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Enhance your Health Plan’s Performance with Interoperability and Data Analytics

Drive improvement in healthcare cost and quality outcomes with an interoperability and data analytics platform from Innovaccer.

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Enhance Performance With Our Payer Interoperability Solution

Lay the foundations for a seamless exchange of healthcare data and analytics-backed actionable insights among payers, providers, and members. Meet key payer needs by retrieving clinical data to drive cost and quality outcomes for members, and standing up APIs compliant with CMS regulatory mandates as part of a broader API platform to enhance connectivity.

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Compliance with regulatory API requirements

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Full-feature API platform

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Enhanced supplemental data

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Digital chart retrieval at scale

The payer perspective: establishing interoperability across healthcare networks

Learn about challenges with payer interoperability data exchange APIs by reading our whitepaper.

Read the whitepaper now.


Built on a FHIR-enabled Data
Activation Platform

Innovaccer’s interoperability offerings for payers are built on a comprehensive, multi-feature healthcare data platform rated #1 by Blackbook.
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Comply with Regulatory API Requirements

CMS has finalized API requirements in its 9115-F interoperability & patient access rule. Prepare to meet the Patient AccessAPI and Provider Directory API requirements, and empower members to take charge of their own health data.

  • Ensure 100% compliance with potential regularity requirements
  • Providing members secure access to their data through any authorized application
  • Leverage a high-performing, developer-ready API platform
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Stand up high-performing, developer-ready API platform

Lay the foundations for interoperability beyond regulatory requirements, and get easy access to healthcare data through a full-feature API platform. Power up applications that add value to your health plans.

  • API resources based on REST and HL7 FHIR standards
  • Comprehensive API documentation and sandbox access for developers
  • Secure access through OAuth 2.0 authorization
  • HIPAA-compliant logging and analytics features
  • Key traffic management features including throttle controls and spike protection
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Stand Up Digital Chart Retrieval at Scale

Stand Up Digital Chart Retrieval at Scale

  • Switch to automated feeds from manual processes, driving 70%+ reduction in time needed to access charts
  • Care gaps closure: support gaps identification for point of care alerts and chart review
  • Streamlined utilization management: facilitate clinical review needs from prior auth to medical necessity workflows
  • Care management effectiveness: leverage Member 360 views to better match members with interventions
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Improve Quality Performance With Enhanced Sourcing Of Supplemental Data

Improve plan quality rating performance through enhanced sourcing of supplemental data needed to calculate clinical quality measures. Expand data availability and usability across your member population.

  • Streamline access through transparent data architecture and data access through SQL
  • Increase data availability across member population
  • Achieve improved performance on a range of standard and custom quality measures (e.g., for Star ratings boost)
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Tapping Healthcare's Interoperability Opportunity with the New Rule on FHIR Standards

Read about this opportunity for payers to pursue true interoperability, and go beyond CMS regulatory requirements.

Read The Blog
Blog

Achieve Seamless Interoperability with the FHIR-enabled Data Activation Platform

Learn how healthcare organizations can achieve true interoperability by providing health data exchange to patients.

Read The Blog

An Integrated Suite Of Solutions To Boost Health Plan Performance

Innovaccer aims to build a strong synergy between payers, providers, and members to drive improvement in overall network performance. The Payer Interoperability Solution is just one approach to meeting payer and beneficiary needs.

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