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Audit readiness assessment for healthcare payers

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Named in the Gartner Hype Cycle for U.S. Healthcare Payers, 2025

We Help U.S. Health Plans Cut Compliance Costs and Stay Audit-Ready

Health plans trust Inovaare to manage regulatory compliance, pass CMS audits, and run payer operations on a single platform. We have been doing this since 2006.

Compliance Overview
Cost Reduction
70%
vs. manual processes
Health Plans
30+
MA, Medicaid, Commercial
Regulatory Updates
17K+
tracked annually
Connected Modules
8
single platform
Audit Readiness Score (Trailing 7 Quarters)

Why This Matters

Built by People Who Understand Health Plan Operations

Inovaare started in 2006 with a straightforward premise: U.S. health plans deserve purpose-built compliance software, not generic GRC platforms retrofitted for healthcare.

Our founders spent years inside payer organizations. They watched compliance teams track CMS updates in spreadsheets, chase corrective action plans through email chains, and scramble before audits with disconnected tools. That is the problem we set out to fix.

Today, Inovaare’s Health Cloud Platform connects nine compliance and operations modules on a single infrastructure. More than 30 health plans across Medicare Advantage, Medicaid, and Commercial lines of business use it to manage regulatory compliance, CMS audit readiness, delegation oversight, and appeals and grievances processing.

We did not build a horizontal platform and adapt it for healthcare. This is healthcare compliance infrastructure, purpose-built for the regulatory complexity that U.S. health plans deal with daily.

Our Mission
"Make regulatory compliance predictable, traceable, and continuously audit-ready for every U.S. health plan."
Pravat Rout CEO & Co-Founder, Inovaare Corporation

What We Do

One Platform. Different Connected Modules.

Every module shares data natively. No integrations to maintain, no data silos between compliance and operations.

Regulatory Compliance

Automated tracking of 17,000+ annual CMS updates. AI-powered summarization, policy alignment, and corrective action management in one governed workflow.

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CMS Audit Management

End-to-end audit lifecycle automation. AI-assisted sampling, evidence tagging, and report drafting with structured audit trails and CMS-ready documentation.

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Universe Management

Automated universe generation, scrubbing, and aggregation for CMS program audits. Reduce universe prep from weeks to days with validated, audit-ready output.

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Delegation Oversight

Centralized delegate monitoring with automated scorecard tracking, pre-delegation assessments, and annual audit workflows across all delegated entities.

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Appeals & Grievances

AI-powered case intake, routing, and resolution tracking. Automated timeliness monitoring and CMS-compliant correspondence with full audit trails.

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AI Agent Studio

Configurable AI agents for payer operations. Automate claims, prior authorization, and grievance workflows with governed, human-in-the-loop processing.

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What Guides Us

Principles That Shape Every Decision

Every module shares data natively. No integrations to maintain, no data silos between compliance and operations.

Governance First

Every feature ships with audit trails, role-based access, and version control baked in. We do not bolt governance on after the fact.

Purpose-Built

We build exclusively for U.S. health plan compliance and operations. No horizontal pivot. No cross-industry compromise. One vertical, done right.

Operational Reality

Product decisions start with how compliance and operations teams actually work, not theoretical workflows or generic best practices.

Human Oversight

AI assists. Humans decide. Every automated workflow has escalation paths and approval gates so a person stays in the loop where it counts.

Leadership

The Team Behind Inovaare

Decades of experience across healthcare IT, payer compliance, and enterprise software.

CEO of Inovaare,  Pravat Rout

Pravat Rout

Founder & Chief Executive Officer

Pravat founded Inovaare in 2006 on a clear premise: U.S. health plans deserve compliance software built specifically for them, not generic GRC platforms retrofitted for healthcare. He brings 23 years of experience scaling enterprise software businesses in Silicon Valley and sets Inovaare's strategic direction. A graduate of Birla Institute of Technology, Pravat has spent his career at the intersection of healthcare payer operations and regulatory technology.

Chief Compliance Officer of Inovaare - Brenda Wade

Brenda Wade

Chief Compliance Officer

Brenda brings more than 20 years of progressive leadership in healthcare management and regulatory compliance, with prior tenures at Humana and MD Care. Since joining Inovaare in 2017, she has translated frontline payer compliance experience into the workflows and controls that shape the Health Cloud Platform. Brenda holds a degree from Western Michigan University and is a respected voice on CMS and state-level regulatory practice.

CTO of Inovaare, Mohar Mishra

Mohar Mishra

Co-Founder & Chief Technology Officer

Mohar leads Inovaare's technical vision and architected the Health Cloud Platform from the ground up for healthcare-grade security and scale. As a co-founder, he ensures every module ships with HITRUST CSF certified infrastructure, complete audit trails and role-based access controls. Mohar holds a degree from Utkal University and directs Inovaare's global engineering operations from Bhubaneswar, India.

Co-Founder & Chief Product Officer of Inovaare, Vipul-Sanghvi

Vipul Sanghvi

Co-Founder & Chief Product Officer

Vipul owns Inovaare's product strategy and the Health Cloud Platform roadmap, drawing on 15 years building enterprise healthcare technology. He shapes how every module serves Medicare Advantage, Medicaid and Commercial payers, combining deep software development discipline with enterprise architecture expertise. As a co-founder based in the San Francisco Bay Area, Vipul has helped define what purpose-built payer compliance software should look like.

Senior Vice President of Inovaare, Gabe Viola

Gabe Viola

Senior Vice President

Gabe leads client success and implementation delivery at Inovaare, drawing on more than 20 years in healthcare operations across HMO, PPO, POS, EPO, dental and life product lines. He has been with Inovaare since 2015, building enduring partnerships with U.S. health plans through every phase of platform adoption. Gabe's specialties include claims administration, compliance and customer service.

Co-Founder & Head of Product Delivery of Inovaare Lakshmi Narasiman

Lakshmi Narasiman

Co-Founder & Head of Product Delivery

Lakshmi co-founded Inovaare and runs product development and delivery operations, bringing 23 years in IT and project management. His expertise spans compliance, audit, operational risk, GRC and workflow systems, with deep experience implementing appeals and grievances solutions for Medicare payers. Lakshmi built Inovaare's offshore delivery operations and has overseen platform engineering since the company's founding.

Vice President, Sales & Marketing of Inovaare, Raj Singh

Raj Singh

Vice President, Sales & Marketing

Raj leads revenue, sales and marketing across Inovaare's product portfolio, with more than 20 years of global leadership in payer and provider regulatory compliance. He combines an entrepreneur's instinct for go-to-market execution with a marketing executive's discipline around positioning, channels and demand generation. Raj has guided multiple data-driven, AI-enabled SaaS solutions through successful market launches.

SVP, Healthcare Solutions Of inovaare Craig Giangregorio

Craig Giangregorio

SVP, Healthcare Solutions

Craig leads healthcare solution delivery at Inovaare, drawing on more than 25 years in healthcare technology and customer support leadership. A Certified Support Manager and SSPA-credentialed professional, he has guided solution delivery at Inovaare since July 2021. Craig brings a sustained focus on operational excellence and measurable customer outcomes across every payer engagement.

SVP, National Accounts of Inovaare, Steven-Georgiadis

Steven Georgiadis

SVP, National Accounts

Steven leads payer sales at Inovaare, partnering with Blue Plans, Medicare Advantage, Medicaid and Medi-Cal organizations to deploy AI-driven compliance, delegation oversight and appeals and grievances solutions. He has spent his career converting claims and compliance from cost centers into strategic enterprise advantages for health plan executives. Steven is recognized for navigating complex sales cycles with consistency and rigor.

Senior Vice President of Inovaare, Nag Jayaraman

Nag Jayaraman

Senior Vice President

Nag leads sales for Inovaare's healthcare SaaS platform and heads strategic partnerships and alliances. He brings 25 years of business leadership, including 15 years engaging C-suite executives at global enterprises to drive sales growth and market expansion. A Stanford University alumnus, Nag joined Inovaare in 2024 to scale the company's payer compliance footprint.

VP, Delivery & Management of Inovaare, Unnikrishnan V

Unnikrishnan V

VP, Delivery & Management

Unnikrishnan brings three decades of experience in IT and digital innovation, including senior roles at Accenture, Infosys and Wipro before joining Inovaare. He oversees Inovaare's platforms, data and delivery operations and leads the company's artificial intelligence strategy, including the Usher AI initiative. Unnikrishnan has spent the past decade scaling startups across digital transformation and enterprise SaaS.

Vice President of Marketing of Inovaare, Tom Wagner

Tom Wagner

Vice President of Marketing

Tom leads Inovaare's marketing strategy, brand positioning and demand generation across the U.S. healthcare payer market. A success-driven marketing executive, he is known for translating complex compliance and AI capabilities into clear value for senior health plan leaders. Tom combines creative storytelling, technical fluency and disciplined execution to build durable customer and prospect relationships.

Our Journey

Key Milestones

2026

AI Agent Studio Launch

Launched AI Agent Studio for payer operations. AI agents now handle appeals, grievances, claims, and prior authorization workflows with human oversight built in.

2025

Gartner Hype Cycle Recognition

Named a Sample Vendor in Gartner's Hype Cycle for U.S. Healthcare Payers for the second consecutive year. HITRUST CSF certified for the fourth consecutive year.

2022

30+ Health Plans on the Platform

Crossed 30 active health plan clients spanning Medicare Advantage, Medicaid, and Commercial lines of business nationwide.

2015

Enterprise Expansion

Gabe Viola joined to build out client success and implementation delivery. Signed first major enterprise health plan clients.

2006

Inovaare Founded

Pravat Rout, Vipul Sanghvi, and Lakshmi Narasiman founded Inovaare in Milpitas, California to build compliance technology specifically for U.S. health plans.

Trust & Security

Enterprise-Grade Infrastructure

Security and privacy controls built for the requirements U.S. healthcare organizations actually face.

HIPAA Compliant

HIPAA compliant across all modules. Protected health information is encrypted in transit and at rest.

HITRUST Certified

HITRUST CSF certified. The certification covers the full Health Cloud Platform infrastructure.

Complete Audit Trails

Every action across every module is logged with timestamps, user attribution, and version history. Nothing happens without a record.

See How Inovaare Works for Your Health Plan

30-minute walkthrough of the platform. See how compliance, audit, and operations connect on a single infrastructure.
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