Our platform
AI-Driven Health Cloud Platform
Experience Inovaare’s AI-powered, HIPAA-compliant, HITRUST CSF®-certified health cloud platform, built for payers to streamline, automate, and optimize healthcare processes without writing a single line of code.
Platform components
Platform overview
Inovaare offers an AI-powered health cloud platform that simplifies app development by eliminating
infrastructure complexities offering seamless data management, compliance, operations, and member service.
Advanced data analytics
Harness real-time analytics to extract valuable insights from your data. Our platform empowers you to turn raw data into strategic assets, driving efficiency and informed decision-making to improve your healthcare operations.
Flexible reporting tools
Create customized reports with ease to gain a deeper understanding of key metrics and outcomes, helping you track performance, meet compliance requirements, and identify areas for improvement.
Deploy custom applications without coding
Empower your teams to create custom applications and workflows with zero coding. The LCNC platform accelerates development, enabling you to adapt quickly to changing needs and scale seamlessly without relying on complex coding.
Intelligent task management
Optimize workflow efficiency by automating and prioritizing tasks, tracking task statuses, and identifying bottlenecks, allowing your team to focus on high-value activities that boost productivity and drive operational efficiency.
Quick access to data
Usher AI integrates with document databases like policies, contracts, and Medicare regulations using advanced NLP for quick, accurate search results. It also allows bookmarking for easy document retrieval.
Unstructured text analysis
Usher AI converts unstructured text into actionable insights, analyzing call logs, categorizing grievances, speeding up response times, and enhancing member experience through accurate, timely issue resolution.
Ensure impeccable data quality
Our advanced scrubbing tool cleanses, verifies, and validates data based on your rules, ensuring accuracy and consistency for both structured and unstructured data, ready for analysis.
Access a dedicated data mart
Create a focused data repository for quick access to relevant information, enhancing report accuracy and timeliness. Our data mart solutions streamline retrieval, supporting informed decision-making.
Payer-centric Platform
Payer-focused applications built for compliance and control
Our health cloud platform for payers delivers more than modularity. Every application is purpose-built to align with CMS expectations, improve audit outcomes, and reduce administrative burden.
Regulatory Compliance
Centralize your Policies & Procedures (P&P), Contracts, and Corrective Action Plans (CAP).
Audit & Monitoring
Automated workflows with built-in compliance checks, reports, and dashboards.
Delegation Oversight
Manage vendors/FDRs through secure DE portal, audit tracking, and KPI-based dashboards.
Data Scrubbers
Prebuilt rules-based scrubbers for Medicare, HEDIS, Part C & D, Call Logs, PBM
Provider Experience
Resolve provider disputes and complaints, track corrective actions, and detect fraud
Artificial intelligence
Integrated AI to optimize outcomes
Advanced compliance monitoring
Leverage AI to monitor healthcare compliance in real time, swiftly identifying issues and ensuring strict adherence to HIPAA, Medicare, and Medicaid regulations.
Enhanced member data security
Strengthen member data security with AI-driven anomaly detection and threat prediction, safeguarding sensitive health information and ensuring regulatory compliance.
Real-time collaboration and decision support
Enable real-time collaboration with AI-driven decision support, offering instant access to critical data for quick, informed decisions and improved outcomes.
Continuous learning and improvement
As more data is analyzed, AI models become more accurate, improving the platform's adaptability to evolving healthcare compliance and operational challenges.
Cloud-native Growth
Why the largest health plans trust
Inovaare's platform
Our HIPAA-compliant, HITRUST-certified platform automates data collection, analysis, and reporting, streamlining regulatory processes and quality improvement. With expert-managed data protection and reliable SaaS solutions, we ensure high uptime, robust security, and continuous availability.
Scalability and flexibility
Scale and adapt effortlessly with dynamic, flexible architecture.
Cost efficiency
Minimize large initial investments in hardware and ongoing maintenance.
Innovation and speed
Agile deployment for rapid adaptation to market and regulatory changes.
Security and compliance
Advanced security and compliance features for privacy of sensitive data.
Data management
Integrated data analytics, BI platform, and AI capabilities.
Dynamic ecosystem integration
Seamless connectivity with digital healthcare networks and technologies.
Customer story
Architecture & Security
Architecture and security built for healthcare-grade performance
Inovaare’s health cloud platform for payers is engineered to meet the most stringent security, interoperability, and scalability demands of healthcare organizations. Every layer of the platform, from data integration to access control, is built with compliance, agility, and resilience in mind.
API-first Integrations
Seamlessly connect with existing systems using HL7, FHIR, REST, and secure SFTP protocols.
Cloud-native Architecture
Multi-tenant, elastic architecture supports scalable, high-performance deployments across business units and regions.
Security Standards
Certified for HITRUST and HIPAA, with built-in controls, MFA, encryption, and role-based access (RBAC).
Integrated & Managed Services
We also offer services to best empower your organization
Ensure your healthcare platform operates flawlessly with our integrated and managed services. Our expert team handles everything from seamless integration to ongoing management, allowing you to focus on what matters most, delivering exceptional member services.
FAQs
Have questions? We have answers.
A health cloud platform is a secure, scalable environment designed to support digital health operations, data exchange, care coordination, and compliance. It enables healthcare organizations, providers, payers, PBMs, ACOs, IDNs, to manage sensitive data, workflows, and regulatory obligations in the cloud.
These platforms typically offer:
- Interoperability across EHRs and payer systems
- Support for HIPAA and HITRUST compliance
- AI/ML tools for analytics, population health, or prior authorization
- Modular apps for care, claims, compliance, or member engagement
A healthcare payer cloud platform is a secure, scalable technology environment built specifically for health insurance organizations, Medicare, Medicaid, Commercial, ACA, and TRICARE plans. It helps payers manage operations, compliance, audits, member and provider interactions, and regulatory reporting. These platforms typically unify multiple functions, claims, A&G, risk, prior authorization, FWA, data analytics, under one roof to reduce silos and ensure regulatory alignment.
Generic cloud solutions offer storage and compute power. Health cloud platforms are used by Payers (for compliance, member services, audit readiness, and delegated oversight), Providers (for care coordination, patient engagement, and billing), and PBMs & ACOs (for risk management, reporting, and clinical data exchange)
A health cloud platform includes:
- HIPAA and HITRUST compliance
- FHIR-based data models
- Prebuilt integrations with EHRs, payers, and HIEs
Healthcare-specific workflows for care, compliance, claims, and more
Most cloud platforms claim to support payers, but Inovaare is purpose-built for them, with every module designed around CMS, state, and plan-specific operational and compliance workflows. While others focus on core admin or CRM add-ons, Inovaare is a payer-native cloud platform engineered for one thing, helping health plans stay compliant, efficient, and audit-ready while improving member and provider experience.
It addresses payer-specific needs:
- CMS compliance and audit workflows
- Appeals & Grievances tracking and resolution
- Delegation oversight (FDR audits, DE portals)
- Universe file generation and scrubbing
- Member and provider experience management
Regulatory reporting and plan performance optimization
Inovaare’s health cloud platform is built specifically to meet CMS audit readiness requirements for healthcare payers. Most platforms leave CMS readiness to spreadsheets or third-party tools. Inovaare integrates CMS audit readiness into daily operations, ensuring health plans are always ready, not just reactive.
Yes, Inovaare offers a comprehensive vendor/delegation oversight solution as part of its healthcare payer cloud platform. Unlike generic platforms, Inovaare’s solution is built for CMS delegated oversight standards, not just vendor management. It reduces risk, ensures documentation, and boosts accountability across the FDR network.
Yes. Inovaare is an AI-powered health cloud platform designed for payers. It includes a native AI agent called Usher AI, which enhances automation, compliance monitoring, and decision support. Unlike other generic health cloud platforms (like Salesforce or Google Health Cloud), which require custom model building, Inovaare embeds ready-to-use AI for payer compliance and operations, no extra tools or training required.
Absolutely. Inovaare includes a low-code/no-code (LCNC) engine that empowers business teams, not just IT, to customize processes and workflows.
Most platforms promise flexibility, but Inovaare delivers compliance-grade LCNC customization, tailored Medicare, Medicaid, and Commercial plan workflows without requiring developers.
When evaluating a healthcare cloud platform, payer leaders should prioritize solutions that are built specifically for the health plan environment, not repurposed from provider or CRM platforms. The platform must be HITRUST and HIPAA compliant, offer built-in CMS and state-level regulatory logic, and support payer-specific workflows like audit readiness, delegation oversight, grievance tracking, and corrective action planning. It should also include low-code/no-code capabilities, integrated reporting, and scalable architecture to accommodate growth and regulatory changes. Inovaare stands out by offering all of this in one unified, modular platform tailored to Medicare, Medicaid, and Commercial payers.
Cloud platforms can significantly improve compliance for health plans by centralizing regulatory data, automating key compliance workflows like universe file scrubbing and CAP tracking, and providing real-time visibility into audit status and risk. Unlike disconnected spreadsheets and legacy systems, a healthcare payer cloud platform offers structured, workflow-driven processes that reduce manual errors and ensure readiness for CMS audits. Inovaare’s platform takes this further with embedded regulatory intelligence and AI that flags gaps, tracks timelines, and assists in documentation review, helping compliance teams stay proactive, not reactive.
Health plans that move to a dedicated payer cloud platform gain multiple operational and strategic advantages. These include faster CMS audit prep, more accurate Appeals & Grievances tracking, streamlined delegation oversight, and improved member experience through integrated service workflows. Centralized dashboards allow real-time monitoring of KPIs, audit findings, and vendor performance.
With platforms like Inovaare’s, payers can eliminate data and operational silos, reduce manual workload, and drive measurable improvements in compliance and efficiency, all while reducing the cost of ownership.
Generic platforms like Salesforce Health Cloud, Google Cloud, or Microsoft Azure may offer cloud capabilities, but they’re not tailored to the unique regulatory and operational needs of payers. These platforms often require extensive custom development to support use cases like CMS universe scrubbing, policy tracking, or delegated entity audits. In contrast, Inovaare’s platform comes prebuilt with these functions, eliminating the need for bolt-ons and reducing implementation time. If your health plan needs out-of-the-box compliance tools with real-time reporting, a generic platform simply isn’t enough.
Yes. Inovaare’s platform is built to replace fragmented legacy systems and point solutions commonly used in health plans. Instead of juggling separate tools for A&G case tracking, audit readiness, vendor oversight, reporting, and compliance documentation, payers can centralize everything on a single, secure, cloud-native foundation.
Inovaare is built on a modern, API-first architecture with native support for HL7, FHIR, SFTP, and REST integrations. Whether you’re syncing with your core claims system, EHR, CRM, or existing BI tools, the platform supports secure, standards-based data exchange. This allows CIOs to avoid building costly custom integrations and instead focus on scalable, interoperable infrastructure that reduces tech debt and simplifies onboarding.
A cloud-hosted app is simply a traditional software system moved to the cloud. A true health cloud platform, like Inovaare, is built natively for cloud operations, with elastic scaling, multi-tenant security, role-based access, and low-code configurability. It also comes preloaded with payer-specific modules that CIOs don’t need to build from scratch, reducing implementation time, cost, and risk.
Yes. While Inovaare is primarily built for Medicare, Medicaid, and Commercial health plans, its flexible compliance workflows, FDR audit modules, and rules-driven automation can be configured to support TRICARE-aligned plan requirements, including delegation oversight and operational tracking.
No. Inovaare’s healthcare payer cloud platform is fully modular. Each solution—whether it’s Appeals & Grievances, Delegation Oversight, Audit & Monitoring, or Data Scrubbing, can be deployed individually, based on your priorities. You can start with one module and scale over time without disrupting your existing systems or workflows.