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Inovalon’s Converged Quality Achieves 25th Consecutive NCQA HEDIS® Measure Certification

via Business Wire

Industry-Leading Solution Supports Quality Measurement Initiatives For More Than 205 Million Members

Inovalon, a leading provider of solutions empowering data-driven healthcare, today announced that its Converged Quality™ solution has achieved NCQA HEDIS Measure Certification from the National Committee for Quality Assurance (NCQA) for HEDIS Measurement Year 2025 (MY25). Inovalon is one of only five long-standing certified vendors to achieve this designation for 25 consecutive years.

As federal and state quality programs grow more complex, health plans face mounting pressure to deliver timely and accurate HEDIS submissions to improve NCQA ratings and maximize quality incentive payments. Inovalon’s Converged Quality, part of its comprehensive payer quality suite, processes clinical quality metrics on more than 205 million lives each year, representing over 85% of all HEDIS-covered lives across the United States.

“Completing NCQA's HEDIS Measure Certification Program™ requires demonstration of a rigorous and comprehensive process to ensure the accuracy, consistency, and reliability of performance data across the healthcare industry,” said Margaret E. O’Kane, NCQA President. “Inovalon’s achievement of this status for 25 consecutive years is a remarkable milestone that reflects their unwavering commitment to quality and innovation. Organizations like Inovalon are instrumental in supporting health plans’ quality improvement efforts and advancing better outcomes for millions of members nationwide.”

More than 100 health plans trust Inovalon's HEDIS-certified Converged Quality software to optimize quality measurement, reporting, and improvement initiatives. Built for real-time analytics, Converged Quality goes beyond core reporting with add-ons for benchmarking, Star Ratings forecasting, medical record abstraction, analytics for population outcomes, and provider and member engagement. Integrated with Inovalon’s Converged Risk™ solution, it also enables health plans to consolidate internal programs and vendors, improving oversight and streamlining operations.

“As a trusted partner of Inovalon for over a decade, Cambia Health Solutions is proud to celebrate the 25th anniversary of Inovalon’s HEDIS reporting software,” said Sarah Bezeredi, Vice President, Medicare Quality and Provider Engagement. “Their commitment to innovation and data accuracy has been instrumental in helping us enhance quality care and improve outcomes for our Medicare members. We look forward to continuing this partnership as Inovalon advances solutions that empower providers and health plans alike in navigating the evolving healthcare landscape.”

“At Inovalon, we continue to raise the bar in clinical quality performance by delivering innovative, data-driven solutions that health plans trust year after year,” said Mike Jones, President of Inovalon's Payer Business Unit. “With our Converged solution suite, expansive healthcare ecosystem connectivity, and unparalleled primary source datasets, we’re uniquely positioned to help customers meet the increasing demands of quality reporting and value-based care faster, smarter, and at greater scale than ever before.”

"Accurate and timely quality measurement is foundational to delivering better care and outcomes for our members,” said Jill Bavis, Chief Health and Quality Officer at Alterwood Health. “Inovalon’s longstanding achievement of NCQA HEDIS certification reinforces the reliability of the solutions we depend on to meet evolving regulatory standards and confidently advance our quality improvement efforts.”

To learn more about Inovalon’s solutions for quality, risk, and other strategic initiatives, please visit: https://www.inovalon.com/products/payer-cloud/quality/.

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA). NCQA Measure Certification Program™ is a trademark of the National Committee for Quality Assurance (NCQA).

About Inovalon

Inovalon is a leading provider of cloud-based SaaS solutions empowering data-driven healthcare. The Inovalon ONE® Platform brings together national-scale connectivity, real-time primary source data access, and advanced analytics into a sophisticated cloud-based platform empowering improved outcomes and economics across the healthcare ecosystem. The company’s analytics and capabilities are used by over 50,000 active, licensed customers, and are informed by the primary source data of more than 92 billion medical events across 1.1 million physicians, 702,000 clinical settings, and 413 million unique lives. For more information, visit www.inovalon.com.

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