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Description

Enhance clinical quality metrics, improve the accuracy of risk scores, boost patient and provider involvement, elevate patient outcomes, ensure operational transparency, and optimize economic performance through a singular, integrated suite of software solutions. The Inovalon Payer Cloud revolutionizes conventional workflows by transitioning them into data-driven methodologies that align with your health plan’s primary goals. Supported by top-tier analytics capabilities, our unified SaaS solutions provide the essential member-centric insights along with the speed, precision, and adaptability required to maintain a competitive edge in today’s varied and rapidly evolving market. Inovalon's healthcare payer SaaS suite not only delivers valuable insights and actionable strategies but also empowers health plans to assess, manage, and enhance health outcomes, economic efficiency, and the overall quality of care. With our payer solutions, stakeholders can achieve improved member care and outcomes while simultaneously enhancing operational performance and efficiency, leveraging advanced analytics and agile business intelligence tools to navigate the complexities of the healthcare landscape more effectively. As a result, organizations can cultivate a proactive approach to healthcare management, ensuring they are well-equipped to meet both current and future challenges.

Description

The Turquoise Health Enterprise platform offers a wide-ranging array of solutions centered on healthcare price transparency and the management of contracting processes, featuring modules like Clear Rates Data, which compiles an extensive dataset of over a trillion records related to providers, payers, professionals, drugs, and devices for both institutional and professional services. In addition, it incorporates Clear Contracts, a cloud-based application designed to facilitate the creation, negotiation, and storage of contracts for both payers and providers. This platform also provides Compliance+ to aid organizations in adhering to the requirements for machine-readable files and Good Faith Estimate regulations, along with Analytics tools that allow users to benchmark and investigate market-level rate data. Furthermore, it offers Custom Rates extracts specifically designed for niche healthcare segments, Standard Service Packages comprising pre-assembled bundles of frequently performed procedures, and Search and Care Search dashboards that assist in the discovery and comparison of rates. Additionally, the Turquoise Verified program empowers both providers and payers to efficiently publish and manage their price transparency information, ensuring that all stakeholders benefit from accessible and reliable pricing data.

API Access

Has API

API Access

Has API

Screenshots View All

Screenshots View All

Integrations

Inovalon ONE Platform

Integrations

Inovalon ONE Platform

Pricing Details

No price information available.
Free Trial
Free Version

Pricing Details

No price information available.
Free Trial
Free Version

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Vendor Details

Company Name

Inovalon

Country

United States

Website

www.inovalon.com/products/payer-cloud/

Vendor Details

Company Name

Turquoise Health

Founded

2020

Country

United States

Website

turquoise.health/#enterprise

Product Features

Insurance Claims Management

CRM
Claims tracking
Customer portal
Document management
EDI data exchange integrations
Electronic claims
Fraud management
Reporting

Product Features

Alternatives

Alternatives