Inovaare listed as a representative vendor in the Gartner® Hype Cycle™ for Healthcare Payers, 2024

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Inovaare

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  Usher AI
  
  Usher AI
  
  AI-powered compliance, monitoring, and data analysis.
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  Usher GenAI
  
  Healthplan Operation Copilot
  
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  Health Plan Marketing CRM
  
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  Regulatory Compliance Management
  
  Automate compliance management to meet regulatory deadlines effortlessly.
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  Regulatory Library
  
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  Real-time audit tracking and automated monitoring tools.
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  Healthcare Data Scrubbers
  
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  Automate data scrubbing for accurate, reliable reporting.
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  Optimize provider interactions and contract management.
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  Ensure delegate compliance and performance tracking.
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  Delegate/FDR Determination
  
  Delegate/FDR Repository
  
  Delegate/FDR Audit & CAP
  
  Reporting & Monitoring
  
  Healthcare payer suites that drive compliance and
  support operational excellence
  
  Automation and AI are built into products powered by our health cloud platform, with current regulatory compliance protocols embedded, so health plans can improve efficiency and lower costs.
Platform
- Platform Overview
  
  Platform overview
  Explore the power and ease of this industry-leading health cloud platform designed to build, automate, and optimize healthcare processes.
  
  Usher AI
  Experience how designed to streamline operations, automate compliance processes, and optimize data handling, all while reducing costs and minimizing risks.
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  Healthcare Automation Use Cases
  
  Healthcare Automation Use Cases
  
  Drive efficiency across healthcare functions with targeted automation solutions.
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  Member Service Operations
  
  Healthcare GRC Management
  
  Provider Data Management
  
  Delegation/Vendor Oversight Management
  
  CMS Audit Universe Management
  
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  Healthcare Business Intelligence and Data Analytics
  
  Drive data-driven decisions with advanced healthcare analytics and insights.
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  Access specialized healthcare expertise with strategic outsourcing solutions.
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  Empower critical healthcare functions with tailored automation and compliance solutions.
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  Meet the unique needs of Medicare, Medicaid, and Commercial markets with tailored solutions.
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  Medicare Advantage Healthplans
  
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  Healthcare solutions that drive compliance, enhance member experience and support operational excellence
  
  Each cloud-based, AI-powered solution is designed by healthcare experts to improve operational efficiency, enhance total experience and lower costs.
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Inovaare

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Medicaid

Automation in Healthcare, Health Cloud Platform, Healthcare Compliance and Regulatory Insights, Healthcare Data Analytics, Healthcare Data Management, Medicaid

Will Reporting Medical Loss Ratio (MLR) Constrain Payments to Medicare Advantage Plans?

By manager.inovaare / December 4, 2023

Medicare Advantage plans (MAO) have been increasingly popular, with Medicare-eligible beneficiaries enrolling 51% of the eligible population in 2023, taking […]

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Platform

Healthcare cloud platform
Platform components
Integrated artificial intelligence

USHER AI

Healthcare AI assistant
Usher AI key features
Search, analysis, and chatbot
Smart summaries
Data categorization
Pre-built & custom copilots

Product Suites

Member Experience
Regulatory Compliance Management
Audit and Monitoring
Healthcare Data Scrubbers
Provider Relationship Management
Risk Management
Delegation Oversight

Member Experience

Health Plan Marketing CRM
Health Plan Services CRM
Member Portal
Call Log Scrubber
Member360
Appeals & Grievances Management
A&G Universe Generator
Potential Quality Issues (PQI)

Regulatory compliance management

Regulatory Library
Contracts Management
Policies & Procedures (P&P)
Issue Management
Corrective Action Plan (CAP)
Compliance Copilot

Solutions

Healthcare Automation Use Cases
Healthcare Business Intelligence and Data Analytics
Healthcare Experts and Technology Outsourcing
Healthcare Functions
Healthcare Markets Served

Automation Use Cases

Member Service Operations
Healthcare GRC Management
Provider Data Management
Delegation/Vendor Oversight Management
CMS Audit Universe Management

Healthcare Business Intelligence and DatA analytics

Member Satisfaction
Compliance Risk
Delegation Performance
Regulation Impact

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Usher AI

Member Experience

Regulatory Compliance Management

Audit and Monitoring

Healthcare Data Scrubbers

Provider Relationship Management

Risk management

Delegation Oversight

Healthcare payer suites that drive compliance and support operational excellence

Healthcare Automation Use Cases

Healthcare Business Intelligence and Data Analytics

Healthcare Experts and Technology Outsourcing

Healthcare Functions

Healthcare Markets Served

Healthcare solutions that drive compliance, enhance member experience and support operational excellence

Medicaid

Will Reporting Medical Loss Ratio (MLR) Constrain Payments to Medicare Advantage Plans?

Explore our AI-driven technologies

Want to learn how to optimize your healthcare operations and compliance processes?

Healthcare payer suites that drive compliance and
support operational excellence