Innovaccer

AI in payer operations has moved from pilot to priority, and the next wave is agentic. We're hosting a webinar on May 20 with leaders from Innovaccer and AWS to break down what this shift looks like in practice across prior authorization, clinical management, and cost containment. 💡 Here's what we'll cover: → How CMS-0057-F and the proposed CMS-0062-P are reshaping payer workflows → Where AI is delivering measurable impact today, not someday → Build vs. buy in the era of OpenAI, Copilot, and Claude → How agentic AI is enabling autonomous execution of tasks like chart review, coding, and care gap closure with human oversight intact 🚀 Register now: https://lnkd.in/gYjN6a5g #HealthcareAI #PayerStrategy #PriorAuthorization #AgenticAI #HealthIT Anil Jain | Derek Haag | Brian C.

🔦 Healthcare IT News spotlights how Kettering Health restructured post-implant heart failure care with Innovaccer. 77% reduction in clinician time. A diuretic adjustment down from 7.5 minutes to 90 seconds. Pressure control up 7.5 points at nine months. All inside their existing EHR, without adding a new system. Jody Underwood, Vice President of Population Health at Kettering Health, spoke with Bill Siwicki about what it took to get there, and why the operational model matters as much as the clinical one. This is the kind of care CMS is targeting to scale through the ACCESS Model; Innovaccer was accepted into the first cohort earlier this month, launching July 2026. 👉 Read the full story: https://lnkd.in/gKnHCMZ8 Abhinav Shashank | Ashul Govil, MD, MBA

AIM Media House covered a significant shift in how Medicare reimburses care, and Innovaccer is part of it. CMS's ACCESS Model opens a direct enrollment pathway for tech-enabled organizations to manage chronic conditions like diabetes and hypertension for Medicare beneficiaries. Innovaccer is among the first ~150 organizations selected for Cohort 1, which launches in July 2026. What makes this notable: health systems can refer eligible patients and share in co-management revenue, without new infrastructure or outcome risk. This is what outcome-based care looks like in practice. 👉 Full story in the AIM Media House article: https://lnkd.in/gpvRRA_c #HealthcareInnovation #Medicare #ChronicCare #DigitalHealth #ACCESSModel #HealthTech

💡 CMS has changed the game for Medicare Advantage. With audits expanding in scale and impact, the margin for error is shrinking fast. What worked in a retrospective world won’t hold up anymore. The shift is clear: from measuring performance to improving it in real time. Is your current approach built for what’s next? 🔗 Full breakdown in the blog: https://lnkd.in/g2MNBSCC #MedicareAdvantage #RiskAdjustment #RADV Galaxy by Innovaccer

In the next 2 days, our Cofounder & CEO, Abhinav Shashank, will take the stage at the Health Tech Investment Forum 2026 to dive into the financing, administrative, and access technologies driving healthcare delivery behind the scenes, from recurring revenue models to embedded workflows and strong buyer demand. Not all health tech is patient-facing. The most consequential innovation often isn't. 📅 April 30 | 10:40 - 11:20 a.m. PDT  📍 Four Seasons Hotel, San Francisco Mark your calendars: https://lnkd.in/gTV7jhwe #HealthTech #DigitalHealth #HealthcareInvesting #HealthTechInvestmentForum2026 Alena Antigua | Paul Brient | Connie Heil | Arjun Seth | Stephen W Bernstein | Ann Marie Brodarick | Edward Zacharias | McDermott Will & Schulte

🚨 Innovaccer ranks #1 in Healthcare Autonomy AI, Black Book Market Research LLC. Black Book's latest report introduces Healthcare Autonomy as an emerging category, platforms that don't just surface insights, but autonomously execute workflows across authorization, denials, access, coding, and reimbursement, end to end, with measurable operational outcomes. Their survey of 340 healthcare organizations tells a clear story. 74% rank operational cost reduction as a top AI priority. 62% prefer integrated platforms over point tools. 46% are actively evaluating platforms that can execute multi-step workflows with reduced human intervention. The market has moved past assistants and demands AI systems that take ownership of the workflows. 💡 In their named peer set, which includes Palantir Technologies, Commure, Notable, and Waystar, Innovaccer ranked #1, recognized as healthcare's most contextual AI infrastructure for executing across administrative and financial workflows at enterprise scale. Download the report: https://lnkd.in/g2fvXuE9 #HealthcareAI #BlackBook #HealthcareInnovation #AIinHealthcare

🚨 Most patients with chronic conditions never make it into a care management program, because traditional approaches simply cannot scale. Higher costs and worse outcomes follow for the patients who need intervention most. Adaptive Program Intelligence™ by Atlas changes the equation. No fixed tiers, no rigid workflows: AI continuously evaluates every patient, automatically adjusting care intensity as clinical conditions evolve. Every patient. Every program. One operating system. 💡 Explore more: https://lnkd.in/g5_Aa6Cm #ChronicCareManagement #HealthcareAI #ValueBasedCare #PopulationHealth #HealthTech

We're happy to announce that Innovaccer has been ranked #1 in Healthcare Autonomy by Black Book Market Research. This recognition reflects a significant shift happening across the industry. Healthcare organizations are moving away from fragmented, task-level AI tools toward integrated platforms that can orchestrate complex end-to-end workflows autonomously at scale, with measurable accountability. The research is detailed: healthcare leaders want operational impact, not experimentation. They want integrated platforms, not point solutions with AI that actually executes, not just assists. 👉 Download the report: https://lnkd.in/g2fvXuE9 #HealthcareAI #BlackBook #HealthcareInnovation #AIinHealthcare Black Book Market Research LLC | Doug Brown | Abhinav Shashank

🎙 Episode 10 of The Policy Stack Podcast is live. This podcast takes you behind the scenes to meet the people who turn policy into reality, and reveals how power, politics, and practicality collide to shape our healthcare system. 💡 In episode 10, Brian Janssen, JD, CHIE, CIO of Medicare at WPS—A health solutions company speaks with Lisa Bari, Host - The Policy Stack Podcast to lift the curtain on Medicare administrative contractors: the organizations operating what Janssen calls "the largest backbone of processing in the country that the healthcare world doesn't really know about." Medicare fee-for-service processes well over a billion claims annually, paying out close to $500 billion in medical costs through systems written in COBOL back in the 1970s. Founded in 1947 at the end of World War II when service members were returning home, WPS runs two MAC jurisdictions processing at least 130 million claims a year, plus Tricare for Life administration. Janssen shares hard truths about innovation in highly regulated environments: deploying AI required buying their own hardware for FISMA High physical data centers when cloud solutions couldn't meet security requirements, policy changes can take a year or more to implement through legacy mainframes, and the Change Healthcare breach revealed how quickly small clinics move from surviving to going up for sale when payment disruptions hit. Now CMS's Claims Core initiative promises to replace these systems with cloud-based platforms offering sub-second adjudication and modern APIs, but the stakes couldn't be higher: any disruption to Medicare payments would cascade through fragile provider networks, especially rural health clinics. From explaining why local coverage determinations matter when environmental crises in Flint, Michigan affect health differently than in rural Kansas, to revealing how MACs compete fiercely on innovation while collaborating on coverage policy, Janssen offers essential insights for anyone working at the intersection of healthcare policy, technology, and operations, where maintaining stability while modernizing infrastructure isn't just a technical challenge, it's existential. 🎧 Listen now to Episode 10 and discover the systems processing half a trillion dollars in healthcare payments while racing to modernize before the COBOL developers retire. Youtube: https://lnkd.in/e_P6u5P7 Spotify: https://lnkd.in/ecSiQiMh Apple Podcast: https://lnkd.in/ertHz8Pe #HealthPolicy #ThePolicyStack Lisa Bari

The 2026 Best in KLAS report ranked Gravity #1 in AI Platforms, scoring 93.2 out of 100, the highest in the category. 💡 19 independent healthcare organizations were interviewed across five pillars: Culture, Loyalty, Operations, Product, and Value. Gravity received an A+ Customer Loyalty rating and improved its score by 5% compared to 2025. 🚀 Read the full report: https://lnkd.in/garWs4UK Gravity by Innovaccer