Create More Value for Members with
Care Quality Improvement

Drive improved performance with accurate and actionable data. With Innovaccer’s quality management solution, fulfill priority quality, cost, revenue, satisfaction, and compliance objectives critical to the success of your health plan.

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.

Present quality gaps and
quality analytics to clinicians
at the point of care

Empower members to
address quality gaps

Leverage digital chart
retrieval for clinical data
access

Track quality performance
over time

Present quality gaps and quality
analytics to clinicians at the point
of care

Ensure care gaps closure across 250+ quality measures with a sophisticated analytics platform. Dive deep into the root of the care gaps to ensure coordinated care across the network.

250+ measures to choose from, including HEDIS and Star measures
Rich analytics to pinpoint the gaps in care
Patient-centric care programs coordinated network-wide
Real-time analysis of the network’s quality, utilization, and expenditure

Empower members to address
quality gaps

Reach out to members with information that helps them adhere to their care plans. Improve the member experience with automated consumer-oriented outreach.

Outreach to get involved in annual wellness visits
Flag quality gaps such as screening and vaccination needs
Alert members within the member app / portal on outstanding visits
Care management programs engagement on specific needs

Leverage digital chart retrieval
for clinical data access

Switch to automated, cost-effective chart retrievals with Innovaccer’s solution suite and address gaps in care efficiently.

Improved availability and quality of supplemental data
Access to sophisticated quality gap analytics and subsequent improvement in downstream provider and member engagement
Enable various payer team members (eg.. care managers, UM nurses) to undertake clinical chart reviews

Track quality performance over time

Health plans need to evaluate the quality of care delivered to ensure sustained enrollments. Access dashboard view of provider performance to measure improvements made over time and identify setbacks if any.