Case Study: Largest Healthcare IT Company achieves a 0.5-point STAR Rating improvement with Innovaccer

How a Medicare Advantage Plan Improved its Star Rating with Innovaccer

Largest Healthcare IT Company, one of the largest healthcare information technology firms based in the US/Puerto Rico with over 1,200 providers and 600,000 members, struggled with fragmented data across EHRs, labs, claims and other sources and lacked holistic clinical visibility to identify improvement opportunities and raise its Medicare Advantage STAR rating. To address this, the organization engaged Innovaccer and its Data Activation Platform (along with its analytics and care-management tools) to integrate disparate data and generate actionable patient-level insights.

Innovaccer consolidated out-of-network evidence, clinical records and adjudicated/pre-adjudicated claims to create standardized, longitudinal patient records, and used InGraph analytics and InCare AI-assisted care management to risk-stratify patients and drive targeted interventions. As a result, Innovaccer helped Largest Healthcare IT Company flag over 600,000 care gaps at the point of care, create 10+ customized care plans, improve STAR Ratings by 0.5 points, reduce ED utilization by 6%, capture 50% cost-savings opportunities, and close 11% of care gaps within three months.