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What is Inovalon Payer Cloud?

Enhancing clinical quality metrics, refining the accuracy of risk assessments, increasing engagement from both patients and providers, improving patient outcomes, ensuring transparency in operations, and maximizing financial performance can all be accomplished through a cohesive suite of software solutions. The Inovalon Payer Cloud transforms traditional workflows into innovative, data-driven processes that align seamlessly with the core objectives of your health plan. With its robust analytics capabilities, our integrated SaaS offerings deliver critical insights focused on member needs, alongside the speed, accuracy, and flexibility necessary to thrive in today’s diverse and fast-paced market. By utilizing Inovalon's healthcare payer SaaS suite, organizations gain not only invaluable insights and actionable strategies but also the empowerment to evaluate, manage, and improve health outcomes, economic viability, and overall care quality. Our payer solutions enable stakeholders to foster enhanced member care and outcomes while concurrently boosting operational performance and efficiency, utilizing cutting-edge analytics and nimble business intelligence tools to adeptly maneuver through the complexities of the healthcare environment. Consequently, organizations can establish a proactive healthcare management strategy, ensuring they are prepared to tackle both present and future challenges effectively while maintaining a focus on continuous improvement. This forward-thinking approach not only enhances patient satisfaction but also drives overall organizational success in the healthcare sector.

What is Agilum?

We support the shift towards value-based healthcare by assessing a range of treatments, medications, processes, and costs, which assists hospitals, life sciences companies, and insurance providers in identifying treatment approaches that result in the best patient outcomes. Our CRCAâ„¢ P&T platform empowers P&T committees to make data-informed improvements in quality measures, including average length of stay (ALOS) and 30-day readmission rates. Moreover, our cutting-edge POP-BUILDER Rxâ„¢ solution presents comparative insights between selected groups and CRCA's vast database of real-world data, which includes over 140 million longitudinal patient records. In addition, our drug remittance dashboard thoroughly examines and reports on drug remittance details across various payer categories, with a focus on high-cost medications down to the National Drug Code (NDC) level. We also enable hospital finance teams to effectively monitor and improve service line costs, profitability, productivity, and revenue cycle performance through our detailed analytics and reporting, along with the support of our Agilum Healthcare Intelligence team. This ensures healthcare providers can make well-informed decisions that enhance their operations and patient care. By integrating these diverse resources, we create a comprehensive understanding of the complex financial and clinical environment in which healthcare providers function, ultimately aiming to improve overall healthcare delivery.

Media

Media

Integrations Supported

Inovalon ONE Platform

Integrations Supported

Inovalon ONE Platform

API Availability

Has API

API Availability

Has API

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Company Facts

Organization Name

Inovalon

Company Location

United States

Company Website

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

Company Facts

Organization Name

Agilum

Date Founded

2005

Company Location

United States

Company Website

agilum.com

Categories and Features

Insurance Claims Management

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

Categories and Features

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