Inovalon Clients Outperform Market for CMS Star Ratings for the Seventh Year in a Row

The Inovalon ONE® Platform Supports Meaningful Quality Outcomes Improvements and Value Delivery

BOWIE, Md., Nov. 02, 2020 (GLOBE NEWSWIRE) — Inovalon (Nasdaq: INOV), a leading provider of cloud-based platforms empowering data-driven healthcare, today announced that clients utilizing Inovalon’s quality improvement solution suite outperformed the entire Medicare Advantage market for the seventh year in a row, realizing a positive increase of nearly 4% on a year-over-year basis in their Centers for Medicare & Medicaid Services (CMS) 2021 Star Ratings.

Inovalon’s clinical quality data aggregation, advanced analytics, integrated outreach, and data visualization toolsets provide health plans with targeted patient-level insights to improve quality of care and member health outcomes. Able to integrate, aggregate, and analyze the growing volume of healthcare datasets at high speed to support improvements in clinical quality outcomes measures, the Inovalon ONE® Platform delivers the nation’s most widely used healthcare quality data analysis and improvement platform, with more than 76% of U.S. reported lives running through the Inovalon Platform in 2020.

These results reflect data released by CMS on October 9, 2020, pertaining to all Medicare Advantage and Prescription Drug Plans, which revealed that on a year-over-year basis, Star Rating scores decreased by 2.17% for the average Medicare Advantage health plan on an enrollment-weighted basis. These results also reflect adjustments CMS made to minimize the impact of the ongoing COVID-19 pandemic, allowing plans to use the higher of their 2020 or 2021 CMS Star Ratings for approximately 50% of the measures. Despite the overall market decreasing by 2.17%, clients leveraging Inovalon’s quality improvement suite realized an average increase of 3.72% in their 2021 Star Ratings. The achievement of higher Star Ratings reflects the great work of Inovalon’s health plan clients and the ability of the Inovalon ONE® Platform to rapidly deliver actionable analytical insights, empowering superior care delivery by health plans to their millions of members, and create positive, measurable economic performance impact.

“Over the past year, the challenges created by the COVID-19 pandemic combined with the rapid changes to how and where care is delivered have accelerated the need to rely upon a technology platform capable of addressing patient-specific gaps in care within the Medicare Advantage population,” said Kris Volrath, Vice President at Inovalon. “We are pleased to support and empower the continued strong performance of our clients, reflecting their adoption of industry-leading technologies and data-driven insights to achieve meaningful impact during an unprecedented year.”

About the CMS Star Ratings Program

The national Star Ratings performance program, instituted by CMS, measures and reports on a wide range of clinical and quality outcomes pertaining to members and health plans across the United States. The quality measures addressed are utilized by federal and state programs to determine quality scoring and associated incentives and penalties for such programs as CMS’ Medicare Advantage Five-Star Quality Rating System, the U.S. Department of Health and Human Services’ (HHS) Quality Ratings System (QRS) for Affordable Care Act (ACA) plans, and state-based Managed Medicaid measurement programs. Inovalon’s solutions support these programs, as

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Hope Center Houston in Spring partially reopens their doors for homeless clients

While Hope Center Houston has not been able to meet face-to-face with clients since COVID-19 precautions became the norm in March, the building is partially reopening to let clients take showers and do laundry.

Hope Center Houston, located in the Spring area, offers resources for people who are homeless. The faith-based nonprofit reopened their doors to one client at a time on Oct. 5, allowing non-staff into the building for the first time in months.

Bob Butler, executive director of Hope Center Houston, said the center never stopped serving clients, still providing meals and other products for visitors. The center has installed physical plexiglass barriers and now requires everyone to wear a mask.

“Ever since the COVID thing we’ve been providing hot meals, hygiene kits and clothing out of the front door,” Butler said. “We’ve served close to 4,000 meals now for the last six months and hundreds of hygiene kits and clothing.”


The staff is now smaller, with some people coming in more often, Butler said.

“Frankly, all of our volunteers are not comfortable yet coming back so we’re dealing with a smaller crew that’s coming in more frequently … to make sure that our needs are covered and we respect the rights of those who are a little bit more reserved and don’t want to be in the public yet,” Butler said.

Butler said case workers have been working nonstop on housing assessments, psych referrals and addiction help virtually and over the phone, if possible, as well as in-person. The chance for clients to take showers, do laundry and take clothing is a strong part of the partial reopening, Butler said.

“Everything else is continued with our case workers and our chaplain and people are making appointments and coming in one at a time,” Butler said. They come in, get the service and leave rather than hang out and spend the day with us. Unfortunately, a lot of what we do is really relational and we miss that.”

Usually when clients would come into Hope Center Houston, they would spend time with the staff or at one of the many activities going on such as prayer groups, meditation, life skill classes and help with job interviews as well as meals. Hope Center Houston has seen less clients in-person since the pandemic began. Clients used to be able to browse the internet or use the onsite library, none of which are currently available.

“I think to come for a hot meal or some hygiene without the relationship part doesn’t have the same value to them as being able to come and spend some good time with some good people,” Butler said. “Our numbers have decreased because I think they see the values of the service as decreased … These things are all going on simultaneously and they choose what it is

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