Accelerate Your Commercial Plan Performance for
Better Outcomes

Leverage Innovaccer’s solution for improved data access and analytics. Achieve the cost, revenue, quality, satisfaction, and compliance objectives which are critical to the success of your commercial plan.

Tap into the Steadily-advancing Commercial Plan Opportunities

The commercial health plan market is growing, and it has now become the primary source of revenue for some significant payers in the US healthcare space. Innovaccer provides a unique, comprehensive suite of solutions that will assist payers in delivering services for health plans, ranging from simple to complicated blueprints. With our data platform, you can fulfill your commercial business needs by automating and streamlining member data and ensure adherence to regulatory mandates.

Improve performance ratings

Empower providers to close quality gaps and drive member outreach campaigns to boost health plan performance.

Optimize risk-Adjusted Revenues

Engage providers on outstanding coding gaps and close them with chart retrievals at the point of care.

Drive Personalized Care Management

Drive improved outcomes with enhanced care coordination and engage both providers & members on shared care objectives.

Facilitate more cost-effective care delivery

Create detailed care strategies and devise customized and dynamic care plans by utilizing a 360^o view of members.

Streamline utilization management

Leverage dynamic medical criteria decision logic for real-time approvals and streamline prior auth. submission workflows.

Drive interoperability across Network

Enable the seamless exchange of healthcare data. Adhere to API mandates and ensure patient access to health data.

Healthcare’s first tool for payers to evaluate all the MA plans across the US

Assess the success rate of your MA Plan and gain insights into devising strategies.

Explore Free Tool

WhitePaper

The Payer Perspective: Establishing Interoperability Across Healthcare Networks

Unstructured data has always been a complication - especially in the healthcare industry. In this white paper, we explain the framework necessary to enable secure health data sharing which empowers healthcare insurers to meet their goals of efficient network performance and enhanced outcomes.

Download White Paper

Research Paper

Artificial Intelligence To Predict The Future Cost Of Care

In order to further advance value-based care, the understanding of risk-adjusted costs of care will need to expand from population to individual-level perspectives. Greater accuracy is also critical; this paper explores the opportunities that come with expanding beyond claims data, while also leveraging artificial intelligence and other advanced analytics.

Download Reasearch Paper

Driving Sustained Performance in Commercial Plans

We deliver a suite of solutions designed to work with your existing workflows and systems in meeting your most pressing commercial health plan needs. We enable improved health plan performance with member and provider engagement and, overall, assist healthcare work as one cohesive unit. Innovaccer’s solutions can achieve cost, quality, and revenue objectives effectively, while also realizing satisfaction and compliance aims.