Better payer performance across workflows with Galaxy

Agentic AI across risk adjustment, quality management, utilization management, and more to help health plans reduce manual work, improve decisions, and drive better outcomes.
Innovaccer is trusted by leading healthcare organizations to improve outcomes

Payer solutions powered by agentic AI

Galaxy brings together payer solutions across risk adjustment, quality management, utilization management, and more in one connected solution suite.
Unified Data
Intelligence
Connect clinical, claims, pharmacy, lab, and supplemental data to support better decisions across payer workflows.
Connected
Workflows
Streamline intake, review, coding, gap closure, authorization, and communication across payer workflows.
AI-Driven
Accuracy
Surface evidence, recommend next steps, and enable faster, more consistent execution across payer workflows.
Proven Implementation
Path
Strengthen traceability, audit readiness, and policy adherence across risk, quality, and utilization workflows.
Optimizing
Costs
Lower administrative costs and improve efficiency across complex payer operations.
From fragmented point solutions to connected payer execution
Bring risk adjustment, quality management, utilization management, and more together in one connected operating model.
Risk Adjustment
Strengthen coding accuracy and review efficiency
Unify documentation, coding, and chart review in workflows designed to reduce manual effort, strengthen compliance, and support more accurate risk operations.
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Quality Management
Improve quality performance and close more gaps
Coordinate action faster with workflows designed to reduce manual effort, support compliance, and drive stronger measure performance.
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Utilization Management
Accelerate approvals and improve member experience
Lower administrative costs, support faster and more consistent decisions, and improve member outcomes with workflows built for speed, compliance, and stronger decision support.
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Powered by a unified foundation
Give teams the data, workflow support, and intelligence they need to automate work, strengthen compliance, and scale with confidence across payer operations.

One Data Model

Bring clinical, claims, lab, pharmacy, and supplemental data into one governed foundation to reduce silos and improve consistency across programs.

AI Agent Enablement

Deploy agentic AI with transparency and oversight across intake, review, authorization, summarization, and reporting workflows.

Configurable
workflows

Adapt quickly to plan policies, benefit structures, and compliance requirements with configurable workflows built for payer teams.

Built-In Intelligence

Surface insights, prompts, alerts, and decision support directly in the workflow to help teams act faster and with greater confidence.

Interoperability by design

Enable secure, bidirectional data exchange and audit-ready traceability across systems, partners, and payer programs.

Built to improve payer performance across workflows

Galaxy helps health plans reduce manual work, improve decisions, strengthen compliance, and improve performance across payer workflows.
Lower administrative burden across payer operations
More informed decisions across workflows
Greater regulatory confidence and audit readiness
Stronger cross-team execution across payer operations

Leading Healthcare Organizations 

Choose Innovaccer

“Our partnership with Pharmacy Quality Solutions enables us to strengthen relationships with the city’s pharmacies—the cornerstones of community care—while continuing to redefine the scope and reach of healthcare access for members at every touchpoint.”
Abdou Bah
Chief Health Equity Officer of  EmblemHealth

“IInNote saves me 30 minutes a day that I would have otherwise spent chasing down information.”

Scott Maron, MD
President, Atlantic Health ACO
see full case study
$1M
in potential incentive payments
10%
improvement in coding gap closure rate
30
minutes a day saved per provider
“By making data more accessible and accurate, and using AI in practical ways, we can actually solve the day-to-day
Nick Moriello
President of Highmark Blue Cross Blue Shield Delaware
AI-Powered. Connected. 
Performance-Driven.
By unifying accuracy, efficiency, and outcomes, Galaxy gives payers the foundation to advance care, elevate ratings, and lead with confidence in the decade ahead.
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Built for compliance, transparency, and audit readiness.
HIPAA, HITRUST, SOC 2 Type II, and NCQA-certified
Audit-ready workflows across risk, quality, and utilization management
Support for CMS-0057-F-aligned prior authorization turnaround and reporting workflows
Secure interoperability with transparent AI and human oversight
Experience a unified AI platform empowering payers to drive accuracy, efficiency, and measurable outcomes.
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Frequently Asked Questions

Frequently Asked Question

What is Galaxy for payers?

Galaxy is a connected solution suite for health plans across risk adjustment, quality management, utilization management, and more.

What workflows does Galaxy support?

Galaxy supports payer workflows across data integration, review, coding, gap closure, authorization, communication, and reporting.

How does Galaxy improve payer performance?

Galaxy helps reduce manual work, improve decisions, strengthen compliance, and improve performance across payer workflows.

How does Galaxy support compliance and audit readiness?

Galaxy supports compliance and audit readiness with traceability, secure interoperability, transparent AI, and human oversight.
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