OUR TEAM. YOUR PERFORMANCE.
As an Illinois-licensed TPA and a Blue Cross Blue Shield of Illinois and Humana Certified Management Service Organization, Innovista’s Delegated Managed Services provide a suite of capabilities to support risk and non-risk payor arrangements that will delegate all or a portion of operations required to manage their members.
Network Formation & Development
Facilitating the formation of new networks, assist in building comprehensive specialty networks
Eligibility, Capitation & Claims Processing, Customer Service Support
Eligibility Capture and Management, Capitation and Claims Adjudication, Customer Service Support
Utilization Management, CM/CCM/DM, & Quality
Pre-Authorization, Concurrent Review, Discharge Planning, Case Management, Complex Case Management, Disease Management, and Managing Quality Gaps in Care
Provider Relations, Financial Management, Management Advisors
Provider Education, Financial Reporting, Network Consulting to Improve Performance
Let’s work together to achieve better outcomes
Learn how Innovista can improve the performance of your delegated contracts.
The Ongoing Shift to Value-Based Care Raises Level of Urgency to Address Social Determinants of Health
Leveraging Technology to Improve Outcomes for Vulnerable and High-Risk Populations The shift from fee-for-service to value-based payment has accelerated interest in the collection and analysis of data related to Social Determinants of Health (SDOH) such as stable...read more
Front Office: 1 (312) 809-5001
Sales Team: 1 (888) 300-8839
814 Commerce Dr, Suite 350
Oak Brook, IL 60523
7708 Rialto Blvd, Suite 150
Austin, TX 78735
5501 LBJ Freeway, Suite 950
Dallas, TX 75240
9800 Richmond Ave, Suite 315
Houston, TX 77042