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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

Vision empowers clients to swiftly develop and implement sophisticated business intelligence and embedded analytics applications via an advanced cloud-based dashboard. Evaluate financial data to optimize new payment structures following an MSSP model that balances risk and reward. To achieve success with your ACO, it is crucial to track quality metrics closely and identify specific areas for enhancement. Utilizing predictive analytics can lead to significant improvements in quality over time. Facilitate seamless transition of care among partner organizations to enhance patient outcomes effectively. Gather targeted data to address and mitigate the most common health issues in each ACO region. By keeping a close watch on preventive care initiatives, you can enhance patient outcomes while lowering costs. Foster collaboration and data sharing with network partners, insurance providers, and regulatory bodies. Lastly, ensure compliance with evolving reporting standards swiftly and efficiently to maintain operational integrity.

API Access

Has API Yes 

API Access

Has API No 

Screenshots View All

Screenshots View All

Integrations

Inovalon ONE Platform Yes 

Integrations

Inovalon ONE Platform No 

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Pricing Details

$10000.00/one-time/user
Free Trial No 
Free Version No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Customer Support

Business Hours Yes 
Live Rep (24/7) No 
Online Support Yes 

Customer Support

Business Hours No 
Live Rep (24/7) Yes 
Online Support No 

Types of Training

Training Docs Yes 
Webinars Yes 
Live Training (Online) Yes 
In Person Yes 

Types of Training

Training Docs No 
Webinars No 
Live Training (Online) No 
In Person No 

Vendor Details

Company Name

Inovalon

Country

United States

Website

www.inovalon.com/products/payer-cloud/

Vendor Details

Company Name

Theoris

Founded

1984

Country

United States

Website

www.theoris.com/vision/

Product Features

Insurance Claims Management

CRM No 
Claims tracking No 
Customer portal No 
Document management No 
EDI data exchange integrations No 
Electronic claims No 
Fraud management No 
Reporting No 

Product Features

Business Intelligence

Ad Hoc Reports Yes 
Benchmarking Yes 
Budgeting & Forecasting Yes 
Dashboard Yes 
Data Analysis Yes 
Key Performance Indicators Yes 
Natural Language Generation (NLG) No 
Performance Metrics Yes 
Predictive Analytics No 
Profitability Analysis Yes 
Strategic Planning Yes 
Trend / Problem Indicators Yes 
Visual Analytics Yes 

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