Inovaare and Sagility collaborate on health plan administrative operations
Inovaare and Sagility are integrating AI-based technology with business process services to improve compliance and claims handling for Medicare Advantage and Medicaid health plans.
Inovaare, a provider of AI-native platforms for regulated payer workflows, has partnered with Sagility to offer a joint solution for managing appeals, grievances, and compliance reporting. The agreement combines Inovaare’s HealthCloud technology with Sagility’s operational framework.
The partnership aims to assist health plans in maintaining audit-readiness by automating complex administrative workflows, including member and provider services. By centralizing data and standardizing procedures, the companies expect to reduce manual intervention and improve adherence to regulatory standards.
As Medicare Advantage and Medicaid programs face increased regulatory scrutiny, health plans are under pressure to optimize their grievance and appeals operations. This collaboration provides an outsourced model that leverages both software automation and specialized human operations to meet these compliance mandates.