Healthcare Quality Management Software For Providers & Payers
Quality Management
Unified Quality Management
Align payers, providers, pharmacies, and members to drive measurable improvements in quality performance.
Transform your quality programs
The Healthcare Intelligence Cloud enables both providers and payers to improve quality performance and deliver better care to patients.
For Providers
Seamlessly integrate risk adjustment into clinical workflows with point-of-care tools that surface suspected conditions, documentation gaps, and clinical evidence.
For Payers
Transform your risk adjustment performance with AI-powered analytics that drive both prospective and retrospective programs.
Engage Providers on Quality Performance at the Point of Care
Unified Quality Operations
Consolidate your entire quality program onto a single, NCQA-certified platform that supports year-round quality monitoring across all lines of business. Our high-frequency measure engine processes data continuously, providing real-time insights into quality performance and enabling proactive gap closure strategies.
Pharmacy and Provider Gap Closure
Leverage our national pharmacy network to deploy pharmacy quality programs, and enable provider-led gap closure at healthcare organizations across the country – all while tracking progress in real-time through a unified dashboard.
Regulatory Excellence
Simplify your regulatory reporting with end-to-end HEDIS submissions support. Our platform automates chart chasing and abstraction workflows while maintaining complete audit trails. NCQA-certified sampling and measure calculation ensures accuracy and compliance across all quality programs.
Elevate Quality Metrics and Meet Compliance with Quality Management
Seamless Clinical Workflows
Experience quality management that works the way you do. Our EHR-integrated solutions deliver care gap notifications and quality measure documentation within your existing workflows. Automated coding suggestions ensure you can focus on patient care while meeting quality objectives.
Performance Optimization
Gain immediate visibility into your quality performance through real-time scorecards and peer benchmarking. Track your progress in value-based programs and identify opportunities for improvement with intuitive analytics and trending tools.
Care Team Enablement
Empower your entire care team with tools designed to close gaps efficiently. From pre-visit planning to standing orders automation, we provide the resources needed to deliver high-quality care consistently.
The Quality Management Suite
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Quality Measure Support
Support for all major quality programs including HEDIS®, Stars, and ACO measures, with real-time monitoring and risk-adjusted benchmarking. Custom measure development ensures you can track what matters most to your organization.
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Engagement Tools
Enable seamless collaboration between providers and pharmacies while coordinating member outreach campaigns. Integrated communication tools and patient education resources ensure everyone stays aligned on quality initiatives.
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Analytics & Insights
Transform data into actionable insights through sophisticated analytics that highlight opportunities for improvement. Track ROI and population health metrics while predicting future performance trends.
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An Integral Part of the Value-Based Care Suite
Risk Adjustment
Transform your risk adjustment program with intelligent workflows and real-time insights that improve coding accuracy and patient outcomes.
Care Management
Innovaccer's Care Management Copilot uses advanced AI to automate documentation, generate care insights, and predict patient risk.
Contract Management
Build predictable revenue models, strengthen contract negotiations, and maximize financial performance in value-based care.
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.
Frequently Asked Questions
What quality programs does your platform support?
Our platform provides comprehensive support across multiple quality programs through a single integrated system. This includes HEDIS, Star Ratings, UDS, MSSP, ACO REACH, MIPS, etc. With our NCQA-certified measure engine, we support both standard and custom measures.
How do you support HEDIS® reporting and submissions?
We provide end-to-end HEDIS® reporting support through our NCQA-certified solution. This includes administrative, hybrid, and ECDS measure calculation, automated chart chase and abstraction workflows, performance dashboards, and complete audit support.
What capabilities do you offer for care gap closure?
Our platform enables multi-channel gap closure through coordinated interventions across providers, pharmacies, and care teams. We offer EMR-integrated provider alerts through a point-of-care solution called InNote.
How does your pharmacy quality network support quality improvement?
Our platform connects health plans with 95% of pharmacies nationwide through EQUIPP®, enabling enhanced pharmacy services.
What kind of data integration and management capabilities do you provide?
As an NCQA-certified Data Aggregator, we offer comprehensive data management capabilities built on a USCDI/FHIR-based platform.
How do you support year-round quality monitoring and improvement?
Our solution provides continuous quality monitoring through high-frequency measure calculation and real-time performance dashboards.