Blue Cross and Blue Shield of North Carolina Works with Inovalon

Leading Health Plan Implements Inovalon's Integrated Solution to Focus on Identifying and Closing Gaps in Assessment, Documentation, and Quality of Care

Sep 24, 2013, 07:00 ET from Inovalon, Inc.

BOWIE, Md., Sept. 24, 2013 /PRNewswire/ -- Inovalon, Inc., a leading provider of data-driven healthcare solutions, today announced that Blue Cross and Blue Shield of North Carolina (BCBSNC), a leader in delivering innovative health care products, services, and information to more than 3.7 million members, has selected Inovalon's Prospective Advantage® and INDICES™ solutions in a multi-year engagement, providing an integrated solution for identifying and closing gaps in care, quality, assessment, and documentation.

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Inovalon's integrated solutions will aid BCBSNC in identifying gaps between current and desired states of clinical and quality outcomes, risk score accuracy, and care management. Leveraging insight from more than 6.5 billion medical events residing within Inovalon's Medical Outcomes Research for Effectiveness and Economics (MORE2) Registry® data warehouse, the integrated platform identifies which gaps hold promise and undertakes highly patient-specific and provider-specific interventions to achieve meaningful benefits in a predictable and valuable fashion.

"We know that when care is not well coordinated, it's less effective and costs more," said Kat Gesh-Wilson, Vice President of Government Operations at Blue Cross and Blue Shield of North Carolina. "Inovalon supports our commitment to using data to identify care gaps and support physicians and care providers in helping our customers get well and stay well."

"The pressure on health plans to deliver high quality of care with a concurrent attention towards financial efficiency is growing ever-more prevalent in today's healthcare landscape," said Keith Dunleavy, M.D., President and Chief Executive Officer of Inovalon. "It is a privilege to be working with BCBSNC who has a clear focus on partnership and dedication to the innovative improvement of health services within their community."

About the Solutions

  • Prospective Advantage® - Combines advanced healthcare data analytics with coordinated patient and provider encounter facilitation and support to deliver an integrated solution for identifying and proactively closing gaps in quality, care, assessment, documentation, and risk score accuracy. Analytics bring meaningful intelligence to all forms of outreach and intervention – from print materials and call center outreach, to web-enabled decision support platforms for member encounter optimization. Altogether, the highly data-driven approach achieves the "right intervention for the right member, in the right venue, at the right time," facilitating the realization of highly efficient impact.
  • INDICES™ - Reporting and Business Intelligence platform leverages OLAP cube technology and customized pre-calculated analytics to enable healthcare organizations near-real-time insight into member, provider, and clinical facility care, utilization, quality, disease, demographic, risk score and financial trends and performance. INDICES brings further value by providing comparative insight against more than 85 million patients – enabling users to not only gain deep insight into their own performance with industry-leading detail, but also against highly relevant comparatives otherwise unmatched in the marketplace.

About Blue Cross and Blue Shield of North Carolina

Blue Cross and Blue Shield of North Carolina is a leader in delivering innovative health care products, services and information to more than 3.7 million members, including approximately 1 million served on behalf of other Blue Plans. For generations, the company has served its customers by offering health insurance at a competitive price and has served the people of North Carolina through support of community organizations, programs and events that promote good health. Blue Cross and Blue Shield of North Carolina was recognized as one of the World's Most Ethical Companies by Ethisphere Institute in 2012 and 2013. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. Visit BCBSNC online at All other marks are the property of their respective owners.

About Inovalon, Inc.

Inovalon, Inc. is a leading technology-enabled healthcare solutions provider focused on the importance of healthcare data and its ability to drive dramatic, objective improvement in clinical and quality outcomes, care management and financial performance throughout the healthcare community. Proprietary healthcare datasets, aggregation and analysis capabilities, combined with a national infrastructure of leading-edge technology, clinical prowess and deep human resources, empower Inovalon's advanced generation of healthcare assessment and improvement through highly informed solutions. Driven by data, Inovalon uniquely identifies gaps in care, quality, data integrity, and financial performance ­-- while also bringing to bear the resources to resolve them. This differentiating combination provides a powerful capability suite, touching more than 540,000 physicians, 220,000 clinical facilities, and more than 120 million Americans, driving high‐value impact, improving the quality and economics for health plans, hospitals, physicians, patients, and researchers. Please visit for more information.

SOURCE Inovalon, Inc.