AdhereHealth is a healthcare technology solutions leader supporting health plans, self-insured employers, and other risk-bearing entities for medication adherence insights and improved healthcare outcomes. The company's Adhere™ platform touches nearly 10 million consumers through advanced technologies, at-risk engagement services, and home-delivered pharmacy. The integrated set of solutions address an estimated half a trillion dollars of unnecessary annual medical costs attributed to medication adherence issues. The company is headquartered in the Nashville suburb of Franklin, Tennessee. For more information, please visit www.adherehealth.com
Advantasure is a health technology products and business process services company that improves the performance of health plans and provider organizations in the delivery of government healthcare programs. Through a comprehensive portfolio of products and services, Advantasure enables clients to lower administrative costs, increase reimbursement accuracy and improve the quality of care for their members.
Alegis Care, a business of CareAllies®, offers a complete, in-home population health and clinical services solution with comprehensive access to care for patients who need additional support - especially those with chronic conditions. Alegis Care has over 20 years of experience working side-by-side with patients in the comfort of their home to deliver direct patient care, comprehensive health assessment services and targeted chronic condition programs. We collaborate with payers, providers, health systems and other groups to help manage diverse and complex populations and identify and address barriers to care, enhancing the quality of life and improving outcomes. For more information on how Alegis Care can help, visit www.alegiscare.com.
Apixio is the data science company for health care. Apixio’s proprietary artificial intelligence platform extracts and analyzes clinical data in electronic and PDF records, generating deep insights into patient health. These insights feed applications such as HCC Profiler, which uncovers supported HCC codes with speed and accuracy, enabling comprehensive code identification and compliance auditing for Medicare Advantage and ACA programs.
Ranked #1 from 2018-2020 in the Top Healthcare Consultants & Advisors: Value Based Care Solutions report by Black Book Research, CareAllies has an extensive and successful history of innovative value-based provider collaborations. Our accountable care organization, provider engagement and practice transformation solutions focusing on creating a customized plan-of-action to optimize care and the connections between providers, patients and payers. We work side-by-side with you to accelerate the transition to value-based care, helping improve the quality, value and experience of care for patients and make health care better for everyone
Centauri Health Solutions is a risk adjustment, quality, and eligibility enrollment and billing solutions healthcare services company serving the government payor space. Centauri’s suite of products includes a comprehensive technology platform operating workflow of reporting and business intelligence software designed for efficient data integration and analytics.
As a leading provider of technology-enabled analytics and services, Centauri helps health plans to manage their variable revenue linked to population health, quality, and eligibility factors. We help clients optimize revenue cycle management, while helping their members realize quality-of-life improvements.
We possess specialized expertise in sophisticated hosted software solutions, data driven services and data management capabilities specifically for quality-based revenue and risk adjustment programs. These efforts result directly in better-informed health care delivery, richer benefits and reduced out-of-pocket healthcare costs.
Centauri boasts one of the few HEDIS programs in the nation that has been continuously certified by NCQA since 2006. Both our Medicare Advantage and Medicaid health plan eligibility/enrollment program infrastructure and our Risk Adjustment and Quality software and service platform have earned HITRUST Certified status for information security, demonstrating that we have met key regulations and industry-defined requirements and are appropriately managing risk.
With nearly 35 years of experience helping members enroll in government-funded assistance programs, we understand that your members’ health extends beyond their medical care. That’s why our Social Determinants of Health program proactively pinpoints gaps in resources and connects members with health-enhancing programs in their communities.
Centauri is charting a new path in healthcare with power to solve and passion to serve.
Change Healthcare (Nasdaq: CHNG) is a healthcare technology company that provides data and analytics-driven solutions to improve clinical, financial and patient engagement outcomes in the U.S. healthcare system.
We are foundationally committed to fully leveraging Artificial Intelligence to inspire a better healthcare system. We have the synergistic combination of: Massive Data Scale, Market Position & Workflow, Deep Bench of Dedicated Data Scientists, and Infrastructure Investment & Expertise, putting us at the forefront of the industry.
Our interoperable products and AI-driven automation deliver more value with less effort, allowing you to perform tasks more easily. We help you reduce administrative costs, increase your cash flow, and realize a more consistent, profitable revenue stream.
FTI Consulting Health Solutions works closely with payers, providers and other healthcare enterprises to anticipate challenges, identify areas for potential growth and operationalize changes. We provide unparalleled expertise, analytics, innovation, and the necessary global reach to achieve success. FTI can help you optimize performance in the short term and prepare for the inevitable strategic, operational, regulatory and financial challenges of the future.
Inovalon is a leading provider of cloud-based platforms empowering data-driven healthcare. Through the Inovalon ONE® Platform, Inovalon brings to the marketplace a national-scale capability to interconnect with the healthcare ecosystem, aggregate and analyze data in real time, and empower the application of resulting insights to drive meaningful impact at the point of care. Leveraging its Platform, unparalleled proprietary datasets, and industry-leading subject matter expertise, Inovalon enables better care, efficiency, and financial performance across the healthcare ecosystem. From health plans and provider organizations, to pharmaceutical, medical device, and diagnostics companies, Inovalon’s unique achievement of value is delivered through the effective progression of “Turning Data into Insight, and Insight into Action®.” Supporting thousands of clients, including 24 of the top 25 U.S. health plans, 22 of the top 25 global pharma companies, 19 of the top 25 U.S. healthcare provider systems, and many of the leading pharmacy organizations, device manufacturers, and other healthcare industry constituents, Inovalon’s technology platforms and analytics are informed by data pertaining to more than one million physicians, 565,000 clinical facilities, 324 million Americans, and 58 billion medical events. For more information, visit www.inovalon.com
Matrix Medical Network offers a broad range of clinical services and proven expertise that gives health plans and employers the tools and knowledge they need to better manage the health of at-risk populations at home and at work. With its deep roots in clinical assessment and care management services, Matrix’s network of more than 3,000 clinicians and fleet of mobile health clinics breaks through traditional barriers to care access by meeting members and employees where they are. By bringing the care to them and using in-person or virtual visits, this approach improves health outcomes for millions of Americans while reducing costs and risks for payers and employers. By combining leading-edge technologies such as artificial intelligence and machine learning with its proprietary platforms, Matrix is able to harness the massive amounts of data it captures to identify emerging health issues, close care gaps, connect individuals to additional resources for care, and drive better clinical and business decisions.
Optum is a leading health services and innovation company dedicated to helping make the health system work better for everyone. With more than 124,000 people worldwide, Optum combines technology, data and expertise to improve the delivery, quality and efficiency of health care. Optum uniquely collaborates with all participants in health care, connecting them with a shared focus on creating a healthier world. Hospitals, doctors, pharmacies, employers, health plans, government agencies and life sciences companies rely on Optum services and solutions to solve their most complex challenges and meet the growing needs of the people and communities they serve. www.optum.com
Cognisight has been partnering with healthcare payers and providers to deliver high quality risk adjustment solutions since 2006. With more than 100 clients in over 40 states, we continue to lead the industry through collaboration, quality, and transparency with a strong focus on providing unparalleled service. Whether you’re looking for a full-service partner or a single solution, Cognisight is a risk adjustment partner you can trust. (877) 271-1657 | Cognisight.com | info@Cognisight.com
Cognizant (Nasdaq-1: CTSH) is one of the world's leading professional services companies, transforming clients' business, operating and technology models for the digital era. Our unique industry-based, consultative approach helps clients envision, build and run more innovative and efficient businesses. Headquartered in the U.S., Cognizant is ranked 195 on the Fortune 5 and is consistently listed among the most admired companies in the world. Learn how Cognizant helps clients lead with digital at http://www.cognizant.com or follow us @Cognizant.
Dynamic Healthcare Systems was founded in 2005 in response to the significant business and system challenges placed on Medicare Advantage Organizations by the enacted Medicare Modernization Act of 2003.
Dynamic provides an end-to-end automated comprehensive solution for health plans and provider groups participating in Medicare Advantage, Managed Medicaid, and Marketplace programs.
Our automated solutions can help Dynamic's clients optimize revenue and increase the quality of their governmental submissions in an operationally efficient manner that is designed to comply with applicable legal and regulatory obligations. The analytics, integrated workflows, and queues within a single integrated platform help Dynamic's clients more effectively manage Enrollment, Premium Billing, Revenue Reconciliation and Risk Adjustment.
LifeStation integrates innovative technology with award-winning monitoring and dedicated Care Specialists to help the rapidly growing senior population remain active and independent. One of the largest, privately owned medical alert service providers in the country, LifeStation owns and operates the largest UL-Listed medical monitoring center in the United States.
Our industry-leading 4G LTE Mobile Medical Alert, integrated with our exclusive CareAssist Concierge Platform, helps to reduce readmissions, improve health outcomes and enhance plan member experiences across the country. By offering our full suite of service options along with our enhanced features, members get access to the things they need, without any barriers to care. In addition, our Caregiver Tools, including Amazon Alexa Skill and Find My Loved One, provide a 360 degree solution for members, loved ones and caregivers.
Millions of members are getting free medical alert service through the health-related supplemental benefit offering. Add LifeStation Medical Alert to your covered benefits to keep them both self-sufficient and safe.
Peerfit Move is a fresh approach to wellness for seniors providing a variety of fitness experience and facilitating social connections to maintain an active lifestyle. Peerfit Move is a fitness benefit that offers a personalized approach to wellness that encourages activity and social engagement. It allows members to access a variety of experiences so that we meet them where they are in their fitness journey.
Carenet Health is a leading provider of on-demand healthcare engagement, clinical support, telehealth and health advocacy solutions that influence behavior and deliver the kind of personalized experiences that today’s consumers expect. Our proprietary Intelligent Engagement™ model drives comprehensive multichannel strategies. Our teams of engagement specialists, registered nurses, health coaches and care coordinators support more than 65 million healthcare consumers on behalf of 250+ of the nation’s premier health plans, providers, health systems and Fortune 500 organizations. Learn more at carenethealthcare.com.
Cozeva is the operating system for value-based care and powers the transition toward a value-based ecosystem for quality, risk and cost performance. As a cloud-based operating system for ACOs, IPAs, payers, providers, and patients, Cozeva aggregates multiple data streams and turns them into actionable analytics and registry driven dashboards in real-time. Cozeva supports multiple stakeholders as they work together to fulfill their goals for MACRA, ACO, APMs, MIPS, Stars, HEDIS, P4P and HCC.
eHealth, Inc. partners with hospitals and health systems to help Medicare-eligible patients enroll in private Medicare insurance plans that align with patient needs and maximize health system resources. For each partner, eHealth provides a customized online marketplace where patients can compare Medicare plan options and enroll online, as well as a propriety marketing playbook to maximize enrollments among targeted patients. Patients are able to research, compare and enroll in Medicare insurance plans that cover their doctors and their prescription drugs via a user-friendly online platform or telephonically with a licensed agent. Licensed in all 50 states, with over 170 carrier relationships and a net promoter score of 91 - eHealth, Inc. is the leader in the digital insurance industry.
Healthcare Data is meaningless – unless it can be visualized and integrated into Primary Care Provider’s existing workflows. iCare Intelligence’s unique platform, iMLR, is reducing costs, increasing quality, and improving provider engagement by simplifying clinical documentation workflows for HCC/Risk Adjustment, HEDIS, and Medication Adherence, enabling real-time communication between health plan staff and Primary Care Providers to close gaps in care, all while integrating customizable performance incentives and financial reporting. Come by and see it in action.
InComm has extensive experience within the healthcare industry and provides OTC supplemental benefit and wellness incentive solutions that engage members and inspire proactive wellness. By leveraging our expansive retailer network, our partners can deliver a comprehensive benefit and wellness program that makes it easy for your members to experience the full value of your plan, which increases your member engagement and your ratings. Our innovative products, like our restricted-spend cards, prepaid gift cards and retailer discount offering, coupled with seamless ordering and fulfillment options, provide members with wellness benefits that seamlessly fit into their everyday lives. Learn more at www.InComm.com/Wellness
The healthcare business of LexisNexis Risk Solutions has mastered the art of combining, analyzing and delivering data and analytics to optimize quality, performance, and impact across health care entities. Our solutions leverage the industry’s most robust and accurate provider data, comprehensive public records, proprietary linking and claims analytics, predictive science, and computing platform to transform the business of healthcare.
RMC has over 25 years’ experience in providing quality coding and compliance services. Our expertise in Risk Adjustment/HCC coding started in 2006, in both Medicare Advantage and ACA risk adjustment models. At RMC, we provide compliant coding audits, education and training. We have maintained our reputation as the leading experts in HIM and Risk Adjustment, guaranteeing excellence and complete satisfaction to the customers we serve. Please see our website for more information: www.rmcinc.org
Sharecare Health Data Services provides secure electronic exchange, delivery and integration of protected health information, with the latest compliance standards and unmatched multi-step quality control processes. Sharecare Health Data Services delivers a variety release of information, electronic health record, and billing-office workflow services.