Industry-Leading Health Plan Platform
Health plan solutions with compliance designed into the core
Medicare
Medicare
Whether complying with Medicare, Medicare Advantage, Medicare Advantage Part C and Part D or Medicare-Medicaid (MMP), Inovaare has health plans covered.
Medicaid
Medicaid
Improve the quality, efficiency and consistency of Medicaid services with Inovaare’s cloud-based health plan data platform.
Commercial
Commercial
Differentiation within the market is challenging. Discover how real-time automation will achieve it.
Health Plan Solutions to Sustain Continuous Compliance
As an industry leader of health plan solutions that drive digital transformation in healthcare, Inovaare automates complex Medicare, Medicaid and Commercial appeals and grievances (A&G) and Compliance Program Effectiveness (CPE) workflows. Its configurable cloud-based modules compile real-time data across internal and external departments, creating one compliance management system. The HIPAA-compliant platform integrates the most current, best-practice regulatory processes to help health plans efficiently meet their unique business requirements, sustain audit readiness, reduce non-compliance risks and lower overall operating costs.
Why Inovaare
Health Plan Solutions that help the largest healthcare payers achieve continuous regulatory compliance and better member experience
Are you leaving money on the table by placing other compliance concerns above the Medicare Advantage member experience? Don’t make that mistake.
Inovaare’s industry-leading Appeals & Grievances and Regulatory Compliance health plans solutions automate time-consuming manual compliance processes to ensure:
- Higher CMS reimbursements
- Reduced compliance audit risks
- Lower operating costs
With over 125 years of healthcare regulatory expertise, Inovaare’s compliance consultants oversee the implementation process to ensure its customizable, HIPAA-compliant SaaS modules support CMS compliance and program audit readiness at a moment’s notice.
Improve Quality and Performance
The compliance platform simplifies workflows to support Medicare, Medicaid and Commercial plans
Member Issue Management
Appeals and Grievances
Ensure timely responses and generate clean universes with the touch of a button.
Complaint Tracking Module
Identify, report, manage and resolve complaints efficiently.
Sales Allegations
Make certain complaints are investigated and closed properly, reducing non-compliance risk.
Health Plan Solutions for A&G Audits GRC
Regulatory Compliance Solutions For Health Plans
Configurable software form a centralized compliance system that optimizes risk identification, supports operations and displays intuitive analytics dashboards. This facilitates better decision making to ensure health plans are continuously compliant. Each of these cloud-based modules help health plans improve compliance program effectiveness (CPE) but, together, they drive it.