Hospitalogists, Happy Monday! I've been having several conversations behind the scenes with the team at Innovaccer including their CEO Abhinav Shashank and CIO Anil Jain. They spent a ton of time walking me through their company's history, what they believe in as an organization AND their shiny new AI-enabled system of intelligence - Gravity! (Both a great - albeit terrifying - movie and song as well, but I digress). Let's dive into the Innovaccer story. I'm excited to bring you this one. |
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The TLDR on Innovaccer and Gravity |
Gravity brings together clinical, claims, financial, and operational data into one aggregated, normalized platform purpose-built for AI. IT teams can rapidly create AI agents tailored to their health system's needs, all within their own secure data environment. These agents can link with any data source and LLM to drive growth in market share, retention, and patient engagement. |
Unveiling Gravity, Innovaccer's AI Orchestration Layer for Healthcare |
Today, I've been given the lofty task of unveiling Gravity, Innovaccer's single, unified data and intelligence platform for hospitals, health systems, and risk-bearing organizations alike. But first we need to understand what Gravity as an orchestration layer does. What do you think of when someone asks you what a system of intelligence does in healthcare - or an orchestration layer? (Is anyone really asking you that question? Yeah, me neither. Bear with me for the sake of this essay.) It's probably basic as hell but what came to mind for me was…an orchestra. Think about it. Historically, healthcare enterprises have operated in silos, with ever-compounding fragmentation of data as new service lines get introduced. Hospital at home. Population health. Inpatient care. Ambulatory care. All of these segments are great instrumentalists, sections on their own, and can produce wonderful music. But what happens if you add the conductor? Someone to provide structure. Someone who gives you feedback, and who tells you what sheet music to play, when to play it, at what tempo, and in what clef. Innovaccer has spent the past 10 years creating that one conductor, and the culmination of Innovaccer's expertise has manifested into…Gravity. |
Innovaccer's Gravity: The Case for One Conductor |
A symphony warming up is a cacophony of sound with no meaning or broader purpose beyond themselves. Strings, brass, woodwinds, percussion. Expensive instruments, and plenty of talent. Today this dynamic is where the health system sits with AI. You have a powerful EHR as your sheet music giving basic guidance, an army of niche apps, and a fresh crop of copilots and agents. There's a purpose for all of the things you've brought in and investments you've made. But they don't work together: today, you're stuck in silos and struggle to make the music - get the insights you need - to convert your disparate service lines into a cohesive orchestra. Gravity from Innovaccer is the conductor on the podium. It's not another soloist. No - Gravity is the system of intelligence that coordinates data, models, agents, and workflows so the enterprise plays the same score and the audience hears wonderful, sweet, melodies: better access, actionable insights, enterprise-wide strategic thinking, a compliant AI experimental playground, and stronger margins. | Why You're Going to be Hearing a Lot More About AI 'Orchestration' |
Clinicians face a tidal wave of information. More journals. More alerts. More boxes to click. Meanwhile, the workforce is short staffed and weary. Expenses are an ever-marching force pressuring operating margins. Boards want action with measurable payback. But here's the thing: the tech is finally here. Foundation models are widely available. Compute and storage are accessible. The build velocity for shipping AI-enabled features is unlike anything we have seen in enterprise software. The problem isn't with shipping speed, or technological capabilities now - rather, most AI pilots (80%!) fail to produce returns. Not because the math is weak. Because people, process, governance, and data are not ready. That is the gap an orchestration layer fills. A system of intelligence sits between systems of record and end user experiences and makes the work safe, observable, and repeatable to better understand what's working and what isn't in real time, to feed the right context to the right copilot at the right moment. |
Where Innovaccer Fits In to an AI-Enabled Future: the Company Journey from Data Enablement to Platform-ization |
Innovaccer started in data, then discovered the obvious truth that value based care lives or dies on a unified, longitudinal record. The company built a foundation to clean, normalize, and stitch together clinical, claims, pharmacy, and more, then pushed insight into the tools people already use. That platform supported analytics, care management, outreach, and population health at national scale. All along, Innovaccer's philosophy never changed: get the data right, put intelligence where work happens, and measure outcomes in minutes and dollars, not just pretty dashboards. Gravity is the next step in that journey. It carries the same insistence on data quality into the agentic era and adds the guardrails and plumbing that turn experiments into operations. Gravity is cloud and database agnostic and designed to live with the stack you already have with Innovaccer. Alright, you get it. So what in the world does Gravity actually do? We've heard recently from Nikhil on what Innovaccer as a company does. |
Innovaccer's Future: Gravity the Platform |
Continuing with my grand orchestra theme here, point solutions can be great soloists. But with so many contracts, permissions, and potential for compliance issues, CIOs are getting overwhelmed. So as healthcare provider organizations consolidate, so do point solutions. It's the natural way of things in healthcare. AI features companies are next on the list. We're already seeing this trend play out. Every new agent demands context, permissions, and a way to write back into the record. You can keep wiring one offs for each new app. Or you can adopt a common chassis that routes requests, brokers identity, and exposes a consistent way to connect models to governed data and real workflows. That is Gravity's pitch. One platform to rule them all (sorry, couldn't resist) and to standardize how AI shows up across the enterprise. Clean data infrastructure that holds up in audits and in monthly finance reviews. |
Gravity's Features, Differentiation, and ROI |
So we've established Gravity as a unifying force that cleans data, aggregates disparate datasets into a universal source of truth for your organization, and allows for building and implementation on top. Here's a closer drilldown into what sets Gravity apart from point solutions, other platforms, or an EHR: - Data fidelity and integration: If data is stale, incomplete, or poorly mapped, everything downstream suffers. The same goes for agents. Gravity's data studio, terminology mapping, referential matching, and quality rules exist to simplify administrative work and streamline workflows, which means more time building the experience and measuring the outcome.
- Localized, secure AI product experimentation: During my conversations, the Innovaccer team stressed to me how many hospitals and health systems wanted a localized playground to manufacture and train their own models and datasets to keep information within their own organization while developing new products or workflows. And compliance is treated with the utmost respect. Gravity is not just for end users. It is a builder's workspace. Because cleansing, normalization, and identity are handled, internal teams and partners can focus on the problems that matter. Because authentication and authorization are standardized, they do not reinvent the same controls. Because the environment is safe, teams can train small language models on their own data without fear that it will be used to train 3rd party models.
- System of record vs. system of intelligence: I had a nuanced conversation with Innovaccer leadership about the role of the EHR vs. the role of the system of intelligence or the so-called orchestration layer like Gravity. Their roles aren't black and white - there's a bit of overlap. But for the most part, EHRs are exceptional at clinical documentation, orders, billing, and reporting. They are the system of record - the source of truth - for what happened. And obviously that's an important, needed role to play. Innovaccer doesn't ask you to change that. Gravity complements the system of record with a system of intelligence that spans across all departments. So it aggregates data from EHRs, claims data, things like labs, and CRM, then activates that data through copilots and agents at the right time and to the right people within the organization.
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ROI and Case Studies: Why Kaiser Picked Innovaccer, and What Makes Innovaccer a Long-Term Partner of Choice |
Population health is where Innovaccer built its name and it remains the clearest demonstration of the platform. As an integrated delivery network, Kaiser's Population Health Management Initiative sought a comprehensive population health platform (PHM) that California Health Centers could leverage for themselves. Kaiser's goal aimed to help centers aggregate and harmonize data from multiple sources to generate actionable analytics. In simpler terms, Kaiser wanted a technology partner to collect and clean data, then create longitudinal patient records from these diverse sources. This aggregation and harmonization would allow Kaiser to develop specific use cases that enhance their Health Centers' ability to serve patients through vastly improved population health management practices. | After evaluating 180 vendors, Kaiser ultimately narrowed it down to 23, then 4, and finally selected Innovaccer to drive the above capabilities sliding into the 'PHMI Technology Platform' role below, covering the roles noted below on the left and right-hand side of the screen: |
I found this scorecard particularly interesting for how Kaiser evaluated and weighed its potential partners across 7 key domains (Innovaccer obviously scoring the highest across the partners selected): |
By the way, this whole presentation from Kaiser is public here. Pretty crazy the things you can find online! Here's what won Kaiser over: Innovaccer's modern architecture, clean, user-friendly interface, out-of-the-box solutions, and robust, differentiated functionality. Kaiser's words! Not mine. | So what does a health system like Kaiser unlock by partnering with Innovaccer? - They might see a 16.4% reduction in expected total cost of care for MSSP patients due to ED protocol, like Adventist Healthcare's CIN did.
- They may experience $5.3M in documentation savings from successful readmission reduction programs similar to PSW.
- They may unlock their ability to create clinical, financial, and operational benchmarks to find actual ROI opportunities at the system and market level, like CommonSpirit Health did.
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Innovaccer works with leading health systems and risk-bearing organizations across healthcare. With deep data integrations and a relentless focus on being a good partner, aren't they the kind of team and organization you'd want to partner with on your enterprise's present and future AI strategy? Choose signals over noise! |
Consider Innovaccer and Gravity as a Partner in your Enterprise-Wide AI Strategy |
If you don't adopt a system of intelligence that lets you experiment securely and then move to production with confidence, you'll fall behind peers who do. This isn't a nice to have project. No, it's an imperative operating decision that affects throughput, quality, experience, and margin - and future-proofs your organization. Innovaccer is building toward an AI-enabled future and is shipping pieces of it as we speak across access, revenue, quality, and population health. | Strategy and finance leaders are paid to look at new partnerships, JVs, ventures, and tech investments through a financial ROI lens. A good place to start is to hire a conductor. Choose one platform as the foundational layer for your enterprise AI strategy, and one that will be a great, long-term partner over the years as you work on your long-term mission as a health system. Treat Gravity as the podium where data, governance, and agents come together. Start with a few high impact workflows. Prove adoption and ROI fast. Manage digital workers with the same discipline you expect from human teams. Finally, over time, invite builders inside and outside your walls to contribute on your stage. The instruments you already own can sound very different over the next two years. With a system of intelligence conducting, clinicians get time back, patients move with fewer delays, population health becomes more predictable, and the margin gets healthier through a hundred small timing improvements that add up. Let's use AI to work smarter and coordinated, not fragmented, fam. Break down those damn silos. Get in touch with Innovaccer today to learn more about Gravity. |
This essay is a sponsored post in partnership with Innovaccer. I write these posts for companies with products or missions I believe can provide value-adds for Hospitalogy subscribers, many of whom work with/for ACOs, FQHCs, integrated health systems, health plans, and other risk-bearing organizations that want to learn more about potential value-based care partners. If you're interested in a sponsored deep dive, please reach out to blake@workweek.com! |
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Thanks for the read! Let me know what you thought by replying back to this email. — Blake |
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