Inovalon

Inovalon is a colossal, fiercely dominant, and massively scaled cloud-based analytics platform that is absolutely inescapable in the "Health Insurance Payor and Pharmacy" sector. While Epic targets the hospital, Inovalon targets the massive financial engines of healthcare: the insurance companies (Medicare Advantage plans) and the massive national pharmacy chains (like CVS or Walgreens). The absolute core differentiator of Inovalon is the "Inovalon ONE Platform and Massive Data Lake (MORE² Registry)." Inovalon possesses one of the largest primary-source healthcare datasets on earth, containing the clinical and claims data of over 350 million patients. Massive insurance companies use Inovalon's algorithms to run HEDIS (Healthcare Effectiveness Data and Information Set) reporting—the incredibly complex, government-mandated quality reports that determine a health plan's Star Rating (and thus, their billions in funding). Furthermore, Inovalon dominates pharmacy analytics, helping massive retail pharmacies manage complex inventory, analyze prescribing patterns, and manage specialty drug fulfillment. For massive insurance payors demanding audit-proof quality reporting and national pharmacy chains optimizing drug dispensing, Inovalon is a staggering, multi-billion dollar infrastructure pillar.