Inovalon

Value-based care has become a cornerstone of modern healthcare, and success hinges on strong partnerships between health plans and providers. How do you cultivate collaboration, trust, and transparency? Read how health plans can engage, empower, and simplify value-based care initiatives, from streamlining reporting to personalizing programs for better outcomes. https://ow.ly/WkKh50Vnwas #ValueBasedCare #DataDrivenHealthcare

Today's new employee spotlight is on Michelle Karl! Michelle brings a wealth of expertise to her new role as Project Manager for Clinical Applications on the Provider Team, where she's focused on identifying innovative ways to enhance applications that support the Skilled Nursing Facility industry. With deep roots in healthcare, from her early days as a certified nursing assistant to her leadership roles as a regional MDS nurse, assistant director of nursing, and quality assurance nurse, Michelle has walked nearly every mile in long-term care. Her work has touched every corner of the post-acute space, including home health, payment integrity, clinical sales engineering, and sales strategy. Her knowledge spans areas like MDS 2.0 and 3.0, RAI guidelines, UB04, Medicare and Medicaid claims, and quality measures. She's partnered with auditors to drive accuracy and payment integrity, and she's led teams through complex regulatory and care standards transitions, all with a laser focus on quality outcomes. Welcome to Inovalon, Michelle! We're thrilled to have your passion and perspective on the team as we work together to improve care across the healthcare continuum. Ready for a rewarding career? We are looking for people who are passionate about using the power of data to solve healthcare’s biggest challenges. Check out our career opportunities: https://ow.ly/siWY50Voy8P #TeamInovalon #NewHireSpotlight

RISE National 2025 reminded us all: the spotlight is on risk adjustment and compliance like never before. With the OIG report on HRAs, tighter oversight on MA plans, and RADV audits looming, health plans can’t afford to wait. Join Kathryn Eshelman, M.D., M.P.H., Kate Marta, and Joe Fetsko as they break down the top takeaways from RISE 2025, unpack regulatory trends, and share actionable steps to improve risk score accuracy, provider collaboration, and audit preparedness. ?? Date & Time: Thursday, March 27 | 3:00 PM ET ?? LinkedIn Come with your questions and join the discussion! #RISENational2025

Value-based care has become a cornerstone of modern healthcare, and success hinges on strong partnerships between health plans and providers. How do you cultivate collaboration, trust, and transparency? Our latest blog explores how health plans can engage, empower, and simplify value-based care initiatives, from streamlining reporting to personalizing programs for better outcomes. Read the full blog here: https://ow.ly/WkKh50Vnwas #ValueBasedCare #DataDrivenHealthcare

How complete is your real-world data strategy? Too often, siloed claims data creates gaps in research & HEOR studies. Join Sara Pesko and Seth Kuranz on March 27 webinar to explore: ?? The impact of closed claims data on market access ?? How tracking longitudinal patient journeys improves insights ?? Best practices for reducing inefficiencies & strengthening RWE Secure your spot today: https://ow.ly/x0Rg50VlWfC

Health plans: enable your medical record reviewers to do their job faster and more easily without sacrificing accuracy or compliance. Inovalon’s Converged Record Review software reduces costly, unnecessary manual record reviews, enabling reviewers to quickly identify and abstract risk-adjustable conditions using natural language processing. See how it works and learn more about Converged Record Review: https://ow.ly/1bMr50VoEgA #NLP #MedicalRecordReviewSoftware #RiskAdjustment

What’s the latest research saying about Medicare Advantage? If you're attending AHIP's 2025 Medicare, Medicaid, Duals & Commercial Markets Forum, get the inside scoop from Christie Teigland as she joins the panel with Elevance Health and America's Physician Groups. Here’s a hint: The data speaks volumes. https://ow.ly/4bqe50VmrjM #DataScience #Medicare

At Inovalon, it’s the people behind the platform who make the biggest impact. Whether you're improving patient outcomes, solving complex challenges, or supporting one another across teams, you make a difference every day. Thank you, #TeamInovalon, for all that you do. #EmployeeAppreciation

From powerful stories of transformation across healthcare to a message from our CEO, this month’s newsletter is packed with insights you won’t want to miss: ?????????? ???????? ???????? ???????? ???? ?????????????????? ????????????????: In our latest INOvators episode, discover how data is helping clinicians close gaps in specialty pharmacy care. ?????????????? ?????????? ???????? ???? ?????????? ??????????????????: See how Mason District Hospital improved eligibility and slashed denial rates with Inovalon’s RCM platform. ?????????????????????? ????????????????: Explore predictions from healthcare and tech leaders on what’s next in streamlining care delivery. ???????????????? ?????? ???????? ???? ?????????????? ????????????: Learn how the PSSM framework supports stronger, more transparent, and compliant care systems. #RevenueCycle #SpecialtyPharmacy #PatientSafety

Most RWE strategies fail due to fragmented, siloed data. The solution? Closed claims data. Join Sara Pesko and Seth Kuranz on March 27, and explore how healthcare leaders are leveraging RWD to: ?? Improve patient journey tracking ?? Reduce inefficiencies in HEOR studies ?? Strengthen commercial decision-making Reserve your spot today: https://ow.ly/Y9lS50VlVKq