www.inovalon.com Open in urlscan Pro
2600:9000:238d:8800:5:a013:58c0:93a1  Public Scan

Submitted URL: https://sales.abilitynetwork.com/t/10833/c/49a000b6-78ac-43a8-a224-9bcf677ea3a6/NB2HI4DTHIXS653XO4XGS3TPOZQWY33OFZRW63JPOBZG6ZDVM...
Effective URL: https://www.inovalon.com/products/payer-cloud/risk/?sbrc=1eaAwpI9CgKM6wICAGITgVw%3D%3D%24gMYjYSgqZ3yADZaxWRR8zQ%3D%3D
Submission: On December 14 via manual from US — Scanned from DE

Form analysis 9 forms found in the DOM

GET https://www.inovalon.com/

<form role="search" action="https://www.inovalon.com/" method="GET" __bizdiag="115" __biza="WJ__">
  <input type="text" name="s" id="s" value="" aria-label="Search" placeholder="Search">
  <span>Hit enter to search or ESC to close</span>
</form>

<form id="svc_form_load_more_397" __bizdiag="1718794836" __biza="WJ__">
  <input type="hidden" name="attr" value="Array" id="attr_397"><input type="hidden" name="content" value="" id="content_397"><input type="hidden" name="query_loop" value="size:1|order_by:date|order:DESC|post_type:resource|tags:144"
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    name="svc_grid_id" value="397" id="svc_grid_id_397"><input type="hidden" name="filter_text_color" value="" id="filter_text_color_397"><input type="hidden" name="filter_text_active_color" value="" id="filter_text_active_color_397"><input
    type="hidden" name="filter_text_active_bgcolor" value="" id="filter_text_active_bgcolor_397"><input type="hidden" name="grid_list_filter" value="" id="grid_list_filter_397"><input type="hidden" name="skin_type" value="s11"
    id="skin_type_397"><input type="hidden" name="ps8_bgcolor" value="" id="ps8_bgcolor_397"><input type="hidden" name="ps8o_bgcolor" value="" id="ps8o_bgcolor_397"><input type="hidden" name="pbgcolor" value="" id="pbgcolor_397"><input type="hidden"
    name="pbghcolor" value="" id="pbghcolor_397"><input type="hidden" name="line_color" value="" id="line_color_397"><input type="hidden" name="tcolor" value="" id="tcolor_397"><input type="hidden" name="thcolor" value="" id="thcolor_397"><input
    type="hidden" name="s5_min_height" value="150" id="s5_min_height_397"><input type="hidden" name="load_more_color" value="" id="load_more_color_397"><input type="hidden" name="pagination_bgcolor" value="" id="pagination_bgcolor_397"><input
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    id="dmeta_data_397"><input type="hidden" name="dsocial" value="yes" id="dsocial_397"><input type="hidden" name="read_more" value="" id="read_more_397"><input type="hidden" name="car_loadmore_text" value="" id="car_loadmore_text_397"><input
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    value="5" id="car_autoplay_time_397"><input type="hidden" name="car_pagination" value="" id="car_pagination_397"><input type="hidden" name="car_navigation" value="" id="car_navigation_397"><input type="hidden" name="car_pagination_num" value=""
    id="car_pagination_num_397"><input type="hidden" name="car_transition" value="" id="car_transition_397"><input type="hidden" name="synced_display" value="10" id="synced_display_397"><input type="hidden" name="popup_effect" value=""
    id="popup_effect_397"><input type="hidden" name="grid_layout_mode" value="fitRows" id="grid_layout_mode_397"> <input type="hidden" name="_wpnonce " value="64692">
  <input type="hidden" name="paged" value="1" id="svc_paged_397">
  <input type="hidden" name="total_paged" value="40" id="svc_total_paged_397">
</form>

<form id="svc_form_load_more_890" __bizdiag="1718794836" __biza="WJ__">
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    id="svc_class_890"><input type="hidden" name="title" value="" id="title_890"><input type="hidden" name="filter" value="" id="filter_890"><input type="hidden" name="filter_type" value="dropdown" id="filter_type_890"><input type="hidden"
    name="count_display" value="" id="count_display_890"><input type="hidden" name="sort_filter" value="" id="sort_filter_890"><input type="hidden" name="grid_columns_count_for_desktop" value="svc-col-md-12"
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    id="grid_columns_count_for_mobile_890"><input type="hidden" name="grid_link_target" value="sw" id="grid_link_target_890"><input type="hidden" name="grid_thumb_size" value="full" id="grid_thumb_size_890"><input type="hidden" name="effect" value=""
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    id="dmeta_data_890"><input type="hidden" name="dsocial" value="yes" id="dsocial_890"><input type="hidden" name="read_more" value="" id="read_more_890"><input type="hidden" name="car_loadmore_text" value="" id="car_loadmore_text_890"><input
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    value="5" id="car_autoplay_time_890"><input type="hidden" name="car_pagination" value="" id="car_pagination_890"><input type="hidden" name="car_navigation" value="" id="car_navigation_890"><input type="hidden" name="car_pagination_num" value=""
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    id="popup_effect_890"><input type="hidden" name="grid_layout_mode" value="fitRows" id="grid_layout_mode_890"> <input type="hidden" name="_wpnonce " value="66855">
  <input type="hidden" name="paged" value="1" id="svc_paged_890">
  <input type="hidden" name="total_paged" value="40" id="svc_total_paged_890">
</form>

<form id="svc_form_load_more_183" __bizdiag="1718794836" __biza="WJ__">
  <input type="hidden" name="attr" value="Array" id="attr_183"><input type="hidden" name="content" value="" id="content_183"><input type="hidden" name="query_loop" value="size:1|order_by:date|order:DESC|post_type:resource|tags:144"
    id="query_loop_183"><input type="hidden" name="ajax" value="0" id="ajax_183"><input type="hidden" name="offset" value="2" id="offset_183"><input type="hidden" name="exclude_texo" value="" id="exclude_texo_183"><input type="hidden"
    name="svc_grid_id" value="183" id="svc_grid_id_183"><input type="hidden" name="filter_text_color" value="" id="filter_text_color_183"><input type="hidden" name="filter_text_active_color" value="" id="filter_text_active_color_183"><input
    type="hidden" name="filter_text_active_bgcolor" value="" id="filter_text_active_bgcolor_183"><input type="hidden" name="grid_list_filter" value="" id="grid_list_filter_183"><input type="hidden" name="skin_type" value="s11"
    id="skin_type_183"><input type="hidden" name="ps8_bgcolor" value="" id="ps8_bgcolor_183"><input type="hidden" name="ps8o_bgcolor" value="" id="ps8o_bgcolor_183"><input type="hidden" name="pbgcolor" value="" id="pbgcolor_183"><input type="hidden"
    name="pbghcolor" value="" id="pbghcolor_183"><input type="hidden" name="line_color" value="" id="line_color_183"><input type="hidden" name="tcolor" value="" id="tcolor_183"><input type="hidden" name="thcolor" value="" id="thcolor_183"><input
    type="hidden" name="s5_min_height" value="150" id="s5_min_height_183"><input type="hidden" name="load_more_color" value="" id="load_more_color_183"><input type="hidden" name="pagination_bgcolor" value="" id="pagination_bgcolor_183"><input
    type="hidden" name="pagination_active_bgcolor" value="" id="pagination_active_bgcolor_183"><input type="hidden" name="pagination_number_color" value="" id="pagination_number_color_183"><input type="hidden" name="svc_type" value="post_layout"
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    id="grid_columns_count_for_mobile_183"><input type="hidden" name="grid_link_target" value="sw" id="grid_link_target_183"><input type="hidden" name="grid_thumb_size" value="full" id="grid_thumb_size_183"><input type="hidden" name="effect" value=""
    id="effect_183"><input type="hidden" name="dimg_popup" value="yes" id="dimg_popup_183"><input type="hidden" name="dpost_popup" value="yes" id="dpost_popup_183"><input type="hidden" name="popup_bgcolor" value="" id="popup_bgcolor_183"><input
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    name="dcategory" value="" id="dcategory_183"><input type="hidden" name="dexcerpt" value="" id="dexcerpt_183"><input type="hidden" name="svc_excerpt_length" value="20" id="svc_excerpt_length_183"><input type="hidden" name="dmeta_data" value=""
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    value="5" id="car_autoplay_time_183"><input type="hidden" name="car_pagination" value="" id="car_pagination_183"><input type="hidden" name="car_navigation" value="" id="car_navigation_183"><input type="hidden" name="car_pagination_num" value=""
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<form id="svc_form_load_more_253" __bizdiag="1718794836" __biza="WJ__">
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Home › Products › Inovalon Payer Cloud › Converged Risk



RISK SCORE ACCURACY SOFTWARE



Achieve compliance with advanced analytics and flexible member engagement
solutions that enable efficient and accurate documentation of member conditions.





CONVERGED RISK, POWERED BY THE INOVALON ONE® PLATFORM



Over 15 years of industry experience and expertise empowering health plans
across all lines of business to achieve risk score accuracy.



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 * Benefits
 * How it Works
 * Converged Risk Add-ons
 * Payer Cloud Products
 * Resources
 * Request a Demo


OVERVIEW



Inovalon delivers a scalable, end-to-end risk score accuracy software solution
that can be tailored to meet your unique program needs. We work with you to
design a program that ensures the accuracy of your members’ risk scores.




PREDICTIVE ANALYTIC INSIGHTS



Create your own cohorts and run predictive gap identification and intervention
planning analytics on-demand to identify and address emerging and suspected
patient-specific diagnoses.


DATA-DRIVEN INTERVENTION PLANNING AND EXECUTION



Implement proven education and multi-channel intervention strategies and
solutions that support a more comprehensive patient assessment and accurate
disease and comorbidity burden documentation.


COMPLIANT, ACCURATE REGULATORY SUBMISSIONS



Proactively manage claims processing at various stages throughout the
submissions process and monitor the financial impact of claims in error or not
submitted to ensure accurate and timely submissions.

Request a Demo


BENEFITS



Improve risk score accuracy with machine learning-trained analytics that
leverage historical data, trends, and past performance to identify member
diagnoses that may be incompletely or improperly reflected within claims data
systems and abstracted medical records.

Request a Demo


UNPARALLELED DATA ASSETS AND ANALYTICS

Gain insights informed by data for more than 378 million patients, enabling
effective documentation gap closure and informed strategic decision making.


IN-OFFICE CLINICAL DOCUMENTATION SUPPORT

Leverage Inovalon’s Converged Patient Assessment software to deliver claims
history and member-specific gaps at the point of care to improve disease
documentation and risk score accuracy.


SEAMLESS MEMBER EXPERIENCES

Access deep member insights to drive highly-targeted, tailored interventions
that offer members flexibility and choice to select the right encounter venue
for them.


REGULATORY AND COMPLIANCE EXPERTISE

Inovalon has over 15 years of policy, regulatory compliance, and clinical
experience to deliver expert program oversight and ensure compliant program
execution.


 * How it Works
 * Real-World Applications
 * Frequently Asked Questions
 * Product Videos


HOW IT WORKS



Maximize risk score accuracy and ensure accurate financial performance with a
comprehensive, end-to-end solution or one tailored to supplement your current
program.




ACCURATE ANALYTICS. SEAMLESS MEMBER EXPERIENCES.



Converged Risk leverages Inovalon’s industry-leading data assets and advanced
analytic capabilities to improve member and provider experience, disease
documentation, and coding accuracy while ensuring compliant program execution.

 * * Identify, pursue, and document valid diagnoses via EHR interoperability or
     clinical data extraction, as well as traditional paper-based medical record
     retrieval
   * Customize target hierarchical condition categories based on unique
     membership characteristics and data elements
   * Predict emerging patient-specific diagnoses and drive highly targeted,
     patient-centric interventions
   * Access service or software solutions to ensure complete, accurate, and
     compliant submissions – on-time, every time




REAL-WORLD APPLICATIONS



Inovalon’s offers a custom experience – via an intuitively designed user
interface – by combining secure user roles with access to real-time reporting,
24/7/365, on any device.




PREDICTIVE HCC GAP ANALYSIS



Seamlessly stratify entire populations based on patient conditions and
confidence thresholds, with metrics such as risk score opportunity, trend,
forecasting, and recapture rates.


FINANCIAL FORECASTING



Prioritize and allocate resources, in-year, based on forecasted PMPY impact by
HCCs, population and/or demographic segmentation, providers, and more.


INTERACTIVE WORKLISTS



Create tailored worklists by quickly identifying, researching, and exporting
member and provider level details across entire populations.


WHAT IS THE ADVANTAGE OF HAVING ONE COMBINED DATA SOLUTION FOR QUALITY AND RISK?

Unifying your risk and quality data allows two traditionally siloed programs to
work together to synergize interventions, improve gap closure, and increase
member and provider satisfaction.


DOES THE CONVERGED RISK GAP OUTPUT FLOW DIRECTLY INTO INOVALON’S CONVERGED
OUTREACH INTERVENTION PLANNING TOOL?

Yes. Once the Converged Risk analytics are complete, the output will be
automatically pushed into the Converged Outreach software. This allows you to
create a customized and prioritized intervention plan. The output can then be
automatically exported to a customer’s internal data system.


HOW LONG DOES IT TAKE TO IMPLEMENT CONVERGED RISK AND START SEEING VALUE?

We are eager to begin implementing your new solutions. Throughout this process,
we will work closely with you to get your solution up and running. Our dedicated
implementation team is fully prepared to swiftly launch your solutions once they
receive the necessary data and information. The implementation time varies by
product and the internal preparation time that your organization needs. Once you
are using Converged solutions, you can launch additional solutions within the
suite in 20% of the time.


HOW DOES CONVERGED RISK HELP VALIDATE THAT I AM TARGETING THE RIGHT RISK GAPS?

Converged Risk gaps are informed by expert analytics. We apply machine learning
with clinical oversight, calibrating gap targeting to the appropriate clinical
evidence and intervention type.


HOW DOES CONVERGED RISK HELP IDENTIFY OVER- AND UNDER-CODED CONDITIONS?

Persistent, suspected, and over-coded risk gaps are identified in one location,
making it easy for users to identify and target these conditions. Plus,
confidence level indicators, configurable threshold selection, and
line-of-business-specific analytics allow you to confidently set a robust risk
adjustment strategy.


DOES CONVERGED RISK ALLOW USERS TO SEE WHAT CLINICAL EVIDENCE LED TO A GAP
IDENTIFICATION?

Yes. Converged Risk has full program transparency that allows users to view
member-level clinical evidence that led to gap identification such as historical
claims, prescriptions, labs, and more.


DO CONVERGED RISK ANALYTICS LEVERAGE AI? AND HOW DOES IT WORK WITH INOVALON’S
CLINICAL TEAMS?

In addition to leveraging AI applied to more than 76 billion medical events, the
Converged Risk gap output is reviewed and informed by Inovalon’s Clinical
Oversight team. These physicians and nurses have more than 20 years of
experience working in the field, both in private practice and within risk
adjustment programs.


CAN CONVERGED RISK WORK WITH A THIRD-PARTY INTERVENTION PLANNING TOOL?

Yes. Converged Risk provides flexibility and modularity, so you can enhance data
analytics, reporting, and workflows you already have in place to achieve better
results without overhauling what is already working for you.

00:00 / 00:00




Request a Demo



CONVERGED RISK ADD-ONS





CONVERGED ANALYTICS DESIGNER



Design and share custom measure strategies to advance priority healthcare
initiatives for improved outcomes and performance.

COMING SOON


CONVERGED DATA INSIGHTS



Reduce the burden of manual and ad-hoc reporting with versatile, purpose-built
software for health plan data management initiatives – all while gaining a more
comprehensive view.

COMING SOON


CONVERGED ENCOUNTER SUBMISSIONS



Deliver complete, accurate, secure submissions, on-time and with fewer errors
for Medicare EDS and ACA EDGE Server.

COMING SOON


HEALTHCARE DATA LAKE



Combine your structured and unstructured data with applicable Inovalon data
extracts in a secure data lake to improve your healthcare economics and
outcomes.

LEARN MORE


CONVERGED PATIENT ASSESSMENT



Leverage advanced analytics to drive complete and compliant clinical
documentation for face-to-face and virtual encounters with our cloud-based,
point-of-care support tool.

LEARN MORE


CONVERGED POPULATION HEALTH



Gain a holistic view of your member populations to support quality improvement,
intervention, and case management programs that deliver patient-centered care
and reduce costs.

LEARN MORE




ADDITIONAL PAYER CLOUD PRODUCTS





CONVERGED QUALITY (FORMERLY QSI-XL®)



Discover how our leading HEDIS® software and deep industry expertise enable
health plans to achieve high-quality performance in today's data-driven
healthcare ecosystem.

LEARN MORE


CONVERGED OUTREACH



Boost patient outcomes and economics with member-centric outreach planning
software and seamless integration with third-party engagement solutions.

LEARN MORE


CONVERGED PROVIDER ENABLEMENT



Translate organizational goals to the provider point of care with shared
insights into patient care quality, documentation, program performance,
utilization metrics, and custom initiatives.

LEARN MORE


ELECTRONIC RECORD ON DEMAND



Exchange data with more than 750,000 providers connected to the Inovalon ONE®
Platform today to access relevant digital patient medical records 10 times
faster than manual retrieval.

LEARN MORE


CONSUMER HEALTH GATEWAY



Give members quick, reliable access to their health data, enabled by a secure,
compliant solution.

LEARN MORE



RESOURCES




PAYER RESOURCES



Gain insights from Inovalon case studies, infographics, videos, and other
resources to get the most out of our products and solutions.



Converged Analytics Benchmarking Overview

Info Sheet, Overviews, Payer


Seamlessly integrate quality and risk with Inovalon

Payer


Case Study: Optimize Your Health Plan Analysis with Healthcare Data Lake

Case Studies, Infographics, Payer


Harvard-Inovalon Medicare Study: Quality Outcomes Under Medicare Advantage vs.
Medicare Fee-for-Service

Insights, Payer, White Papers


Infographic: Your Roadmap to a Smarter Risk Adjustment Process

Infographics, Payer


Lessons Learned from First Race and Ethnicity Stratification

Payer, White Papers

View more on Resources



LET’S TRANSFORM HEALTHCARE TOGETHER.






Request a Demo

Questions? Call (301) 809-4000


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