Bring more cost-effective care to your members through technology-enabled improvements in your core care and utilization management functions.
Engage your providers and members to enhance your core care and utilization management functions and drive medical and admin cost savings. The solution unlocks value for health plans across a range of areas from care management to referrals to prior authorization, among others.
Drive network keepage & appointment adherence
Insights on SDOH
Closure of coding gaps
Improve prior authorization processes & outcomes
Empowered & engaged providers and members
Assess the success rate of your MA Plan and get insights into devising strategies.
Assist providers to eliminate coding gaps. Follow up with providers to ensure prompt closure of outstanding coding gaps flagged at the point of care.
Take your provider’s care management initiatives to the next level. Drive improved outcomes with enhanced care coordination and engage both providers and members on shared care objectives.
Look beyond clinical data in proactively identifying and addressing the social determinants of health of your members to drive downstream health outcomes.
Put a stop to referral leakage in your network. Follow-through to schedule referrals placed by providers and engage members to reduce no-shows and improve adherence to pre-visit requirements. Close the loop by sharing specialist visit details with the referring provider.
Improve the provider experience with an in-workflow point of care prior auth interface, paired with streamlined review systems and processes for your UM team.
Innovaccer focuses on driving more collaboration and connectivity in the healthcare ecosystem by providing an integrated solution that addresses payer needs by focusing on critical, overlapping needs across the value chain.