Innovaccer Inc., a healthcare AI platform company, has launched Galaxy by Innovaccer, an integrated, AI-powered platform designed to enhance how payers manage risk adjustment and HEDIS across Value-Based Care and Fee-for-Service models. The platform aims to unify capabilities related to risk and quality management into a single intelligent system.
Built with specialized AI agents and an interoperable data architecture, Galaxy by Innovaccer provides precision, speed, and transparency for managing regulatory and financial landscapes. Abhinav Shashank, cofounder and CEO of Innovaccer, stated, “With Galaxy, we’re helping payers move from fragmented workflows to a truly connected ecosystem. For too long, payers have been saddled with outdated systems that make progress impossible. Galaxy changes that. It’s a modern, integrated platform built to completely transform how risk and quality are managed. I think people will be genuinely surprised by what it can do.”
Galaxy by Innovaccer integrates several capabilities previously siloed within payer organizations. These include AI-driven chart retrieval, coding, and abstraction for risk adjustment and quality automation, designed to provide accurate submissions and reduce manual inefficiencies. The platform also offers Predictive STARS Analytics and a Health Equity Index for real-time forecasting of quality performance, bonus potential, and health equity gaps, enabling data-driven interventions. EDI Management automates all EDI workflows internally, reducing reliance on internal IT teams for eligibility file handling and vendor data template management. Additionally, Multipoint Gap Closure allows health plans to manage gap closure campaigns across provider offices, community pharmacies, and member homes from a unified command center.
This unified platform is intended to streamline operations, support compliance with CMS audits, and empower payers to assist providers in identifying and closing care gaps at a reduced administrative cost. Shashank added, “The health plan market is under immense pressure from regulatory audits to rising costs to the need for equitable care. Galaxy meets this moment by connecting insights across the payer enterprise and enabling leaders to take control of risk, and quality, together.”
The launch of Galaxy aligns with the healthcare payer market’s shift toward value-based models and increased oversight, which is accelerating AI adoption. Grand View Research projects the U.
S. healthcare payer analytics market to grow at a 21.5% compound annual growth rate (CAGR), driven by the shift to Value-Based Care, expanding RADV audits, and a focus on health equity initiatives.
Unlike multiple point solutions, Galaxy by Innovaccer is designed to unify payer operations, integrating claims and clinical data, automating compliance workflows, and delivering measurable return on investment through improved accuracy, faster turnaround times, and reduced manual overhead. Galaxy by Innovaccer follows Innovaccer’s previous launches, Innovaccer Gravity™, Comet™, and Flow Auth, which aimed to enhance intelligence and integration in healthcare operations. These platforms reflect Innovaccer’s goal of building an operating system for healthcare, where payers, providers, and patients collaborate through connected data and AI. Galaxy by Innovaccer is currently available to health plans, ACOs, and provider-sponsored plans across the United States. Innovaccer activates healthcare data to enable providers, payers, and government organizations to deliver intelligent and connected experiences that improve health outcomes. The company’s Healthcare Intelligence Cloud supports stakeholders in the patient journey by converting fragmented data into proactive, coordinated actions that enhance care quality and operational performance. Organizations such as Orlando Health, Adventist Healthcare, and Banner Health utilize Innovaccer to integrate a system of intelligence into their infrastructure.
