Innovaccer Launches New Tool to Assist Insurers in Closing Care Gaps

The 360-degree Gap Closure Solution seeks to enhance coding accuracy and patient outcomes amid increased regulatory scrutiny of coding practices.

Health technology company Innovaccer has introduced a new platform designed to assist insurers in managing risk adjustment and quality improvements. The 360-degree Gap Closure Solution seeks to enhance coding accuracy and patient outcomes amid increased regulatory scrutiny of coding practices.

Innovaccer’s platform enables seamless data sharing between insurers and healthcare providers, integrating directly with electronic health records (EHRs). The tool is intended to streamline processes by eliminating reliance on multiple vendors, manual workflows, and disparate tools, which can lead to compliance risks and inefficiencies.

“We are bringing a much-needed shift in how payers approach risk and quality,” said Abhinav Shashank, co-founder and CEO of Innovaccer.

The solution allows insurers to deploy targeted campaigns that close care gaps efficiently across various healthcare settings, including provider offices, pharmacies, and home healthcare. By leveraging automation and real-time data integration, the platform supports prospective, concurrent, and retrospective reviews to address care gaps proactively rather than reactively.

Artificial Intelligence-Powered Insights

The 360-Degree Gap Closure Solution is equipped with artificial intelligence-driven analytics and workflows, enabling payers to make data-informed decisions in real-time. The AI component helps insurers and healthcare providers collaborate more effectively, ensuring that necessary interventions are implemented promptly.

“Instead of piecing together multiple vendors and solutions, health plans can now close gaps efficiently across the entire care journey, whether at a provider’s office, in pharmacies, or through at-home test kits, all with real-time data integration and automation,” Shashank stated.

The launch aligns with ongoing industry efforts to improve healthcare quality and compliance while optimizing risk adjustment and coding accuracy cost efficiency.