Member-centered payer care management

Drive cost-effective, coordinated care in the digital age of healthcare with an integrated, dynamic solution. Engage your providers and members to enhance care management and save on medical and administrative costs. Our solution unlocks value for health plans, from care management to referrals to prior authorization.

America’s largest healthcare organizations are connecting their care ecosystems on the Innovaccer Health Cloud
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The Innovaccer Health Cloud for
Payer Care Management
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Streamline prior authorization

Improve the provider experience with a point-of-care prior authorization interface paired with streamlined processes and review systems.

Unlock Automated Responses

Leverage dynamic analytics and clinical data to send automated responses, allowing members to book appointments and stay engaged through texts, reminders, and voice updates.

Seamless Communication

Customize service forms and provide practical worklists and dashboard views to streamline communication between providers and utilization management teams. Access intelligent insights to make decisions about care delivery.

Closed Referral Loops

Follow up on all referrals to reduce leakages, improve adherence to pre-visit protocols, and reduce no-shows. Share specialist visit summaries with the referring provider to help close referral loops. 

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Centralized referral management system
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Digital referral processing
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Point-of-care alerts
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Streamline care navigation to improve member engagement

Effective care management lets members take control of their own healthcare by helping them find cost-effective, in-network options for care—and helps providers and members work together.

Effective Member and Provider Engagement

Empower members with educational content and other resources specific to their needs. Keep providers informed about care strategies.

Clinical Risk and Care Insights

Evaluate clinical risks and member needs through assessments and surveys. Leverage longitudinal care insights on all encounters and procedures.

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Seamless information sharing
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Intuitive physician tiering
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Custom provider lists
USEFUL RESOURCES

What's new in healthcare

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Whitepaper
Eliminating Coding Gaps to Reduce the Cost Burden on Payers
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Whitepaper
Improving Performance: A Guide for Payers Navigating the Changing Healthcare…
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Blog
5 Reasons Why Payer-Provider Collaboration is Critical to Succeed in…

Activate your vision for a healthier world

Join other healthcare leaders in building the future of
health on the Innovaccer Health Cloud.