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    Connecting the healthcare dots

    We revolutionize your operations with our innovative healthcare software solutions, empowering payers and providers to conduct fact-based operations, effectively manage members, and deliver a superior experience where data-driven decisions pave the path to success.

    • Experience
    • Prescriptive
    • Quality
    • Predictive
    • Value-Based
    • Analytics
    • Stars
    • Efficiency
    • Equity
    • Actionable
    • Innovation

    For over 20 years we have delivered analytical solutions that are currently being used by our clients to serve and improve the lives of over 2 million members

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    Our Solutions

    STARSTrack

    STARSTrack

    STARSTrack is a complete analytics platform designed to improve performance in Medicare Stars, Marketplace Stars, local Medicaid programs and Commercial rankings.

    • Superior visibility to all factors influencing results
    • NCQA® certified quality measure calculation
    • Proactive monitoring of prospective results
    • Actionable reporting to support quality interventions
    • Full access to detailed data, including a live data API
    • Support for state and local requirements with custom quality measures
    • Allows quality analysts work on results rather than reports
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    H-Track

    H-Track

    H-Track is a mature and fully certified HEDIS® rules engine and portal for quality measure calculations – administrative and hybrid – and formal HEDIS submissions. It supports certified HEDIS retrospective reporting and prospective measure calculation for quality improvement.

    • NCQA Certified
    • Flexible rules engine
    • Allowable adjustments
    • ECDS-ready
    • Robust reporting capabilities
    • Supports non-HEDIS measures with CMS Core set and local requirements
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    MemEx

    MemEx

    MemEx is a set of proprietary indicators that explore factors that influence health plan members’ experiences with healthcare and how those factors change over time.Using health plan administrative data, the indicators follow care patterns that affect members’ day-to-day relationship with the plan. From the wait time to see a specialist to the availability of lab testing, the indicators uncover trends that can impact the experience measures such as CAHPS and CMS Stars. The portal displays detailed reports, dashboards with summary statistics, and comparisons to relevant results and benchmarks.

    • Measures experience at a population level via claims, not a sample via survey
    • Correlates with industry standard experience measures such as CAHPS, appeals, complaints, and disenrollment
    • Understandable results support detailed experience improvement programs
    • Meets current and near-future market needs
    • Flexible interface and solution configuration
    • Ongoing R&D for new experience indicator development
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    OneX

    OneX

    OneX is an enterprise healthcare data warehouse built to extract, unify and store data from any source in one integrated database to achieve a single version of the truth. OneX is purpose-built to meet the analysis and reporting needs of Medicaid, Medicare, Exchange, and commercial insurance.

    • Unique healthcare-focused EDW product
    • Built-in analyses that support health plan financial and clinical performance
    • Data structures built on health care standards
    • Full data access for rapid analytics

     

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    Get more from your data.

    Single Version of the Truth

    Supports organizational decision-making processes by collecting data from all your relevant data sources and creating a centralized and undisputed set of verified information.

    Integrated Quality and Experience Platforms

    Focus your analytics on both key aspects of service delivery across your entire population and support programs to improve both healthcare quality and satisfaction.

    Centralized Financial and Clinical Analytics

    Use a healthcare-focused suite of financial and operational analytics to support sustained positive performance and show the many measurable benefits of high-quality care.

    Reports Designed with the Action in Mind

    Establish a member-centered workflow to close gaps in healthcare quality and satisfaction, and achieve better outcomes with actionable, data-driven insights.

    Build Your Own Analytics

    Reduce the time spent creating reports and empower analysts to do more for your organization with a self-service focus that will enhance your decision-making process and goals.

    Accessible, Extensible, and Flexible

    With connected data cubes and a full data access API, bring timely and updated results, and detail into existing systems and applications to transform your operation.

    Scalability Focused

    Grow alongside the needs of your organization as its healthcare programs continue to evolve.

    Testimonials

    Our team and mutual clients and partners enjoy working with the Ingenia Health team

    Ingenia brings a combination of deep technical expertise, a commitment to clean and consistent data, and a passion for training and education of its staff, clients and partners.  Their team had the foresight to create one of the first prospective Stars analytics engine in the industry, and the first that was backed and fully integrated with a NCQA HEDIS certified engine. The thing we value most about our partnership is their fierce commitment to their staff, clients and partners, and their total and complete accountability when there are issues to be addressed.  Their diligence, humility, diversity and commitment to follow through makes our job a lot easier.

    Founder and CEO – Quality and Risk Adjustment Consulting Firm

    Ingenia’s MemEx solution provides detailed insight into the components that drive consumer behavior and CAHPS scores

    The ability to get data on members in real time and define the actual delay between diagnosis and actual treatment sets this product aside from competitors and other programs focused on member experience.  The measures for Getting Needed Care, Getting Care Quickly and Care Coordination can be bolstered by the utilization of this tool.  Furthermore, the data points can be used in value-based care programs as providers are taking additional risk on Medicare Advantage contracts.  The continuous feedback loop indeed creates a competitive advantage for payer/provider relationships and is a revenue driver.

    Quality and Risk Adjustment SME

    STARSTrack tool is a must have for any MA stars Department!

    It is user friendly, highly configurable and provides accurate score projections. Our organization has been using the tool for more than 7 years and it has helped us in establishing actionable work-plans for our physicians and medical groups, as well as defining our enterprise-wide strategy to better focus our resources.  Ingenia’s staff is very knowledgeable and always accessible for ad-hoc consultations.  The combination of the tool, their support services and our staff working collaboratively through the years has allowed us to improve our Stars scores from 3 Stars to 4.5 Stars in a sustainable manner.

    HEDIS and STARS Director – Regional MA Plan managing over 130k lives

    Ingenia is more than a provider for me, we are a team

    Over the years we have worked together, their service has been exceptional and their response to any situation has been immediate, allowing us to achieve our goals together.

    IT Development Manager – Regional MA Plan managing over 280k lives

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