# The Healthcare Autonomy Platform

## In collaboration with leading healthcare organizations

Discover how to power AI insights to achieve your desired outcomes - with speed, precision, and efficiency

Unified Enterprise Data and Intelligence

Unify data across service lines and activate enterprise-wide intelligence, enabling operators to get answers fast and make insight-driven decisions.

- Reduced data silos across vendors and departments
- Action-oriented insights to improve decision-making

## Scalable AI Automation to Improve Margin

Deploy agentic workflows and co-pilots to automate routine operational work. Reclaim time for your staff.

- Improved enterprise operational efficiency
- Reduced staff burnout from administrative burdens

## Healthcare AI with Enterprise-wide Governance

Centralize AI governance, observability, and controls so you can scale AI safely across departments without creating new risk.

- Minimized breach risks with central governance
- Secured agent building and scaling

## Gain Complete Visibility with Unified Data Ingestion

See every member, every data stream, in one place.

- Enhanced member-level accuracy
- Optimized quality and compliance

## Make Faster, Smarter Decisions with LLM and AI Agents

Surface insights at the moment of action.

- Accelerated risk adjustment and audit performance
- Reduced staff burnout from administrative burdens

## Ensure Compliance with Interoperability by Design

Exchange and report data seamlessly.

- Simplified, traceable regulatory reporting
- Secure, enterprise-grade data protection

## Orchestrate Intelligent, Scalable Life Sciences Operations

Automate the "last mile" of medicine by unifying prior authorization, hub operations, and enrollment workflows.

- Faster time-to-therapy, reduced abandonment
- Automated, unified patient access workflows

## Generate Integrated, Actionable Real-World Evidence

Captures outcomes, utilization, and access data from care delivery, access, and patient support workflows to generate faster, more credible evidence.

- Faster insights, lower study costs
- Higher-impact, payer-aligned evidence

## Accelerate Growth and ROI with Faster Innovation Cycles

Build and launch healthcare AI solutions in weeks, not years.

- Faster time-to-market with pre-built integration
- Accelerated revenue and engineering throughput

## Improve Margins through Scalable, Automated Operations

Replace one-off builds with repeatable, agentic automation.

- Scalable, automated labor efficiency
- Improved EBITDA with high-margin AI solutions

## Reduce Risk and Complexity with Unified Governance and Compliance

Adopt AI safely without slowing innovation.

- Centralized, secure AI governance
- Faster enterprise adoption and scaling

## Enable Data-Driven Policy and Public Health Decision-Making

Turn fragmented data into actionable intelligence across agencies.

- Improved data-driven policy decisions
- Faster, auditable regulatory reporting

## Improve Operational Efficiency Across Programs

Automate workflows and modernize legacy systems to reduce cost and burden.

- Reduced manual reconciliation and operational overhead
- Accelerated program integrity efforts with analytics

## Strengthen Care Access, Equity, and Inter-Agency Collaboration

Break down silos to serve communities more equitably and effectively.

- Better engagement and service delivery across community
- Improved disease response and outbreak management

## Built Specifically for Healthcare Operation Autonomy

**CONTEXT**  
Unify data domain across enterprise with pre-built healthcare analytics

**INTELLIGENCE**  
Activate insights with enterprise search and next-best-action recommendations

**ACTION**  
Automate operations with agentic workflows and self-service AI studios

**Agentic platform for autonomous healthcare operations**  
Gravity is the healthcare AI orchestration layer that sits on top of your existing ecosystem to help you make faster decisions, drive operational efficiency, and capture more revenue.

- **Healthcare Context**  
  Unify data domain across enterprise with pre-built healthcare context

- **Enterprise-Wide Intelligence**  
  Retrieve enterprise-wide insights, receive next-best-action recommendations, and build custom dashboard

- **Agentic Workflows**  
  Automate operations with agentic workflows and self-service AI studios in one integrated platform

- **AI Center of Excellence**  
  Drive enterprise AI transformation with custom AI agents in partnership with Forward Deployed Engineers

### AGENT LIBRARY

The complete agent stack for healthcare

### Chronic Disease Management Agent

Governs AI usage across clinical workflows by tracking models, guardrails, bias, drift, and regulatory compliance.

### High-Cost Patient Management Agent

Identifies persistently high-cost patients, explains cost drivers, and orchestrates targeted care and utilization interventions.

### Predictive Risk Stratification Agent

Stratifies patients into rising and high-risk cohorts with explainable drivers.

### Health Equity Analytics Agent

Detects disparities in access, quality, and outcomes using SDoH and demographics.

### Pharmacy Contract Modeling Reimbursement Agent

Models PBM contracts, detects under-reimbursement, and flags GER/BER risk.

### Implant & High-Cost Device Agent

Tracks utilization, cost variation, and outcomes for high-cost implants and devices to control spend and improve standardization.

### PMPM & Leakage Analytics Agent

Decomposes PMPM drivers and detects leakage.

### Payment Integrity Agent

Detects overpayments, underpayments, and improper billing.

### Rounding & Clinical Summary Agent

Produces concise, task-oriented rounding summaries.

### Imaging Intelligence Agent

Summarizes imaging and ensures follow-up on actionable findings.

### Referral Management Agent

Tracks referrals end-to-end to prevent leakage and ensure completion.

### Readmission & Transitional Care Agent

Predicts readmission risk and ensures post-discharge follow-up completion.

### Pharmacy Utilization & Adherence Agent

Tracks adherence patterns and high-cost drug utilization.

### Clinical Utilization Forecasting Agent

Forecasts admissions, procedures, imaging, and specialty demand using historical and leading indicators.

### Ambulatory Access Optimization Agent

Optimizes appointment availability, referral scheduling, and provider templates to improve access without adding capacity.

### Specialty Pharmacy Case Management Agent

Coordinates workflows for complex specialty therapies.

### Coding & DRG Compliance Agent

Validates coding accuracy and DRG grouping.

### Prior Authorization Agent

Automates medical and medication prior authorization workflows.

### Denials & Appeals Management Agent

Prevents denials and generates evidence-backed appeals.

### Eligibility & Benefits Verification Agent

Verifies coverage and patient responsibility pre-service.

### Supply Chain Optimization Agent

Forecasts supply demand, optimizes inventory levels, predicts shortages, and tracks recalls to reduce waste and ensure availability of critical items.

### Clinical AI Governance Agent

Governs AI usage across clinical workflows by tracking models, guardrails, bias, drift, and regulatory compliance.

### Pharmacovigilance Intelligence Agent

Detects safety signals and generates regulatory narratives.

### Clinical Research Enablement Agent

Matches patients to trials and assesses feasibility.

### Customer Stories

Trusted by leading healthcare organizations to transform autonomous operations

Drive Revenue Growth and Margin Improvement in weeks, not years.

## Prior Auth Automation
### Challenge

Manual burden with PA workflows, high PA denial rates, increased staff burnouts

### Approach

Automated prior authorization workflow for imaging

Transformed RCM analytics and workflow management

### Impact

65% Lower Cost Per PA Case
15% Fewer Eligibility Related PA Rejections
80% Reduction in Time Spent Per PA Case

## Technology Consolidation
### Challenge

Fragmented tech ecosystem, siloed data, and lack of secure provider-affiliate information exchange

### Approach

Replaced multiple VBC vendors
Transformed enterprise data fabric
Improved physician engagement and alignment
Reimagined analytics and workflows

### Impact

$19M Annual value savings through expanded use cases
$7.4M Savings from Tech Rationalization and Consolidation

## Solution Development
### Challenge

Longitude Health wanted to build a 340B Optimization solution to enhance financial and clinical performance for specialty pharmacies

### Approach

Collaborative discovery to map specialty pharmacy workflows and design agentic workflows
Leveraged integration, pre-built models and agent builder for rapid deployment
Structured timeline with defined success criteria, joint planning between milestones, and agile sprint cycles

### Impact

2-7% Increase in 340B capture
30% Reduction in Prior Auth cycle time

## Operation Automation
### Challenge

Disjointed Epic data, siloed patient records, and lack of communication affecting marketing ROI

### Approach

Created Unified Patient Record
Delivered a Copilot for Service Agents to create a person-centric experience
Automated journeys for better marketing attribution and returns

### Impact

23% Higher Conversion from Call to Appointment
7.7% Higher PCP Visits Per Month

Gravity is Innovaccer's unified AI data platform — the intelligence layer that powers every agent, workflow, and outcome across your enterprise. No rip-and-replace.

## Frequently Asked Questions

### Where does our data live with Gravity?

In your cloud, under your security controls. Gravity is single-tenant and can be deployed in your AWS or Azure tenant with full admin visibility. Pipelines can read/write directly to your S3/ADLS, Snowflake, or Databricks so data never has to leave your governance boundary.

### We already have a unified data lake. Are we duplicating it?

No. Gravity is data- and cloud-agnostic. Use it to orchestrate, govern, and activate the data you already store. You can point Gravity at your existing lake/warehouse, adopt its pre-built healthcare data model where helpful, and extend or bypass it where you already have fit-for-purpose models.

### Can we extend your data model without calling Innovaccer every time?

Yes. The Unified Data Model (UDM) is open and extensible. Teams can add entities/attributes, customize mappings, and manage schema versions. Changes are traceable via lineage so downstream analytics and agents stay reliable.

### How do you integrate with Epic/Cerner/Athena and payer sources?

Gravity ships with healthcare-native connectors (EHR, HIE, claims, payer APIs) and FHIR+ interfaces. If a source is missing, you can configure new connectors using API specs; the platform’s governance and quality rules apply uniformly to all feeds.

### We’ve built ML/AI on Databricks already. Why do we need your AI?

Yes. Models are pluggable and decoupled from agents. You set per-use-case model selection, prompt controls, grounding to governed data, and audit logs. Swap models as performance or cost needs change.

### How do we monitor pipelines and data quality in production?

Gravity exposes pipeline observability (throughput, latency, failure hotspots), lineage, and a healthcare-specific data quality library (6,000+ checks) e.g., DOB validity, encounter completeness, code-set conformance (ICD-10/SNOMED/RxNorm). You can author custom rules and receive alerts on drifts or breaks

### Is this a black box? How much control do we really get?

It’s a white-box platform. Your admins see sources, transformations, rules, code, lineage, and usage. Choose self-serve, SI-led, or Innovaccer-managed engagement—your pace, your control.

### Will our analysts be able to build, or will we rely on your engineers?

Both are supported. data engineers/scientists get code-first SDKs/APIs, while analysts get no/low-code workbenches; If you prefer, Innovaccer or your SI can implement and build for you.

### Are you secure and compliant?

Single-tenant deployments in your VPC; encryption in transit/at rest; role-based access; audit trails; support for HIPAA, HITRUST, SOC 2, and regional controls. Data never needs to leave your cloud.
