2
© 2015 by Inovalon. All rights reserved. The Inovalon spiral is a registered trademark of Inovalon. MORE 2 Registry ® is a registered trademark of Inovalon. Healthcare Data Insights™ combines the power of one of the industry’s largest healthcare datasets with unparalleled capabilities in data abstraction, aggregation, integration and analytics to support healthcare, pharmaceutical, academic, and life sciences organizations. Healthcare Data Insights Answer critical healthcare and life sciences questions Inovalon 4321 Collington Road Bowie, MD 20716 301-809-4000 www.inovalon.com About Inovalon Inovalon is a leading technology company that combines advanced cloud-based data analytics and data-driven intervention platforms to achieve meaningful insight and impact in clinical and quality outcomes, utilization, and financial performance across the healthcare landscape. Inovalon’s unique achievement of value is delivered through the effective progression of Turning Data into Insight, and Insight into Action®. Large proprietary datasets, advanced integration technologies, sophisticated predictive analytics, data-driven intervention platforms, and deep subject matter expertise deliver a seamless, end-to-end capability that brings the benefits of big data and large-scale analytics to the point of care. Driven by data, Inovalon uniquely identifies gaps in care, quality, data integrity, and financial performance – while bringing to bear the unique capabilities to resolve them. Providing technology that supports hundreds of healthcare organizations in 98.2% of U.S. counties and Puerto Rico, Inovalon’s cloud-based analytical and data- driven intervention platforms are informed by data pertaining to more than 763,000 physicians, 257,000 clinical facilities, and more than 121 million Americans providing a powerful solution suite that drives high-value impact, improving quality and economics for health plans, ACOs, hospitals, physicians, consumers and pharma/life-sciences researchers. For more information, visit www.inovalon.com. FOR PAYERS Improved quality ratings and five-star reimbursement Improved risk score insight and reimbursement accuracy Improved utilization, insight, and performance Increased insight into operational, financial, and clinical performance Decreased unnecessary utilization Lowered fraud, waste, and abuse Higher member retention FOR PROVIDERS Improved clinical and quality outcomes Decreased unnecessary utilization Increased continuity of care within health systems and accountable care organizations Better provider decision support Enhanced care coordination Increased patient disease, comorbidity, and care management insight FOR PHARMA AND RESEARCH Increased insight into comparative effectiveness Research, development, and clinical trial support Adverse event reporting and surveillance Business intelligence Custom datasets and registries Distributed analytics FOR MEMBERS Improved clinical and quality outcomes Better communication with payers and providers More awareness of health status and areas of potential improvement CARE COORDINATION AND ENHANCEMENT CLINICAL AND QUALITY OUTCOMES CLAIMS AND PAYMENT INTEGRITY HEALTHCARE DATA INSIGHTS

FOR MEMBERS FOR PHARMA AND RESEARCH … Data Insights™ delivers custom healthcare datasets and registries to support marketing research, disease management analysis, fraud,

Embed Size (px)

Citation preview

Healthcare Data Insights™

ANSWER CRITICAL HEALTHCARE AND LIFE SCIENCES QUESTIONS

© 2015 by Inovalon. All rights reserved.The Inovalon spiral is a registered trademark of Inovalon.MORE2 Registry® is a registered trademark of Inovalon.

Healthcare Data Insights™ combines the power of one of the industry’s largest healthcare datasets with unparalleled capabilities in data abstraction, aggregation, integration and analytics to support healthcare, pharmaceutical, academic, and life sciences organizations.

Hea

lthca

re D

ata

Insi

ghts

™A

nsw

er c

riti

cal h

ealt

hca

re a

nd lif

e sc

ien

ces

qu

esti

on

s

Inovalon4321 Collington RoadBowie, MD 20716

301-809-4000

www.inovalon.com

About Inovalon

Inovalon is a leading technology company that combines advanced cloud-based data analytics and data-driven intervention platforms to achieve meaningful insight and impact in clinical and quality outcomes, utilization, and financial performance across the healthcare landscape.

Inovalon’s unique achievement of value is delivered through the effective progression of Turning Data into Insight, and Insight into Action®. Large proprietary datasets, advanced integration technologies, sophisticated predictive analytics, data-driven intervention platforms, and deep subject matter expertise deliver a seamless, end-to-end capability that brings the benefits of big data and large-scale analytics to the point of care. Driven by data, Inovalon uniquely identifies gaps in care, quality, data integrity, and financial performance – while bringing to bear the unique capabilities to resolve them. Providing technology that supports hundreds of healthcare organizations in 98.2% of U.S. counties and Puerto Rico, Inovalon’s cloud-based analytical and data-driven intervention platforms are informed by data pertaining to more than 763,000 physicians, 257,000 clinical facilities, and more than 121 million Americans providing a powerful solution suite that drives high-value impact, improving quality and economics for health plans, ACOs, hospitals, physicians, consumers and pharma/life-sciences researchers. For more information, visit www.inovalon.com.

FOR PAYERS

Improved quality ratings and five-star reimbursement

Improved risk score insight and reimbursement accuracy

Improved utilization, insight, and performance

Increased insight into operational, financial, and clinical performance

Decreased unnecessary utilization

Lowered fraud, waste, and abuse

Higher member retention

FOR PROVIDERS

Improved clinical and quality outcomes

Decreased unnecessary utilization

Increased continuity of care within health systems and accountable care organizations

Better provider decision support

Enhanced care coordination

Increased patient disease, comorbidity, and care management insight

FOR PHARMA AND RESEARCH

Increased insight into comparative effectiveness

Research, development, and clinical trial support

Adverse event reporting and surveillance

Business intelligence

Custom datasets and registries

Distributed analytics

FOR MEMBERS

Improved clinical and quality outcomes

Better communication with payers and providers

More awareness of health status and areas of potential improvement

CARE COORDINATION AND

ENHANCEMENT

CLINICALAND

QUALITYOUTCOMES

CLAIMS AND PAYMENT

INTEGRITY

HEALTHCAREDATA

INSIGHTS

Clients include hundreds of healthcare organizations impacting more than 121 million members | Analytics informed by more than 9.6 billion medical events | Seamless integration with HCC, CDPS, ACG, DxCG, CRG, and other risk factor model systems

More than 2,500 employees and analytical systems impact over 257,000 clinical facilities and 763,000 practitioners nationwide | 1,100 data integrity checks | 10,000,000+ medical record validations | Presence in more than 98.2% of U.S. counties and Puerto Rico

Pharmacovigilance and Drug SafetyInovalon™ provides the depth and breadth of data required to understand the long-term and short-term adverse effects of medicines. We can identify patients with prescriptions for specific medications and assess the specific drug therapy benefits, risk, harm, effectiveness, and efficacy. Using diagnoses, comorbidity, and demographic data, and having the ability to link patient records over time, we provide the detailed longitudinal data and analysis necessary to support pharmacovigilance and drug safety initiatives.

Pharmaceutical Marketing IntelligenceGoing beyond typical trend analysis and benchmarking, Inovalon’s Healthcare Data Insights™ informs marketing intelligence with meaningful analysis. We provide dynamic access to specific diagnostics, interventions, cost drivers, and outcomes within a hospital catchment, specific membership base, employee population, national landscape, or other client-defined target.

Clients have dynamic access to the metrics needed to develop informed marketing strategies: inpatient and outpatient diagnoses, comorbid conditions, utilization, formulary, outcomes, complications, financial, and competitor information.

Patient Registries and Custom DatasetsHealthcare Data Insights™ delivers custom healthcare datasets and registries to support marketing research, disease management analysis, fraud, waste and abuse surveillance, population modeling, medical product safety testing, predictive model development, and other client-specific initiatives. Partnering with clients to identify their objectives and establish goals, we identify the dataset parameters, determine sample sizes, direct inclusion criteria, target valuable supplemental sources, and abstract from thousands to millions of data entries to create comprehensive datasets and registries.

Healthcare Data Insights™ combines the power of one of the industry’s largest healthcare datasets with unparalleled capabilities in data abstraction, aggregation, integration and analytics. Inovalon™ provides the insight pharmaceutical professionals need to answer critical healthcare and life sciences questions:

• What is my drug worth?• Who is taking my drug?• How can I better manage the cost of research and

development?• Where is the market for my drug?

Health Economic and Comparative Effectiveness ResearchDetermining optimal drug therapies for each patient is critical to the delivery of quality care and financial performance. Applying advanced analytics to extensive aggregated datasets, Inovalon’s Healthcare Data Insights™ informs comparative effectiveness research by providing visibility into the factors associated with compliance and persistence. We have the depth of data and analytical expertise to examine specific comorbid conditions, geography and demography and how each impacts compliance and persistence.

Research, Development and Clinical Trial SupportDevelopment of new drugs, diagnostics, and medical devices is time-consuming, complex, and costly. Healthcare Data Insights™ can reduce time to market and strategically manage the cost of research and development. To support clinical trials, we can help identify the providers and sites that will yield the greatest enrollment, while meeting client geographic and demographic requirements. Inovalon™ can identify potential participants using provider, pharmacy prescription, diagnoses, comorbidity, and demographic data. This optimizes clinical trial participation and reduces associated costs of clinical trial monitoring.

Medical Outcomes Research for Effectiveness and Economics Registry (MORE2 Registry®) Healthcare Data Insights™ maximizes the capabilities of Inovalon’s MORE2 Registry® data warehouse, which contains information from more than 9.6 billion medical events from more than 121 million unique (and de-identified) individuals across the country. Encompassing more than 8.5 billion member-months of data, the dataset goes beyond claims data to include information about demographics, enrollment, diagnoses, procedures, pharmacy and laboratory results and presents a significant representative mix of commercial, Medicare, and Medicaid managed care plan members. The MORE2

Registry® is augmented regularly and growing at a rate in excess of 42.6% annually.

Medical Record Review Capabilities Inovalon™ has reviewed millions of pages of medical records and has a nationwide capability to review 50,000 targeted medical records per day. We employ thousands of in-community personnel and quality assurance teams across the country operating in virtually every county in the United States, plus Puerto Rico and the District of Columbia. Inovalon’s proprietary analysis, data collection and scheduling platform ensures that information is obtained in the most efficient and secure way possible with minimal disruption to providers and their office staff.