Inovalon, a leading provider of data and solutions empowering data-driven healthcare, has been named the top-rated vendor for Quality, HEDIS®, Stars, Consumer Assessment of Healthcare Providers and Systems (CAHPS), and Digital Measurement by Black Book Research. The ranking is based entirely on responses from more than 8,000 verified managed care and health plan professionals.
Health plans face mounting pressure to deliver accurate HEDIS submissions, improve Star Ratings, adapt to CMS methodology changes, and prepare for a full transition to digital quality measures (dQMs) by 2030. Inovalon’s Converged Quality™ processes clinical quality metrics on more than 205 million lives per year — over 85% of all HEDIS-covered lives nationally. More than 100 health plans, including 12 of the top 15 in the United States, rely on Converged Quality.
“Health plans are being asked to do more every year, whether that’s adapting to new CMS requirements, improving quality performance, or preparing for the shift to digital quality measures,” said Mike Jones, President of Inovalon’s Payer Business Unit. “Black Book’s recognition reflects how Inovalon continues to stay ahead of regulatory change and give health plans the insights needed to improve care quality for their members.”
Converged Quality has achieved NCQA HEDIS Measure Certification for 26 consecutive years, one of only five vendors to hold that designation. Inovalon is also one of three vendors to achieve 100% validation coverage for NCQA’s digital quality measures, which will help health plans prepare for the industry-wide shift to dQMs and align with Clinical Quality Language (CQL) and HL7® FHIR® standards by 2030.
“As health plans prepare for digital quality measures by 2030, they will need a trusted and experienced partner to help navigate this transition,” said Doug Brown, Founder of Black Book. “Inovalon’s top ranking reflects consistent, verified, and improved performance year after year that health plans can rely on as they transition to digital quality measurement.”
To learn more about Inovalon’s Converged Quality solution, visit: www.inovalon.com/products/payer-cloud/quality/
About Inovalon
Inovalon is a leading provider of data and solutions empowering data-driven healthcare. We bring together national-scale connectivity, real-time primary source data access, and advanced analytics into a sophisticated platform empowering improved outcomes and economics across the healthcare ecosystem. The company’s analytics and capabilities are used by over 50,000 active, licensed customers, and are informed by the primary source data of more than 99 billion medical events across 1.1 million physicians, 733,000 clinical settings, and 458 million unique lives. For more information, visit www.inovalon.com.
About Black Book
Black Book Research provides independent healthcare technology, services, and outsourcing research for providers, payers, investors, advisors, and technology buyers. Black Book develops vendor-agnostic performance intelligence, user-driven research, and decision-support frameworks for healthcare organizations evaluating technology, automation, analytics, outsourcing, and operational transformation.
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