**Powering Payers with intelligence to improve outcomes & cost**

Innovaccer helps payers transform fragmented data into actionable intelligence—reducing costs, improving outcomes, and accelerating compliance in an increasingly complex healthcare landscape.

[Request a demo](/content/request-a-demo-in/index.html)

## **Smarter, faster decisions powered by unified data, AI-driven insights, and payer-first design**

Innovaccer helps payers cut costs, close gaps, and drive performance with AI-powered insights and a unified data platform built for health plans.

**Maximize financial performance**

Leverage unified analytics and AI to reduce medical loss ratios, optimize reimbursements, and proactively manage risk.

**Drive operational efficiency**

Simplify workflows, eliminate data silos, and enable faster, more accurate decision-making across teams and departments.

Stay ahead of regulatory demands

Ensure ongoing compliance with HEDIS, CMS, and NCQA guidelines while streamlining audits and reporting with built-in regulatory intelligence.

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Ensure ongoing compliance with HEDIS, CMS, and NCQA guidelines while streamlining audits and reporting with built-in regulatory intelligence.

## **Healthcare Intelligence for Payers**

[Integrated quality management](/content/solutions/payer-old#/index.html)

[Risk score accuracy](/content/solutions/payer-old#/index.html)

[Member Outreach & Engagement](/content/solutions/payer-old#/index.html)

**Member Outreach & Engagement**  
Intelligent Member Engagement That Drives Results  
Enable data-driven outreach strategies that improve member activation rates and close care gaps through intelligent campaign orchestration and real-time response tracking.

[Learn more](/content/healthcare-experience/index.html)

**Integrated quality management**  
Drive Pharmacy and Provider Quality  
Transform your quality programs through the first unified platform that enables providers and pharmacies to drive comprehensive quality improvement and close care gaps at the point of care.

[Learn more](/content/solutions/payer-old#/index.html)

**Risk score accuracy**  
Drive Accurate Risk Capture  
Get accurate risk scores while reducing costs, turning risk adjustment into a member-focused program improving care and enhancing provider coding.

[Learn more](/content/solutions/payer-old#/index.html)

## All powered by the Data Activation Platform

Labs

Pharmacy

Claims

EMRs

SdoH

Consumer & Digital Health

Third-party Data

### Steps of the Data Activation Platform

**Integrate**  
Raw data is received from source systems & stored in a data lake.  
3X more accurate than off-the-shelf AI

**Harmonize**  
Data is parsed & codified, then stored in a simple data structure.  
3X more accurate than off-the-shelf AI

**Unify**  
Patient & provider information are aggregated into a single record.  
3X more accurate than off-the-shelf AI

**Process**  
Intelligent algorithms enrich the data with quality measures, gaps in care, & more.  
3X more accurate than off-the-shelf AI

**Analyze**  
Data is denormalized into a structure for analytics & AI.  
3X more accurate than off-the-shelf AI

**Drive VBC performance**

**Deliver intelligent experiences**

**Reduce provider burden**

**Integrate**  
Raw data is received from source systems and stored in the lake before any processing and interpretation. Your original data is always available to diagnose any issues and enable reprocessing as issues are resolved.

2800 data elements supported

**Unify**  
Patient and provider information are aggregated into a single record containing multiple sources of information through Master Data Management functionality, including an Enterprise Master Patient Index, and data curation to remove redundancies. The data at this level is leveraged for application functionality and downstream processing.

**Harmonize**  
The raw data is parsed and codified, then stored in a simple and clean data structure without complex relational features. The data at this level is typed and coded to the UDM’s ontology and ready to be processed into the downstream structures, which are leveraged for applications and analytics.

**Process**  
Intelligent algorithms enrich the data the previous stage with deep insights. Out of the box, this includes each patient’s disposition toward quality measures, risk and social vulnerability profiles, gaps in care, engagement data, next best actions, and more.

**Analyze**  
Analytics summarize and denormalize the data from Unify and Process stages into a multidimensional data cube structure optimized for analytics, AI, workflows, and additional data visualization use-cases.

**SPOTLIGHT**

**Empowering health plans to improve member outcomes through value-based pharmacy programs**

EmblemHealth, one of the nation's largest nonprofit health insurers, partnered with Innovaccer to launch New York's first pharmacy value-based arrangement focused on improving health outcomes for members with diabetes and hypertension.

**INNOVACCER SERVES EMBLEMHEALTH BY:**

Building a unified data foundation to power pharmacy quality programs and care management initiatives that connect pharmacies, providers, and care teams in delivering coordinated, whole-person care.
Augmenting and automating pharmacy engagement, quality reporting, and care team workflows to enable timely interventions and close critical care gaps for chronic conditions like diabetes and hypertension.

## Empowering government health leaders to serve their citizens

[Watch on Vimeo](https://vimeo.com/1038952960?fl=pl&fe=vl)

**Our partnership with Pharmacy Quality Solutions enables us to strengthen relationships with the city’s pharmacies—the cornerstones of community care—while continuing to redefine the scope and reach of healthcare access for members at every touchpoint.**  
—Abdou Bah, Chief Health Equity Officer of EmblemHealth

“By making data more accessible and accurate, and using AI in practical ways, we can actually solve the day-to-day challenges that providers and payers face.”  
—Nick Moriello, President of Highmark Blue Cross Blue Shield Delaware

## Learn how to unlock the full potential of your healthcare data

### Effective Payer-Provider Collaboration - An Activation Agent for Improved Health Outcomes

[Learn more](/content/resources/research-papers/effective-payer-provider-collaboration/index.html)

### Improving Payer Risk Adjustment Through the Power of Data and Provider Connectivity

[Learn more](/content/resources/white-papers/improving-payer-risk-adjustment-power-data-provider-connectivity/index.html)