Inovaare

What is Inovaare?

Inovaare is an AI-native, integrated compliance operation platform for healthcare payers. It automates the full compliance lifecycle — from Appeals & Grievances and Universe Management to Corrective Action Plans and Delegation Oversight — for Medicare Advantage, Medicaid, and commercial health plans. The platform includes 18 modules that share data natively, replacing fragmented spreadsheets and point solutions with a single, continuously audit-ready system.

Which health plan types does Inovaare support?

Inovaare is purpose-built for Medicare Advantage (MA), Medicaid and Medi-Cal managed care organizations, commercial health plans, and partners including PBMs, MSOs, MCOs, and TPAs. Unlike generic platforms, its modules are pre-configured for CMS workflows, including ODAG, CDAG, SARAG, MPDSF, and HPMS Part C and D reporting.

Is Inovaare HIPAA and HITRUST compliant?

Yes. The Inovaare Health Cloud Platform is HIPAA-compliant and HITRUST certified. All data is processed in a secure, audit-logged environment with role-based access controls.

What is Usher AI?

Usher AI is Inovaare's embedded intelligence layer. It automates evidence mapping, audit sampling, policy interpretation, and workflow routing across all 18 modules. Usher AI operates with human-in-the-loop validation — compliance teams retain final review and approval authority over every critical decision. It is not a standalone AI tool; it is infrastructure built into every module.

Can business teams configure Inovaare without engineering resources

Yes. Inovaare is a low-code / no-code platform designed for business users. Compliance and operations teams configure workflows, validation rules, scrubbers, and reporting thresholds directly — while IT retains governance over security, access controls, and infrastructure. New CMS rule changes can typically be deployed in days, not quarters.