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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

Payers and provider networks that encompass over 10 million patients have successfully overseen 200,000 transitions in care using ReferWell. This platform enhances Medicare Advantage offerings, elevates member satisfaction, and facilitates the closure of care gaps to drive quality improvements. It also works to bolster network adequacy across various electronic medical records (EMRs), while simultaneously minimizing expensive transitions and preventing revenue leakage. By enhancing access to care and uncovering new revenue opportunities through the 340B program, ReferWell aims to support community health initiatives. Additionally, the solution helps to fortify partnerships with local providers, ensuring that patient referrals are directed to appropriate hospital specialists, thus further reducing financial losses. Fully compliant with HIPAA regulations, ReferWell seamlessly integrates with leading EMRs and scheduling systems, promoting efficient clinical data sharing among providers and improving care coordination without the delays associated with traditional communication methods. Supporting all integration protocols, the ReferWell system empowers provider networks to effectively manage patient and member care transitions while maintaining comprehensive oversight of patient and provider interactions. This innovative approach not only streamlines processes but also enhances the overall quality of care provided to patients.

API Access

Has API

API Access

Has API

Screenshots View All

Screenshots View All

Integrations

Inovalon ONE Platform

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

ReferWell

Country

United States

Website

public.referwell.com

Product Features

Insurance Claims Management

CRM
Claims tracking
Customer portal
Document management
EDI data exchange integrations
Electronic claims
Fraud management
Reporting

Product Features

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Alternatives

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