Case Study: a Fortune 500 U.S.-based health insurance provider achieves 100% CMS audit success with Inovaare UMS

Fortune 500 U.S.-based Health Insurance Provider cuts audit review time by 90% with Inovaare

A Fortune 500 U.S.-based health insurance provider faced significant challenges in preparing for CMS program audits. Its audit team relied on highly manual processes, taking over two weeks to consolidate data from more than 27 contributors using conventional tools, which created a fragmented and error-prone environment. This led to struggles generating clean universes, audit deficiencies, and elevated external costs. To address this, the provider turned to Inovaare for a solution.

Inovaare implemented its Universe Management System (UMS) to automate the collection, review, and submission of audit universes. The solution provided built-in CMS compliance logic and real-time dashboards for continuous monitoring. This implementation delivered transformative results, including a 90% reduction in audit review time, a 67% reduction in audit follow-up costs, and a 100% success rate on its first CMS audit submission, with all universes passing without need for resubmission.

Fortune 500 U.S.-based Health Insurance Provider