New solution streamlines risk adjustment and quality gap closure, reducing administrative burden and improving provider collaboration

SAN FRANCISCO: Innovaccer Inc., a leading Healthcare AI company, today announced the launch of its 360-Degree Gap Closure Solution for Payers, a fully integrated solution designed to help health plans streamline risk adjustment and quality improvement. The launch comes at a critical time, with CMS tightening regulatory oversight and value-based care adoption accelerating.

The 360-Degree Gap Closure Solution enables payers to boost coding accuracy and enhance member outcomes, through improved engagement across care settings while leveraging advanced analytics, automation, and seamless data governance.

Health plans today are focusing on eliminating inefficiencies in technology and process to improve accuracy and efficiency of closing gaps. Innovaccer’s new offering simplifies these processes by integrating real-time data, analytical insights, and AI-enhanced workflows. Unlike the traditional approach of closing gaps retrospectively, the solution takes a more proactive approach of combining prospective, concurrent, and retrospective reviews. The solution enables payers to launch one-click campaigns to close gaps effectively across care settings including provider offices, pharmacies, and at-home interventions.

“We are bringing a much-needed shift in how payers approach risk and quality,” said Abhinav Shashank, cofounder and CEO at Innovaccer. “Instead of piecing together multiple vendors and solutions, health plans can now close gaps efficiently across the entire care journey, whether at a provider’s office, in pharmacies, or through at-home test kits, all with real-time data integration and automation.”

Health plans had to historically rely on disconnected tools and resource-intensive manual processes, leading to inefficiencies, compliance risks, and increased costs. Innovaccer’s solution eliminates these silos, ensuring seamless data exchange with provider EHRs and reducing the IT burden.

To learn more about Innovaccer's risk adjustment and quality gap closure solutions, visit https://innovaccer.com/solutions/payer.

About Innovaccer

Innovaccer activates the flow of healthcare data, empowering providers, payers, and government organizations to deliver intelligent and connected experiences that advance health outcomes. The Healthcare Intelligence Cloud equips every stakeholder in the patient journey to turn fragmented data into proactive, coordinated actions that elevate the quality of care and drive operational performance. Leading healthcare organizations like CommonSpirit Health, Atlantic Health, and Banner Health trust Innovaccer to integrate a system of intelligence into their existing infrastructure—extending the human touch in healthcare. For more information, visit innovaccer.com.

Fonte: Business Wire