Inovalon

Inovalon operates a healthcare technology platform serving payers, providers, pharmacies, and life sciences organizations across the United States. The company maintains connectivity to over 1.1 million physicians and 716,000 clinical settings, with a data repository covering more than 451 million unique lives and 95 billion medical events.

The company's solutions span quality measurement and HEDIS reporting, revenue cycle management, specialty pharmacy operations, and clinical data integration. Inovalon serves 25 of the top 25 U.S. provider systems, 15 of the top 15 U.S. health plans, 13 of the top 15 global pharmaceutical companies, and 3 of the top 10 U.S. specialty pharmacies. The platform supports over 50,000 active licensed customers.

Inovalon's products include Converged Quality for HEDIS and Star Ratings measurement, Claims Management Pro for all-payer revenue cycle management, ScriptMed Specialty for pharmacy operations, and DataStream for point-of-care data integration. The company has published over 500 research studies and peer-reviewed articles utilizing its data assets.

Choose Inovalon when your organization needs established connectivity to major payers and providers, proven HEDIS and quality reporting capabilities, or comprehensive all-payer revenue cycle management. The platform excels in scenarios requiring large-scale data aggregation, automated quality measurement, or specialty pharmacy operations with medication adherence analytics.

Expect a managed services approach with implementation support, ongoing customer service, and access to a mature platform serving thousands of healthcare organizations. The company provides detailed analytics and reporting capabilities across quality, revenue cycle, and clinical operations.

Inovalon operates exclusively in healthcare, serving payers, providers, pharmacies, and life sciences companies. The platform addresses healthcare-specific requirements including HEDIS quality measurement, NCQA health plan ratings, Medicare and Medicaid billing, specialty pharmacy regulations, and value-based care programs. The company maintains HIPAA compliance and offers Business Associate Agreements.

Solutions address vertical-specific needs including health plan quality reporting, hospital revenue cycle optimization, specialty pharmacy medication adherence, and pharmaceutical real-world evidence generation. The platform's data connectivity spans ambulatory, acute care, behavioral health, home health, and senior care settings.

Mid-to-large health plans managing HEDIS and Star Ratings, multi-facility hospital systems requiring all-payer revenue cycle management, specialty pharmacies needing medication adherence analytics, and pharmaceutical companies conducting real-world evidence research. Organizations that value established payer connectivity, proven regulatory compliance, and mature platforms with extensive customer references across multiple healthcare verticals.