Build the future of member
health outcomes

We help payers and their provider networks better meet
members’ rising expectations for personalization,
convenience and access.

America’s largest healthcare organizations are connecting their care ecosystems on the Innovaccer Health Cloud
ccp
ahn
banner
chi-health
children-mercy
elevate
hartford
lucerna
mercy-one
ora
physicians
sanitas
catholic

The Innovaccer Health Cloud for Payers

Payer-contextualized cloud solutions powering the future of health.
pnm

A powerful suite of solutions for payers

Innovaccer drives collaboration and connectivity among
payers, providers, and members to power the future of
health with the Innovaccer Health Cloud.

th-1 th-2 th-3 th-4 th-5 th-6 th-6

Payer Cloud Data Platform

Accelerates digital innovation and drives IT cost savings across payer organizations with a unified member record, highly extensible innovation toolkit, and intelligent application suite spanning payer core functions to member and provider engagement.

CMS Compliance

Holistically unlocks CMS mandate compliance with a core data and interoperability platform, with coverage for CMS 9115-F and future compliance requirements (e.g., CMS 9915-F, CMS 9123-F).

Provider Network Management

Enables payers to maintain and improve the performance of their provider networks leveraging centralized provider data, a payer command center, and provider-facing workflows to drive engagement and outcomes.

Risk Adjustment and Quality Management

Closes coding and quality gaps across coordinated payer workflows and provider and member engagement to achieve improved risk adjustment and quality performance.

Care Management

Delivers improved member health outcomes with analytics-backed care program enrollment, coordinated care programs, and SDoH interventions.

Utilization Management

Drives appropriate care utilization across prospective, concurrent, and retrospective review as well as appeals workflows.

Member Engagement

Delivers a consumer-oriented experience with unified member outreach and streamlined care navigation, care program, education and resources, and care team communications offerings.

Innovaccer’s solution suite is
customized to your line of business

Medicare Advantage
Improve your risk adjustment and Star
ratings performance with a coordinated suite
of solutions
Medicaid
Achieve state Medicaid agency-defined performance aims with comprehensive risk adjustment, quality, care management, and SDoH solutions
Commercial
Deliver improved health outcomes with next-gen member engagement and coordinated cost and quality of care solutions

The Innovaccer advantage

Healthcare-Dedicated

We are the only company that offers a fully integrated, cloud tech stack 100% built and optimized for healthcare.

Customer-Obsessed

We are the only company to score a perfect 100% in the KLAS "Keeps ALL Promises" index.

Cloud-Native

Our modular, extensible, cloud-native infrastructure unlocks the power of customers’ existing technology investments and introduces new digital tools and capabilities.

Holistic

We believe a whole-person view based on extreme data accuracy and completeness is key to helping people achieve and maintain good health.

Time-to-Value

Urgency is in our DNA. We enable customers to achieve in weeks what would otherwise take them months with homegrown solutions or other vendors.

Activate your vision for a healthier world

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