White Papers

Modularity, originally intended to aid states in breaking down monolithic technology systems, offers a solution to support agile policy evolutions. Modularity has been a dramatic success in many ways, shortening implementations, reducing vendor lock-in, and promoting innovation. However, complex procurement processes and lengthy implementations persist, preventing states from fully realizing the transformative potential of analytics.

Member-level social vulnerability index (SVI) is crucial for unlocking insights into personalized healthcare and targeted interventions that emphasize the role of claims and clinical data as primary sources for healthcare analysis.

Private Equity (PE) investment in healthcare reached an all-time high in 2021, followed by 2022, in terms of disclosed deal value. Meanwhile, penetration of value-based care models is growing by double digits. This growth underpins a robust investment thesis, suggesting that value-based care could continue to be a lucrative investment domain. Indeed, the increasing importance of value-based care suggests that the potential return could be as high as a "$1 trillion prize" in enterprise value, based on a McKinsey analysis.

High digital maturity hospitals perform 2.1x to 5.3x times better on all competitive metrics, according to a new national research study conducted by Frost & Sullivan and commissioned by Innovaccer.

As the government tightens and scrutinizes risk adjustment practices in the future, health plans must align their practice with accurate member diagnosis and treatment

It’s no secret that digital and data transformation continue to be a challenge for payers. Healthcare data comes from various sources but is stored in disparate silos making it impossible to derive valuable insights to improve member outcomes, impact revenue, and gap closures.