Enhance your Medicare Plan to Create More Value for Members

Drive improved performance with accurate and actionable data. With Innovaccer’s solution, you can fulfill the priority quality, cost, revenue, engagement, and compliance objectives.


Driving the success of your Medicare Advantage plan

Innovaccer brings a comprehensive suite of solutions to unlock plan performance in the increasingly competitive Medicare Advantage market. With the ongoing COVID-19 pandemic, payers will need to adapt their approach to sustain Star ratings and risk adjustment performance, with a focus on virtual care needs in support of gaps closure. Leveraging Innovaccer’s technology platform will enable coordinated provider, member, and payer stakeholder-facing efforts to achieve top priority outcomes.

Improve Risk Revenue Performance

Engage providers on outstanding coding gaps at the point of care, and facilitate chart review with digital chart retrieval.

Optimize Medicare Star Ratings

Empower providers to close quality gaps at the point of care, and facilitate supplemental data submission.

Improve SDoH outcomes

Stratify members’ SDoH risk, and match to appropriate community resources, leveraging coordinated member outreach.

Drive Personalized Care Management

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

Streamline Utilization Management

Leverage dynamic medical criteria decision logic for real-time approvals and streamlined prior authorization workflows.

Drive CMS compliance and interoperability

Comply with Patient Access API, Provider Directory API, and other CMS requirements. Leverage pre-built EMR connectors, and support cross-system connectivity and custom workflows & interfaces.
Boosting Star ratings performance
Learn how a Puerto Rico-based healthcare organization improved their MA plan’s
STAR rating from 3.5 to 4.5 by integrating disparate data sources and streamlining
their approach to closing quality gaps.
Healthcare’s first tool for payers to evaluate all the MA plans across the US
Assess how your Medicare Advantage plan is doing-- and gain insights into how to boost performance.
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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 and recent studies have shown that up to 80% of care outcomes are driven by non-clinical factors. This paper characterizes the impact of SDoH.

Download Research Paper

How to achieve maximum Star ratings to succeed in the Medicare Advantage space

In light of the ongoing COVID-19 pandemic, Medicare Advantage plans will need to adapt their Stars approach to one that is more provider- and virtual care-centric.

Read the Blog

Driving Sustained Performance

We deliver a suite of solutions designed to work with your existing workflows and systems to meet your most pressing Medicare Advantage challenges.
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