Healthcare Technology Report September 12, 2025
Inovalon, a U.S.-based provider of cloud-based healthcare analytics and data solutions, has expanded its collaboration with Amazon Web Services (AWS) to strengthen its Converged Record Review platform ahead of new regulatory demands from the Centers for Medicare & Medicaid Services (CMS). Starting in 2026, CMS will require annual Risk Adjustment Data Validation (RADV) audits for all Medicare Advantage (MA) contracts, intensifying pressure on health plans to validate diagnoses and maintain compliance.
Inovalon’s platform, enhanced with AWS capabilities such as Amazon Comprehend Medical’s natural language processing and machine learning, enables plans to identify documentation gaps, validate claims during audits, and streamline chart reviews. It integrates with Inovalon’s Converged Risk Surveillance Analytics to proactively remove unsupported diagnoses,...
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