HealthNow New York, Inc. Selects Inovalon's Prospective Advantage® Solution

Leading Health Plan Expands Inovalon Partnership to Focus on Identifying and Closing Gaps in Assessment, Documentation, and Quality of Care

BOWIE, Md., Oct. 8, 2012 /PRNewswire/ -- Inovalon, Inc., a leading provider of data-driven healthcare solutions, today announced that HealthNow New York Inc., parent company of BlueCross BlueShield of Western New York and BlueShield of Northeastern New York, has expanded its partnership to include Inovalon's Prospective Advantage® solution.


Inovalon's Prospective Advantage solution combines advanced healthcare data analytics with coordinated patient and provider encounter facilitation and support to identify and proactively close gaps in quality, care, assessment, documentation, and risk score accuracy. Analytics provide meaningful insight for all forms of patient outreach and intervention – from print materials and call center interaction, to web-enabled decision support platforms and wireless tablets for in-community member assessment optimization. This data-driven approach helps health plans determine and achieve the right intervention for the right member, in the right venue, at the right time, resulting in improved quality and healthcare outcomes, as well as financial performance.

"HealthNow New York is a pioneer in providing quality healthcare services to companies and individuals in the region," said Keith Dunleavy, M.D., President and Chief Executive Officer of Inovalon. "We are pleased to further build upon our partnership and provide a tool which enables providers and members to improve healthcare gaps, resulting in meaningful improvement and value in healthcare delivered to HealthNow New York's members."

The Prospective Advantage implementation is an expansion of the partnership which began in January of this year, when HealthNow selected Inovalon to support member improvements related to disease comorbidity, and related risk score data accuracy for Medicare Advantage and Medicaid members through a combined implementation of Inovalon's Capitated Risk Adjustment (CARA), Claims Aggregation Analysis and Submission (CAAS), and Encounter Data Processing (eCAAS Advantage) solutions.

"HealthNow prides itself on its unwavering commitment to member satisfaction and outstanding reputation for services," said Jared Gross, Vice President of Healthcare Economics at HealthNow New York. "We look forward to our continued work with Inovalon to implement a comprehensive service that focuses on clinical and quality outcomes, and documentation accuracy improvement goals."

About HealthNow New York Inc.

HealthNow New York Inc. is one of New York's leading healthcare companies that provides access to quality healthcare and innovative solutions for members throughout upstate New York. The company has helped millions of people gain access to healthcare.  Today, HealthNow offers a full range of insured, self-insured, and government programs and services covering businesses, families, and individuals, as well as life and disability coverage, dental and vision plans and stop-loss coverage.  

About Inovalon, Inc.

Inovalon, Inc., is a healthcare technology company that combines advanced data analytics with highly targeted interventions to achieve meaningful impact in clinical outcomes and financial performance across the healthcare landscape. Our unique achievement of value is delivered through the effective progression of Turning Data into Insight, and Insight into Action®. Proprietary datasets, sophisticated analytics, deep subject matter expertise and nationwide in-community personnel deliver a seamless, end-to-end platform of technology and operations. 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.

HealthNow New York is a registered trademark of HealthNow New York, Inc., Buffalo, New York.

Blue Cross Blue Shield of Western New York and Blue Shield of Northeastern New York are divisions of HealthNow New York, Inc., an independent licensee of the Blue Shield Association.

SOURCE Inovalon, Inc.