Enhance Revenues, Contain Costs and Improve Quality

As the healthcare moves from volume-based to value-based model of purchasing, has created the need for greater practice management, administrative support, and strategic support services. To face the changing market scenario and regulatory landscape hospitals, health systems, and physicians are collaborating, in the form of Management services organization’s (MSO) to develop more clinically integrated networks.

Inovaare has an accurate understanding of the challenges that MSOs face especially when it comes to implementing effective risk-based payment models. Inovaare’s compliance and automation solution for MSOs allow them to customize configurations of fee-for-service or capitated arrangements.

With our unified and scalable platform MSOs experience superior collaborative provider networks, lower operational costs, deploy proactive care management and automate workflows, enabling members to deliver improved quality of care, while reducing utilization costs.

Key Benefits

  • Automate workflows for improving provider networks
  • Mitigate compliance risk through transparent and centralized premium and claim data
  • Timely detection of fraud, waste, and abuse
  • Manage audit content without IT support
  • A comprehensive platform to manage and track oversight function for the delegated entities
  • Monitoring/management of high-dollar claims
  • Online training module and an attestation process to comply with FWA requirement of CMS, and more

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