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Agentic AI Platform for Healthcare
Your Legacy Platform Measures Performance. Innovaccer Changes It.
Health plans don’t struggle to measure performance. They struggle to change it. Innovaccer is built to close the gap between insights and outcomes across risk, quality, and utilization management on a single platform.
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The Problem
Your Legacy platform showed you the gaps, but who is actually closing them?
+23%*
Of a legacy platform’s risk customers, told KLAS they planned to leave
*Of the respondents to the survey conducted by KLAS in 2023
Zero**
Legacy customers in KLAS interviews could tell their vendor's FHIR or digital quality roadmap
**Based on KLAS comments on a legacy platform
Gap identification stops at the list; closing them is still your team's job.
Risk, quality, and UM run on separate systems, and every handoff costs time and accuracy.
Workflows are still manual, and the AI to fix them is not there yet.
The regulatory environment has already changed, but their platform is still catching up.
How Innovaccer Helps
What the legacy platform customers told KLAS
These are KLAS-verified comments from a legacy platform’s customer, published between October 2025 and February 2026.
"Dashboard doesn't make sense after analytics run. Ridiculous numbers for HCC suspects."
OCTOBER 2025
"They still have us doing all that work ourselves."
DECEMBER 2025
"I have yet to hear what their solution
is for digital measure reporting."
FEBRUARY 2026
How Innovaccer Helps
Identify and Close Gaps, Reduce Manual Work, and Manage Utilization on One Platform.
One platform, one data model, one contract — so your teams stop coordinating across systems and start closing gaps.
Innovaccer closes care gaps from identification to closure
Real-time workflows for chart retrieval, coding, abstraction, and outreach — all on the same platform where the gap was identified.
Innovaccer connects risk, quality, and UM on one data model
One chart retrieval serves both risk and quality simultaneously. No duplicate work. No system switching.
Innovaccer automates the work that is slowing your teams down
Agentic AI prioritizes tasks, reduces manual effort, and gets smarter with your population, already in production.
Innovaccer is already where your legacy platform is still heading
FHIR-native. CMS-0057-F-aligned. RADV-ready. While others are still building their roadmap, this is live today.
See how Innovaccer is better.
Capability assessment based on publicly available product documentation and KLAS 2025–2026 research.
Capability
Unified payer data foundation
Real-time population visibility
Risk adjustment
Quality management
Member outreach
End-to-end utilization management
Payer facing Pharmacy solution
Agentic AI
Multipoint gap closure across channels
Data lake in the base contract
Innovaccer
Legacy Platform
Industry grade securityand compliance
Innovaccer gives you everything you need to build smarter, faster, and fully scalable AI solutions with industry-grade security and compliance built in from day one.
FAQ
Still have questions?
We already use a legacy platform. Why would we switch?
If your teams still rely on manual coordination after the insight is surfaced, the opportunity is not fully closed. Innovaccer is built for plans that want to operationalize the work after identification, not just measure it.
Do we need to rip and replace existing systems?
No. Innovaccer is designed to work with your existing systems and data sources, so you can improve execution without starting over.
We care about risk and quality today. Why add UM to the story?
Because handoffs between risk, quality, and UM teams are where performance leaks. When all three operate on the same data model, your teams stop duplicating work and start making faster decisions. Plans that manage UM separately are running three programs, where one connected model would do the work here.
What if we are not ready for a full transformation?
You do not need to change everything at once. Innovaccer can help plans start where the handoffs hurt most and expand from there.
What does this cost, and how is it structured?
Unlike platforms that charge separately for data access, analytics, and execution tools, Innovaccer delivers risk, quality, and utilization management, including the unified data model—no add-on fees for your data lake.
track
INITIAL PERIOD RATE
FOLLOW-ON RATE
Early CKM
$30/month ($360/year)
$15/month ($180/year)
CKM
$35/month ($420/year)
$17.50/month ($210/year)
MSK
$15/month ($180/year)
—
BH
$15/month ($180/year)
$7.50/month ($90/year)
Early CKM
INITIAL PERIOD RATE
$30/month ($360/year)
FOLLOW-ON RATE
$15/month ($180/year)
CKM
INITIAL PERIOD RATE
$35/month ($420/year)
FOLLOW-ON RATE
$17.50/month ($210/year)
MSK
INITIAL PERIOD RATE
$15/month ($180/year)
FOLLOW-ON RATE
—
BH
INITIAL PERIOD RATE
$15/month ($180/year)
FOLLOW-ON RATE
$7.50/month ($90/year)