December 05, 2013

Healthcare solutions provider Inovalon, Inc. has announced plans to work with Blue Cross and Blue Shield of Minnesota to provide their Health Insurance Exchange (HIX) Marketplace services.

[More news from BCBS Minnesota: BCBS Minnesota Ready to Roll on Gamification.]

The HIX Marketplace solution addresses common health plan challenges in areas such as risk score accuracy and verification processes, quality measurement and improvement, regulatory data submission via the Edge server, and medical record audit support. Inovalon uses these capabilities to meet the needs of health plans seeking to compete in the HIX Marketplace through their Qualified Health Plans (QHPs).

“The expansion of our partnership with Inovalon will provide additional capabilities and insight to member data analysis and provider disease burden documentation that thorough data analysis and outreach is tailored to each member’s specific healthcare needs,” said Sandy Hill, Sr. Director of the Health Care Reform and Exchange Office at Blue Cross and Blue Shield of Minnesota.

[ BCBS North Carolina has worked with Inovalon as well. Read: BCBSNC To Better Match Patient and Provider Through Analytics. ]

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Kelly is an associate editor for Insurance & Technology. Prior to joining InformationWeek Financial Services, she was a staff writer for InformationWeek and InformationWeek Education. Kelly has also written for trade ...