Products & Services

Product

Inova Care specializes in developing market-driven products and services for corporate and insurance company clients. We have successfully developed and managed customized products and services for insurance companies and corporate clients in 12 countries across North America, Europe and Asia.

Product Development Product Development

Inova Care has a proven history of developing successful products and services for its clients in Europe, Asia and the USA. We work with our business partners to achieve:

  • Product differentiation that produces revenue and profitability growth.
  • Maintain a risk profile acceptable to the corporate client, insurer or reinsurer.
  • Flexible benefit plans that can be sold through a variety of distribution channels.
  • Products and services implementation that achieves revenue and profitability targets.
  • Product or service viability in multiple markets and market segments.

Inova Care products and services have resulted in record growth and profitability for our clients in all key regions.  Please contact Inova Care to learn more about our product development capabilities.

Consulting and Market Research Consulting and Market Research

Inova Care offers a full range of consultancy services designed for insurance companies and corporate clients. Our areas of specialization include:

  • Corporate strategy;
  • Cost containment:
  • Product development and benefit design planning;
  • Market research and analysis;
  • General management consulting;
  • Workflow optimization; and,
  • Clinical pathway integration.

We several years of experience in assisting companies improve growth and profitability as well as developing market-driven products and solutions.

Please contact Inova Care for more information about our consulting services.

Clinical Pathway Tools Clinical Pathway Tools

Health care costs are increasing at alarming rates in most countries around the world. Today most utilization management occurs on a retrospective basis which has only a limited ability to impact quality and costs.

Inova Care can help its corporate and insurance company clients monitor and manage health care costs and quality outcomes through its proactive utilization management tools and clinical pathways. The goal of our utilization management program is to improve health care outcomes while controlling costs using internationally accepted clinical pathways and guidelines.

Hospitalizations can be reviewed for medical necessity, level of care and appropriateness using industry leading guidelines on a prior-authorization and concurrent review basis. Through this proactive process Inova Care is able to work with provider networks to ensure quality while reducing non-medically necessary utilization of health care services. The result is optimization of clinical outcomes and controlled health care costs.

Inova Care uses InterQual as a core part of its quality and utilization management programs. These evidence-based guidelines have been developed by clinicians and are in use by more than 215,000 hospitals and physicians for treatment planning.

Inova Care is able to provide its clients with access to the InterQual guidelines as well as assist in the development of customized utilization management programs based on any unique client requirements.

Please contact Inova Care for more information about its Clinical Pathways tools.

Medical Second Opinion Medical Second Opinion

Inova Care offers virtual and actual Medical Second Opinion Services (MSO) through its various regional provider networks. Medical Second Opinion helps our clients differentiate their products and services, as well as control high risk, high cost claims.

The medical second opinion service allows members the opportunity to obtain expert medical advice regarding certain diagnoses and treatment plans for key critical illnesses.

A member that is diagnosed with one of the qualifying medical conditions may contact Inova Care and one of our member advocates will coordinate a virtual or actual medical second opinion from one of our regional network providers. Appointments are scheduled through Inova Care member services and virtual medical second opinions are usually provided within 10 days of request.

Inova Care will coordinate all member care needs including documentation, appointments, travel and translation of medical records.

Please contact Inova Care for more information about its Medical Second Opinion Services.

Cross Border Health Care Cross Border Health Care

Health care is a global issue and there are a record number of people that travel abroad for minor and complex health care needs. Inova Care has created a ‘cross border’ health care service to address the needs of our corporate and insurance company clients. Through our Cross Border Health Care Program, clients are able to ensure members receive care from a quality health care provider while ensuring that benefits are managed on a consistent basis.

Members wishing to receive medical care in another country is made easy through Inova Care’s regional network of providers. Inova Care can coordinate treatments covered by insurance from anyone of its international provider networks. In addition, Inova Care can even help coordinate elective treatments that are not covered by insurance. Inova Care’s international network of providers covers the entire spectrum of health care services including but not limited to inpatient and outpatient hospital care, primary care and specialist physician care, dental care, vision care, dermatology care, cosmetic surgery as well as many other ancillary care specialties.

Members are encouraged to contact Inova Care when wishing to seek health care abroad. Inova Care helps members manage all their health care needs; including appointment scheduling, coordination with insurance coverage, travel arrangements, translation of medical records and much more.

Please contact Inova Care for more information about our Cross Border Health Care Services.

Third Party Administration Third Party Administration

Inova Care offers third party administration and insourcing solutions for niche and complex benefit plan designs. We administer a variety of benefit plans that cover a full range of options including inpatient and outpatient medical, dental, vision, lifestyle and other ancillary care services.

Concierge Services Concierge Services

Inova Care offers third party administration and insourcing solutions for niche and complex benefit plan designs. We administer a variety of benefit plans that cover a full range of options including inpatient and outpatient medical, dental, vision, lifestyle and other ancillary care services.

Life Style | Wellness Programs Life Style | Wellness Programs

Inova Care offers third party administration and insourcing solutions for niche and complex benefit plan designs. We administer a variety of benefit plans that cover a full range of options including inpatient and outpatient medical, dental, vision, lifestyle and other ancillary care services.

Technology | Digital Solutions Technology | Digital Solutions

Technology is the cornerstone of our success. Inova Care is not a traditional third party administrator. We also develop and provide technology solutions to support corporate and insurance company clients. Through our digital team we are able to develop customized smartphone applications and plug-ins that make customer support more efficient. Our technology is also a key driver in controlling medical costs through state-of-the-art disease state management programs and clinical pathways. At the core of our technology is a web-based platform that helps make claims management and customer service very efficient. Thanks to our modular platform, clients can choose what elements of our technology best meets their requirement. Inova Care is also able to develop customized solutions based on unique business needs. Please contact Inova Care for more information about our technology or digital solutions.

Inova care logo

Inova care is an industry leading consulting and health care administration company specializing in managed care, clinical pathways and cost containment solutions for corporations and insurance companies.

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