# Close Gaps, Boost Ratings and Improve Lives

Track quality metrics, close care gaps faster, and improve Star & HEDIS performance all with one intelligent platform built for proactive quality management.

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

[download brochure](/content/resources/brochures/closing-care-gaps-seamlessly-intelligently-and-at-scale-for-payers/index.html)

## Comprehensive Quality Analytics and

### Gap Closure for Payers

## End-to-end integrated workflows across office, pharmacy, and home

### Real-Time Quality Analytics for Better Ratings & Outcomes

Unlock the full value of your data with AI-driven risk adjustment that powers accurate coding, seamless gap closure, and improved RAF and quality performance.

[Real-time performance tracking - HEDIS and Star measures to drive timely, data-informed interventions.](/content/solutions/quality-management#w-tabs-2-data-w-pane-0/index.html)  
[Streamline chart chasing, abstraction, and submissions boosting gap closure rates](/content/solutions/quality-management#w-tabs-2-data-w-pane-1/index.html)  
[NCQA-certified quality workflows to improve rating and compliance](/content/solutions/quality-management#w-tabs-2-data-w-pane-2/index.html)

### Prospective & Concurrent Reviews

Track quality metrics, close care gaps faster, and improve Star & HEDIS performance—all with one intelligent platform built for proactive quality management.

[Surface quality gaps before the patient visit to enable timely intervention](/content/solutions/quality-management#w-tabs-3-data-w-pane-0/index.html)  
[Close gaps with Pharmacy Copilot to drive medication adherence and at-home test kits to streamline closure of care gaps beyond the clinical setting](/content/solutions/quality-management#w-tabs-3-data-w-pane-1/index.html)  
[Provider Copilot delivers in-workflow insights to support accurate documentation and coding](/content/solutions/quality-management#w-tabs-3-data-w-pane-2/index.html)

### Retro+ Reviews

Innovaccer’s Cost of Care empowers payers to identify cost drivers, improve care quality, and optimize value-based care performance on a unified data and analytics platform.

[Identify and capture previously unsubmitted or undocumented diagnosis codes to improve RAF scores](/content/solutions/quality-management#w-tabs-4-data-w-pane-0/index.html)  
[Detect missed coding and documentation gaps across historical clinical and claims data](/content/solutions/quality-management#w-tabs-4-data-w-pane-1/index.html)  
[Leverage bi-directional claims and chart reviews for comprehensive and accurate risk adjustment](/content/solutions/quality-management#w-tabs-4-data-w-pane-2/index.html)

### Chart Abstraction & Retrieval Platform

Empower payers to design, manage, and optimize value-based care (VBC) programs with precision. From identifying cost drivers and savings opportunities to benchmarking against the market, our solution combines rich analytics, predictive models, and actuarial expertise to help health plans make smarter, faster, and more strategic decisions.

[HCC coding to optimize RAF](/content/solutions/quality-management#w-tabs-5-data-w-pane-0/index.html)  
[Charts to be retrieved and allowed for quality & HEDIS abstraction](/content/solutions/quality-management#w-tabs-5-data-w-pane-1/index.html)  
[Faster gap closure through timely access to clinical documentation](/content/solutions/quality-management#w-tabs-5-data-w-pane-2/index.html)

## All powered by the Data Activation Platform

Labs

Pharmacy

Claims

EMRs

SdoH

Consumer & Digital Health

Third-party Data

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 outcomes without the extra cost, or the stress

#### AI-powered Efficiency

Eliminate tedious, manual workflows with intelligent automation

#### Accurate Gap Identification

Advanced risk and quality gap analytics ensuring no opportunity is missed.

#### Maximize Impact

Reduce administrative overhead by minimizing paperwork and inefficiencies.

#### Seamless Integration

Works effortlessly with your existing systems, supporting bi-directional integration with 200+ EHRs.

#### Enterprise-grade Security & Compliance

Safe and secure with HIPAA, HITRUST, SoC2 compliance

### An integral part of the value-based care suite

#### Population Health Analytics

Population Health Analytics leverages the full power of the Data Activation Platform to deliver actionable insights that drive performance in value-based care.

[Learn more](/content/products/population-health-analytics/index.html)

#### Risk adjustment

Transform your risk adjustment program with intelligent workflows and real-time insights that improve coding accuracy and patient outcomes.

[Learn more](/content/products/risk-adjustment/index.html)

#### Quality management

Align payers, providers, pharmacies, and members to drive measurable improvements in quality performance.

[Learn more](/content/products/quality-management/index.html)

#### Care Management

Innovaccer's Care Management Copilot uses advanced AI to automate documentation, generate care insights, and predict patient risk.

[Learn more](/content/products/care-management/index.html)

#### Actuarial Intelligence

Build predictable revenue models, strengthen contract negotiations, and maximize financial performance in value-based care.

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.

## Leading Healthcare Organizations Choose Innovaccer

“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

#### Innovaccer’s Data Activation Platform: What Makes it the Best in KLAS Data and Analytics Platform

[Learn more](/content/resources/white-papers/dap_best_in_klas_data_platform/index.html)

#### Five Reasons Why the Modern Payer Needs a Data Activation Platform

[Learn more](/content/resources/white-papers/five-reasons-why-modern-payer-needs-data-activation-platform/index.html)

## Meet with our payer team.

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