Case Study: Leading Healthcare Information Technology Company raises Medicare Advantage Star Rating from 3.5 to 4.5 with Innovaccer's Data Activation Platform

How To Successfully Manage Medicare Advantage Plans As A Provider Using A Data Activation Platform

Leading Healthcare Information Technology Company, operating in Puerto Rico, struggled with fragmented clinical and claims data from more than five sources for roughly 15,000 attributed lives, which left them without real-time visibility to identify and close care gaps and improve Medicare Advantage Star Ratings. To address this, they partnered with Innovaccer and adopted Innovaccer’s Data Activation Platform (including tools such as InCare and InGraph) to unify disparate datasets and support targeted population-health interventions.

Innovaccer aggregated data with 200+ prebuilt connectors, mapped records to a universal schema, and delivered real-time analytics and outreach capabilities so the customer could identify 20 priority measures—prioritizing Annual Wellness Visits—design outcome-specific care plans, and automate patient engagement. As a result, Innovaccer helped streamline clinical and claims data for over 15,000 members, improve gap-closure rates by approximately 10–15%, and raise the network’s Star Rating from 3.5 to 4.5.