Inovalon Insights Blog

  • MACRA’s First Year, Part 3 of 3: Data-Driven Analytics Support QPP Reporting Requirements

    MACRA’s First Year, Part 3 of 3: Data-Driven Analytics Support QPP Reporting Requirements

    Providers’ understanding of and readiness to operate within QPP requirements is paramount to successful implementation of value-based care. Accurate clinical documentation will be essential to success

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  • MACRA’s First Year, Part 2 of 3: What’s Next?

    MACRA’s First Year, Part 2 of 3: What’s Next?

    The final rule for the second year of the Medicare Access and CHIP Reauthorization Act (MACRA)’s Quality Payment Program (QPP) takes important steps to meet QPP reporting requirements

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  • MACRA’s First Year, Part 1 of 3: CMS, QPP Rule Address Challenges, Maintain Flexibilities

    MACRA’s First Year, Part 1 of 3: CMS, QPP Rule Address Challenges, Maintain Flexibilities

    On November 2, 2017, the Centers for Medicare & Medicaid Services (CMS) released its 2018 final rule, reflecting updates and changes to the MACRA Quality Payment Program (QPP).

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  • Health Plans See Opportunity in Outcomes-Based Contracts

    Health Plans See Opportunity in Outcomes-Based Contracts

    Escalating drug costs are compelling many states to develop and implement policy solutions to stem its rise. Avalere reports possible solutions include looking to outcomes-based contracts.

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  • Client Congress 2017 Highlights Role of Data-Driven Insights in Empowering Value-Based Care

    Client Congress 2017 Highlights Role of Data-Driven Insights in Empowering Value-Based Care

    Client Congress 2017 Highlights Role of Data-Driven Insights in Empowering Value-Based Care

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  • A 360-degree Patient View Powers Data-driven Care

    A 360-degree Patient View Powers Data-driven Care

    A 360-degree Patient View Powers Data-Driven Care

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  • Social Determinants of Health and the Importance of Patient-level Insights

    Social Determinants of Health and the Importance of Patient-level Insights

    To deliver patient-centered care and improve long-term health outcomes, healthcare organizations are increasingly investing in efforts to address patients’ social needs, such as housing,...

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  • Study on Healthcare’s Journey to Value-based Care Finds Costly Gaps Remain

    Study on Healthcare’s Journey to Value-based Care Finds Costly Gaps Remain

    Second annual study from Inovalon and Quest Diagnostics Study on Healthcare’s Journey to Value-based Care Finds Costly Gaps Remain

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  • The Impacts of AI in Healthcare in the Decade Ahead, Part 2 of 2

    The Impacts of AI in Healthcare in the Decade Ahead, Part 2 of 2

    Influence healthcare delivery system so it can change how payers, providers, and other healthcare organizations engage with patients and drive better outcomes under value-based care.

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  • The Impacts of AI in Healthcare in the Decade Ahead, Part 1 of 2

    The Impacts of AI in Healthcare in the Decade Ahead, Part 1 of 2

    As the healthcare ecosystem continues to transition to value-based care models, we will see significant investments and related advancements in applications of machine learning.

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  • Accurate Patient Documentation Remains Key to Health Plan Success

    Accurate Patient Documentation Remains Key to Health Plan Success

    An adaptive, flexible and integrated risk adjustment accuracy platform is needed to deliver actionable insights into patient data and drive meaningful improvements in today’s healthcare landscape.

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  • 21st Century Cures Act: Big Win for EHR Interoperability

    21st Century Cures Act: Big Win for EHR Interoperability

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  • Point-of-Care Platforms Drive Better Diagnostics, Treatment and Quality Care

    Point-of-Care Platforms Drive Better Diagnostics, Treatment and Quality Care

    Increased value. Better health outcomes. Lower costs. The Institute for Healthcare Improvement’s triple aim approach to healthcare has resulted in meaningful changes in healthcare delivery....

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  • Client Congress 2016 Spotlights Big Data Analytics in Evolving Healthcare Industry

    Client Congress 2016 Spotlights Big Data Analytics in Evolving Healthcare Industry

    Industry executives from across the healthcare continuum, including health plans, pharma/life sciences, government agencies, technology innovators and provider organizations, joined a powerful...

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  • Tips for Your Next HEDIS Season

    Tips for Your Next HEDIS Season

    Another HEDIS® season has been completed. With 65% of the nation’s clinical and quality outcomes measurement analytics using Inovalon’s platforms, we have analyzed our clients’ results to share...

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  • Physicians Hungry for Tools to Accelerate Value-Based Care

    Physicians Hungry for Tools to Accelerate Value-Based Care

    Overly complex quality measures, inadequate access to patient data, and a lack of tools to help collect and assess that data are the reasons many physicians continue to struggle with adoption of...

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  • New Study: Finding a Faster Path to Value-Based Care

    New Study: Finding a Faster Path to Value-Based Care

    Findings of a study Quest Diagnostics jointly commissioned with Inovalon entitled, “Finding a Faster Path to Value-Based Care.”

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  • The EDGE Server Attestation and Discrepancy Reporting Process

    The EDGE Server Attestation and Discrepancy Reporting Process

    During the second annual EDGE Server submission, participating organizations prepare CMS submissions that are used for interim reinsurance payment calculation and interim risk adjustment summary...

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  • Atypical Antipsychotic Medications Increase Pneumonia Risk in Elderly

    Atypical Antipsychotic Medications Increase Pneumonia Risk in Elderly

    The use of second-generation (i.e., atypical) antipsychotic drugs has rapidly expanded in the past decade due to superior tolerability and efficacy compared to conventional (i.e., typical) antipsychot

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  • The Power of Real-Time Analytics at the Point of Care

    The Power of Real-Time Analytics at the Point of Care

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