Improved Medicaid Performance To Boost Health Outcomes

Leverage improved data access, quality, and analytics-backed insights driven by Innovaccer solutions. Fulfill priority quality, cost, revenue, satisfaction, and compliance objectives.

Driving the Success of Your Medicaid Organization

Innovaccer provides a comprehensive suite of solutions that enables data integration, supports clinical decision making and workflows at the point of care. It also drives core care and utilization management processes and proactively engages members. Leverage Innovaccer’s technology platform to drive care quality improvement and achieve improved cost and utilization outcomes.

Close quality gaps and drive quality reporting

Close priority quality gaps with a programmatic approach and ensure appropriate performance transparency.

Improve care management and SDoH outcomes

Stratify members’ clinical and SDoH risk, and match to appropriate care programs (e.g., LTSS care coordination) and community resources.

Streamline utilization management

Facilitate provider-friendly prior authorization workflows and proactively manage service utilization.

Drive proactive member engagement

Launch member outreach campaigns and empower members through care navigation (e.g., annual wellness visits).

Achieve true interoperability

Leverage pre-built EMR connectors and support cross-system connectivity, custom workflows, and interfaces.

Comply with regulatory API requirements

Comply with Patient Access API, Provider Directory API and other CMS requirements.

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.

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Research Paper

Role of Social Determinants of Health in Care Outcomes

Social determinants of health (SDoH) have recently emerged as a key focus-- recent studies have shown that up to 80% of care outcomes are driven by non-clinical factors. This paper characterizes SDoH impact and delves into how a social vulnerability index can be used to derive critical insights and drive SDoH interventions.

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Whitepaper

Learn how you can manage increased medicaid enrollment and deliver efficient care with a FHIR-Enabled Data Activation Platform

Globally, the number of people known to have contracted COVID-19 is growing rapidly, with the highest number of affected individuals in the U.S. This Whitepaper covers the opportunities and challenges of State Medicaid agencies, Managed Care Organizations and providers caring for Medicaid populations. Learn the strategies to make the best out of the ongoing COVID-19 pandemic situation.

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