Drive Greater Payer-Provider
Collaboration

To succeed in the health plan market, payers need to ensure that their members receive quality care at lower costs. They can achieve this by assisting providers in the care delivery process. Innovaccer’s Provider Engagement Hub is centered around improving payer-provider collaboration as a way to drive greater engagement at the point of care.

Advance your Health Plan Performance

In order to succeed in the highly competitive health plan market, payers must
facilitate improved system efficiencies and cost-effective healthcare. Innovaccer
provides a solution, powered by advanced analytics and automation technologies
, that enables a significant boost in the quality of care while streamlining quality
management workflows for reduced administrative burden.

Provider
onboarding

Track provider
performance and
adoption

Automated
workflows and
outreach

Provider referral
management

Incentives and
performance management

Prior auth and
claims management

Facilitate provider engagement

Engaging providers and assisting them with the right tools can improve the risk and quality management metrics of a health plan. Extend engagement hub offerings, monitor engagement and establish a solid communication channel.

Facilitate provider onboarding (User setup, training, and management)
Enable seamless communication between payers and provider
Monitor adoption rates and outcomes on different engagement hub offerings through performance dashboards
Manage provider directory and remind providers to keep their information updated
Automate provider outreach

Enhance provider experience and
performance

Allow to access longitudinal member profiles that provide integrated member data to develop robust treatment plans and resolve care gaps. Further, empower payers with dashboard view of provider performance.

Enable providers to view coding gaps and incentivize coding gap closure
Allow providers to place referrals through the portal and enable payers to track network leakage
Streamline the prior authorization process
Showcase dedicated dashboards to give insights into provider performance

Streamline provider-payer
interactions

To succeed in today’s healthcare ecosystem, payers and providers need to work collaboratively to improve member experience and outcomes. This solution also tackles foundational interactions that are core to such collaboration

Facilitate a smooth channel for providers to view claims status, claim details, and other supporting information
Alert providers on incentives performance
Enable payers share receipts of payments
Enable provider-payer interaction such as messaging or publishing content to guide providers in form of webinars, demos, help topics and more