data structure.
3X
more accurate than off-the-shelf AI
Unify
3X
more accurate than off-the-shelf AI
Patient & provider information are aggregated into a single record.
Process
Intelligent algorithms enrich the data with quality measures, gaps in care, & more.
3X
more accurate than off-the-shelf AI
Analyze
Data is denormalized into a structure  for analytics & AI.

3X
more accurate than off-the-shelf AI
Integrate

Raw data is received from source systems and stored in the lake before any processing and
interpretation. Your original data is always available to diagnose any issues and enable reprocessing as issues are resolved.

2800
data elements supported
Unify

Patient and provider information are aggregated into a single record containing multiple sources of information through Master Data Management functionality, including an Enterprise Master Patient Index, and data curation to remove redundancies. The data at this level is leveraged for application functionality and downstream processing.

54M
patient records unified
Harmonize

The raw data is parsed and codified, then stored in a simple and clean data structure without complex relational features. The data at this level is typed and coded to the UDM’s ontology and ready to be processed into the downstream structures, which are leveraged for applications and analytics.

6000
data quality rules applied
Process

Intelligent algorithms enrich the data the previous stage with deep insights. Out of the box, this includes each patient’s disposition toward quality measures (numerator, denominator, exclusions), risk and social vulnerability profiles, gaps in care, engagement data, next best actions, and more.

10%
improvement in quality gap closure
Analyze

Analytics summarize and denormalize the data from Unify and Process stages into a multidimensional data cube structure optimized for analytics, AI, workflows, and additional data visualization use-cases.

22%
reduction in readmission rates
OUR CUSTOMERS

Proven Results for Payers and Pharmacies

“Having a centralized data platform allows us to better connect our residents to the services they need and qualify for. By consolidating systems, we can remove barriers and improve use of data to ensure optimal health and well-being of our community.”
Kimi Watkins-Tartt
ACHCSA PHD Director
“By compiling data across SMCH systems, and integrating into electronic health records, healthcare providers can search for patients across multiple EHR systems, review longitudinal patient records and transition data back to their main EHRs”

Browse the Government portfolio

Public Health Modernization

Build healthier communities through data-driven healthcare management. Our solutions support comprehensive health surveillance, predictive insights, and efficient case management.

Health Information Exchange

Foster seamless data sharing and collaboration across the healthcare ecosystem. Our interoperable platform supports secure, efficient, and multilateral data exchange.

Frequently Asked Questions

What makes Innovaccer's Medicaid modernization solution unique?

Innovaccer offers an integrated AI and analytics platform specifically designed for Medicaid organizations. It uniquely combines data unification, healthcare-native AI, and advanced analytics to address the complex challenges of Medicaid modernization.

How does the Healthcare Intelligence Cloud help improve Medicaid outcomes?

The platform provides comprehensive 360-degree beneficiary profiles that include clinical and social determinants of health data. This allows Medicaid organizations to identify and address health disparities more effectively, leading to improved outcomes and health equity across communities.

Can the Healthcare Intelligence Cloud integrate with our existing IT systems?

Yes, the platform is designed to integrate seamlessly with various data sources, including Medicaid Management Information Systems (MMIS), HIEs, and other state and federal systems. It offers numerous APIs and native connectors to ensure smooth data interoperability and compliance with federal standards.

How does the platform support data-driven decision making in Medicaid programs?

The Healthcare Intelligence Cloud provides advanced analytics, AI-powered insights, and customizable dashboards that enable Medicaid officials to make informed decisions. These tools support various aspects of Medicaid management, from program effectiveness evaluation to population health management and care coordination.
NEWS

Meet with our government team.