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Innova Solutions Recognized as a Major Contender in Everest Group’s

Healthcare Data & Analytics Services PEAK Matrix® Assessment 2024

Innova Solutions Emerges as a Major Contender

Innova Solutions Emerges as a Major Contender in Everest Group’s Digital Transformation Services for Mid-market Enterprises PEAK Matrix® Assessment 2024

Innova Solutions Celebrated as a Major Contender in Everest Group’s

Healthcare Provider Digital Services PEAK Matrix® Assessment 2024

Innova Solutions Acknowledged as a Leader in HFS Horizons

HCP Service Providers, 2024

Overview

Healthcare organizations face the complex challenge of driving business growth while addressing rising healthcare demands, increasing operational costs, and complex care delivery. With over two decades of expertise in technology and healthcare, Innova Solutions partners with payers, providers, life sciences, and digital health companies to streamline operations, reduce costs, and create seamless patient experiences through cutting-edge technology.

We help our clients:

Personalize care programs and strengthen health literacy to improve patient outcomes
Streamline collaboration among payers, providers, and pharmaceutical companies to control costs and simplify operations
Enhance data quality, optimize resources, and accelerate R&D with advanced technology
Ensure compliance with federal and state regulations across data privacy, drug development, digital health, Medicare, and Medicaid

Segments We Serve

Payers

Our payer-centric IT solutions enable organizations to transform core administrative processes, deliver unified customer experiences, retain and grow membership (including Medicare Advantage population), improve clinical efficiencies, and effectively utilize longitudinal health data to improve population health.

Providers

We partner with healthcare provider organizations to maximize the return on their technological investments, supporting clinical, operational, and financial objectives.
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Digital Health

Our experts help digital health organizations build effective product strategies, accelerate time to market, and integrate seamlessly with payers and providers.

Life Sciences

From R&D to commercialization, our experts deliver digital solutions that address the most complex challenges in life sciences. We provide end-to-end support, including opportunity assessments, data programs, cloud services, AI/ML models, automation, customer engagement, and cybersecurity.

Revenue Cycle Management

We bridge the talent gap in healthcare by providing specialized workforce and consulting solutions to hospitals, healthcare systems, payers, and providers throughout the United States.
SUCCESS STORIES

Witness Our Latest Clients Successes

Transforming Healthcare Payments with a Scalable, AI-Enabled Payment Hub

Redefining Quality at Scale: How a Global Healthcare Leader Cut QA Effort in Half with AI-Driven Engineering

Unlocking Healthcare Sales Insights with Conversational AI

Enabled a Biopharmaceutical Company to Have a Compliant Workforce

Performed a comprehensive IC compliance review within a quick turnaround time

Developed and Deployed a Customized Staffing Solution for an Analytical Lab

Acted as the client’s exclusive HR partner for all contract hiring needs

Provided a Customized Solution to an International Provider of Genomic Services

Developed an image classification model for quick clinical results

Improved Customer Experience for a Global Life Sciences Company

Built a custom application that facilitates request management that ultimately led to quicker time to resolve requests

Reduced Operational Cost for a Life Sciences Technology Company

Helped the client to reduce human effort by 82%

Better Outcomes by Using Innova’s Biostatistics as a Service Model

Biostatistics as a service model for the development of insights and reduction in clinical studies cost

OCR Solution for Insurance

Achieved 2.4X increase in market share for an insurance company by automating their document capture process

Group Insurance Application Modernization

Modernized the group insurance application of a global financial company to store additional client information

Medicare Risk Adjustment & Plan Rating Solution

Reduced manual efforts by 20% & dramatically improved reporting accuracy

Medicare Advantage Core Administrative System

Reduced administrative cost for a leading health payer in the US by 10% to 15%

Integrate Claim, Member, Provider and Clinical Data into Corporate RTR

Integrated the health plan data as per the business need of a diversified, multi-national FORTUNE® 50 major health insurance provider…

Enhanced Client Submissions from State for NY Duals and Supplemental Minimum Wages

Integrated dual claims split and minimum wages information into replication process for claim submissions

Enhanced TPA’s Core Business Operations

Reduced cost of infrastructure-setup for an independently owned third-party administrator firm and increased profits by 12%

Sales Application to Enabling Users Shop for Healthcare Plans

Improved user experience for a leading BCBS payer by reducing response time while searching for agents

Integrating Plans, Members and Pricing Arrangements of Multiple Players in Existing Systems

Improved payment accuracy & relationship with providers for a major health insurance provider

Enrollment Management Solution for a Leading US Health Insurance Company

Improved the enrollment process a leading health payer based out of US and removed duplicate applications for thereby reducing the…

FHIR-Complaint Clinical Registry Platform

Improved productivity of human abstractors deriving from notes

Advanced Analytics Platform to Detect Post-op Complications

Early and accurate detection of complications during post-operative care for improved surgical outcomes

Big-Data Approach to Real-Time and Visual Analytics

How Big Data and Visual Analytics with real-world evidence can boost clinical decision making

Created Single Point Access to Manage Referring Providers’ Data

Significantly improved data management leading to minimized turnaround time

Data solutions for healthcare

Secure and reliable access to IoT devices data in healthcare

Patient risk score prediction

Implemented a solution to identify a patient's risk score based on their profile

Mobile app to monitor patient health

Capturing and monitoring patient health status with minimal human intervention

FHIR-compliant medical specialties registry application

Improving patient satisfaction through FHIR implementation

Scalable payer solution for faster enrollment & higher conversions

Enhancing customer experiences and boosting conversion rates through scalable and engaging payer enrollment platforms

Data analysis and reporting for healthcare professionals

Enabled enhanced flexibility of reporting and analysis through a robust MDM strategy

Middleware for SOA, Routing and Streaming (ESB)

Provisioning the infrastructure based on the enterprise and other application requirements

Achieved annual cost savings of $400K for a healthcare provider

Designed and Developed Data Lake Platform using AWS S3 and Apache Spark

Reduced operational cost and enhanced security compliance for a healthcare provider

Achieved Enhancements and Optimizations in Process and Infrastructure

Building a conversational bot platform for healthcare payers, providers and Life science customers

AI-enabled Enterprise Chatbot Platform

Developed Single Source System with Dashboards for Healthcare Technology Company

A highly robust, scalable and tool-agnostic solution

Encounter Management System for a Health Tech Company

Streamlined the encounters intake and submission process thereby increasing efficiency by 30%

NLP Driven Medical Record Review as a Service (MRRaaS)

60% decrease in time required for synthesis of clinical guidelines

Revenue Cycle Analytics

Enabled the client to to optimize revenue cycle performance

Patient Engagement Suite (PES)

Delivered 1 PES (Patient Engagement Suite) Integrator to synchronize data between PES and Luma

National Provider Connector (Payments)

Eliminated paper check and reduced administration and operation cost

Enterprise Imaging (EI)

Unlocked data as an asset, reduced IT costs, and simplified Enterprise Imaging to improve care delivery

Revolutionizing Healthcare Conversations with AI-Enabled Chatbot Platform

Improved efficiency and reusability of a healthcare platform by implementing chatbot functionality

Supported Engineering Solutions through Active Collaboration & Innovative Technologies

Supported Engineering Solutions through Active Collaboration & Innovative Technologies

Insights

BLOG

Go-to-Market Blueprint for Intelligent QMS-CMS Adoption in Pharma

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From Siloes to Smart Systems: Reimagining QMS-CMS for Pharma’s Digital Future

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Real-World Evidence in Oncology

Beyond Clinical Trials, Into Real Lives
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A Multi-Model Multi-Agent System for Healthcare Audit and Denial Management

In the complex world of healthcare management, auditing and denial management have long been challenging, time-consuming processes.
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Reinvent 2024: A Quantum Leap into the Intelligent Future

This year’s AWS re:Invent was nothing short of inspiring, as more than 70,000 technology leaders and innovators gathered…
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UK Employment Rights Bill: Biggest Employment Reforms in a Generation

The recently introduced Employment Rights Bill by the UK government, if enacted into law, will represent the biggest…
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Revolutionizing Patient Care & Driving Healthcare Efficiency with Cloud-Enabled EHR

As healthcare technology rapidly advances, cloud-based Electronic Health Records (EHRs) are revolutionizing the delivery of care. However, healthcare…
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Navigating the Future of Retail: Key Trends and Strategies for Success

In today’s fast-paced retail landscape, businesses must adapt at unprecedented speeds to meet evolving consumer expectations. As immersive…
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NRF 2025 Recap: Driving Retail Forward

As the dust settles on NRF 2025, one thing is clear—retail innovation is advancing at an extraordinary pace.…
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Optimize Healthcare Revenue Cycle Management with Evolutionary Algorithm Approach

Optimize Healthcare Revenue Cycle Management with Evolutionary Algorithm Approach
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Status of the Quadruple Aim in Healthcare

Quadruple Aim (QA) is a four-dimensional framework that has effectively been implemented into primary healthcare practice. Introduced by…
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The Rise of Chatbots

Enhancing Sales Teams in the Digital Era
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Innova Optimizes Service to Payment Velocity with Transformative Revenue Cycle Management Offering

Innova Optimizes Service to Payment Velocity with Transformative Revenue Cycle Management Offering
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Informed and Alert: The Path to Proactive Loss Prevention

The Path to Proactive Loss Prevention
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Capability Modeling in Healthcare

Capability Modeling in Healthcare
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Strengthening Healthcare Provider Security by Implementing a Vulnerability Remediation Program

Strengthening Healthcare Provider Security by Implementing a Vulnerability Remediation Program
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The Innova Edge

Agile Talent Deployment

Access specialized expertise on demand, accelerating project timelines

Healthcare Innovation

Drive transformative results with unparalleled domain insight

Technology Partnerships

Integrate cutting-edge solutions through strategic partnerships

Optimized Service Delivery

Scale operations effectively with a right-sized, transformative partnership

Providers

Payers

Digital Health Orgs

Pharma & Med Device Orgs

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