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Description
Enhance clinical quality metrics, improve the accuracy of risk scores, boost patient and provider involvement, elevate patient outcomes, ensure operational transparency, and optimize economic performance through a singular, integrated suite of software solutions. The Inovalon Payer Cloud revolutionizes conventional workflows by transitioning them into data-driven methodologies that align with your health plan’s primary goals. Supported by top-tier analytics capabilities, our unified SaaS solutions provide the essential member-centric insights along with the speed, precision, and adaptability required to maintain a competitive edge in today’s varied and rapidly evolving market. Inovalon's healthcare payer SaaS suite not only delivers valuable insights and actionable strategies but also empowers health plans to assess, manage, and enhance health outcomes, economic efficiency, and the overall quality of care. With our payer solutions, stakeholders can achieve improved member care and outcomes while simultaneously enhancing operational performance and efficiency, leveraging advanced analytics and agile business intelligence tools to navigate the complexities of the healthcare landscape more effectively. As a result, organizations can cultivate a proactive approach to healthcare management, ensuring they are well-equipped to meet both current and future challenges.
Description
Numerous health plans and pharmacy benefit managers utilize various systems, creating isolated information silos that can hinder care quality and pose considerable challenges in processes and compliance. To address these issues, MHK CareProminence was developed to consolidate essential data and functionalities throughout the healthcare journey of members into one cohesive system. As the sole platform that integrates both pharmacy and medical services, MHK CareProminence was intentionally designed to elevate member care by bridging care gaps and maintaining compliance with continuously evolving regulations. Clients gain access to one of the most robust systems available in the industry, which significantly minimizes manual tasks. By leveraging MHK CareProminence, customers can enhance efficiency through automated workflows, uphold compliance standards, boost quality scores, foster improved engagement between providers and members, and refine the overall healthcare experience for those they serve. This unified approach not only streamlines operations but also allows for a more holistic view of member health, ultimately driving better outcomes across the board.
API Access
Has API
API Access
Has API
Integrations
Inovalon ONE Platform
Pricing Details
No price information available.
Free Trial
Free Version
Pricing Details
No price information available.
Free Trial
Free Version
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
Vendor Details
Company Name
Inovalon
Country
United States
Website
www.inovalon.com/products/payer-cloud/
Vendor Details
Company Name
MHK
Founded
2010
Country
United States
Website
mhk.com/solutions/mhk-clinical-platform
Product Features
Insurance Claims Management
CRM
Claims tracking
Customer portal
Document management
EDI data exchange integrations
Electronic claims
Fraud management
Reporting