Innovaccer Secures Statewide Partnership to Power California’s Enhanced Care Program for 2 Million Medi-Cal Patients

Partnership with PHLC will unify data from 16 Medi-Cal plans and equip 200 clinics with real-time quality insights

SAN FRANCISCO--(BUSINESS WIRE)--Innovaccer Inc., a leading healthcare AI company, today announced that it has been selected by the PopHealth Learning Center (Learning Center or PHLC) to deliver a statewide population health analytics solution supporting California’s Equity and Practice Transforming Health (EPT) Program. The initiative, funded by the California Department of Health Care Services (DHCS) and CMS to the tune of approximately 140 million dollars, serves over 2 million Medi-Cal patients across 200 clinics and 19 managed care plans.

Built on Gravity by Innovaccer and supported by AWS, the solution will aggregate claims data from 16 participating managed care plans, and approximately 2 million Medi-Cal members, into a single source of truth for quality management and tracking of performance. Leveraging advanced HEDIS dashboards, practices will be able to:

• Track and improve quality performance metrics
• Strengthen care coordination for vulnerable populations
• Streamline quality reporting for EPT program compliance
• Support efforts to secure payments tied to performance metrics

“California’s Medi-Cal transformation is one of the most ambitious in the nation, and we are proud to play a role in making it a success,” said Abhinav Shashank, cofounder and CEO of Innovaccer. “By equipping safety net providers with actionable intelligence powered by Innovaccer Gravity, we can help them close care gaps, improve outcomes, and ensure that millions of Californians receive the right care at the right time.”

“The Learning Center unites purchasers, health plans and primary care practices. We translate policy into practice, align incentives with capabilities, and ensure no one is left behind in the state’s ambitious transformation,” said Dr. Jennifer Sayles, Chief Executive at the Learning Center. “By leveraging Gravity by Innovaccer, primary care practices across California will gain unprecedented visibility into performance through a single, aggregated score across all participating plans, calculated for multiple quality performance measures, helping them meet EPT program requirements, earn payments, and improve the lives of millions of Medi-Cal patients.”

PHLC’s selection of Innovaccer builds on prior work to support primary care practice through the Population Health Management Initiative, a partnership with DHCS, California Community Health Centers and Kaiser Permanente. The PHMI reviewed 13 vendors before selecting Innovaccer as a preferred platform and is actively rolling out the tool in Community Health Centers across the state. As part of their mission to bring together health care teams, insurers, and policymakers to keep communities healthy through care that works for patients, inspires providers, and lasts, the Learning Center will leverage the data aggregation and harmonization capabilities of Innovaccer Gravity to achieve statewide primary care practice performance measurement according to standard state specifications for the first time, which enables value based directed payments for 200 practices serving Medi-Cal members across the state.

The EPT program represents a significant step in California’s Medi-Cal transformation moving toward whole-person care, outcome-based reimbursement, and data-driven improvement. Through this collaboration, Innovaccer and the Learning Center will ensure practices have the intelligence they need to understand patient and population health conditions, identify opportunities for improvement, get credit for care delivered, and ensure value-based payment is implemented with a more complete picture of practice performance.

About Innovaccer

Innovaccer activates the flow of healthcare data, empowering providers, payers, and government organizations to deliver intelligent and connected experiences that advance health outcomes. The Healthcare Intelligence Cloud equips every stakeholder in the patient journey to turn fragmented data into proactive, coordinated actions that elevate the quality of care and drive operational performance. Leading healthcare organizations like Orlando Health, Adventist Healthcare, and Banner Health trust Innovaccer to integrate a system of intelligence into their existing infrastructure, extending the human touch in healthcare. For more information, visit www.innovaccer.com.

About the PopHealth Learning Center (PHLC)

The PopHealth Learning Center is a California-based organization dedicated to advancing health equity and quality improvement across safety net providers. PHLC works with all types of primary care practices, including community clinics and independent practices, as well as with health plans and public agencies to deliver training, data solutions, and technical assistance that strengthen population health management capabilities and improve HEDIS performance outcomes statewide. Learn more at www.pophealthlearningcenter.org.