Molina Healthcare Selects Inovalon for Quality Measurement Analytics

Molina Healthcare chooses Inovalon's HEDIS Advantage™ solution, the Nation's Most Widely Used Clinical and Quality Measurement and Reporting Platform

BOWIE, Md., May 29, 2013 /PRNewswire/ -- Inovalon, Inc., a leading provider of data-driven healthcare solutions, today announced that Molina Healthcare, Inc., a leading provider of quality healthcare for families through Medicaid, Medicare, and other government-funded programs in 15 states, has selected Inovalon for a multi-year engagement to provide clinical and quality outcomes measurement and reporting services through its HEDIS Advantage solution.


Inovalon's HEDIS Advantage solution provides health plans with National Committee for Quality Assurance (NCQA) certified administrative data analytics and coordinated hybrid medical record abstraction, as well as reporting capabilities, to satisfy Centers for Medicare and Medicaid Services (CMS), NCQA, and state-specific quality program specifications and requirements. Inovalon is NCQA Certified for its Quality Spectrum Insights (QSI) analytical engine, the nation's most widely used Healthcare Effectiveness Data and Information Set (HEDIS®) solution, version 16.1 (HEDIS 2013). Inovalon continues to set the industry standard for quality reporting solutions and is a NCQA beta test partner for the 2013 HEDIS NCQA Software CertificationSM process. Today its systems support the needs of approximately 60% of the nation's covered lives seeking outsourced quality analysis and reporting support.

"The health and wellbeing of our members is a key priority at Molina. Having an accurate picture of how our members are doing is critical to providing quality healthcare services," said Kevin Park, Vice President of Quality at Molina Healthcare. "Utilizing Inovalon's HEDIS Advantage solution ensures that we fulfill our quality reporting requirements and also gives our staff the opportunity to focus efforts on other elements of our quality improvement initiatives."

"The growing demands on health plans to deliver accurate data and measurements in today's healthcare environment places greater pressure on plans' internal resources," said Kristian Marquez, Vice President of Clinical and Quality Outcomes at Inovalon. "This is especially the case with the complex requirements of individual state Medicaid programs, Medicare Advantage, and dual eligible members with whom Molina deals on a daily basis. We are pleased to be part Molina's focus on quality."

About Molina Healthcare

Molina Healthcare, Inc. (NYSE: MOH), a FORTUNE 500 company, provides quality and cost-effective Medicaid-related solutions to meet the health care needs of low-income families and individuals and to assist state agencies in their administration of the Medicaid program. The Company's licensed health plans in California, Florida, Michigan, New Mexico, Ohio, Texas, Utah, Washington and Wisconsin currently serve approximately 1.8 million members, and its subsidiary, Molina Medicaid Solutions, provides business processing and information technology administrative services to Medicaid agencies in Idaho, Louisiana, Maine, New Jersey, and West Virginia, and drug rebate administration services in Florida. More information about Molina Healthcare is available at

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.

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA)
NCQA HEDIS Software CertificationSM is a service mark of NCQA

SOURCE Inovalon, Inc.