Payer Outlook 2026: dQMs, RADV Audits & Audit Readiness | Mike Jones | [Inovalon INOvators]

Описание: What should health plans prioritize in 2026 as costs rise, audits intensify, and digital quality measurement becomes the standard?

In this episode of INOvators, Mike Jones, President of Payer Solutions at Inovalon, shares a practical outlook on what’s ahead for payers and where to focus amid competing demands.

Mike breaks down how plans can prepare for digital quality measures (dQMs), stay RADV audit-ready, and strengthen quality performance without overloading teams. The conversation also explores how tech-first operations, faster record review, and surfacing quality and risk gaps at the point of care can lead to better provider-patient interactions and more confident decision-making.

This episode is part of the INOvators series, featuring conversations with healthcare leaders across the industry on the trends, challenges, and strategies shaping the future of care.

For more insights from industry leaders, check out Inovalon INOvators: https://ow.ly/JJCw50TJNKm
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