Vendor Directory

+Oscar

+Oscar is the technology and services arm of Oscar Health, Inc and the platform has become a key enablement platform for payors to unlock the value of...

6 Degrees Health

Since 2012, 6 Degrees Health has been using our proprietary data and cutting-edge software, plus years of industry experience to help solve some of th...

Abacus Insights

Abacus Insights is a healthcare technology leader with the only data transformation platform and solutions built specifically for health plans. Focuse...

Advantasure

Advantasure is a healthcare technology product and business process services company that improves the performance of health plans and provider organi...

Amplifon Hearing Health Care

Amplifon Hearing Health Care makes it easy for health plans to provide high-quality, affordable hearing health care to their members. We do this by pa...

Applied Research Works - COZEVA

Applied Research Works, Inc. (ARW) created the Cozeva® platform to help payers, physician organizations, providers, and patients to collaborate on val...

Arrive Health (formerly RxRevu)

Arrive Health is a healthcare technology company dedicated to putting the needs of patients and providers first.

We improve access to the most affo...

Artemis By Nomi Health

Data Analytics for Health Plans. The Artemis Platform empowers health plans to demonstrate the value and effectiveness of their solutions to employer ...

ATTAC Consulting Group, LLC

Founded in 2003, ATTAC Consulting Group (ACG) has been recognized as a premier national consulting and auditing firm serving insurers, managed care an...

Avalon Healthcare Solutions

Avalon Healthcare Solutions is the leader in Laboratory Benefit Management.
Avalon is a healthcare information technology and specialty benefit manag...

Beacon Healthcare Systems

Beacon Healthcare Systems is your trusted partner in health plan operations, compliance and analytics helping you navigate the complexities of healthc...

Blue Eagle Consulting

Blue Eagle Consulting (BEC) is a contract SME & IT Consultant resource provider for both PAYORS and PROVIDER organizations (All EHR's, Facets, QNXT, U...

BrainHQ - Posit Science Corporation

WHAT'S BRAINHQ? BrainHQ (https://www.brainhq.com) is an app that monitors and addresses brain health, which can be carried on a phone in your pocket. ...

Calibrated Healthcare Network, LLC

Healthcare BPO providing administrative and clinical services. Experienced offshore Calibrated staff work in your health plan system so the Plan has 2...

Capital Rx

Capital Rx is built around the mission of changing the way drugs are priced and patients are serviced. Helping members navigate their benefits, saving...

Centauri Health Solutions

Centauri Health Solutions is a leading provider of technology-enabled analytics and services helping health plans and health systems to manage their v...

Ceresti Health

Ceresti's digital platform remotely upskills family caregivers of frail elderly Medicare Advantage members to reduce preventable member utilization an...

Change Healthcare

Our consultants are seasoned executives who previously spearheaded clinical, financial, and technology initiatives across healthcare, including with t...

ClaimLogiq

ClaimLogiq® is a healthcare technology company that delivers an innovative and proactive approach to both payment integrity and risk adjustment. We cr...

ClarisHealth

ClarisHealth provides health plans and payers with total visibility into payment integrity and FWA operations through our A.I.-powered technology plat...

Clarity Software Solutions

Clarity Software Solutions, Inc. provides technology-driven healthcare engagement through multimodal communications. As an industry leader, Clarity as...

Cognizant

Cognizant’s Healthcare Business Unit works with healthcare organizations to provide collaborative, innovative solutions that address the industry’s mo...

Cotiviti, Inc.

Cotiviti enables healthcare organizations to deliver better care at lower cost through advanced technology and data analytics, helping to ensure the q...

Curation Health

Curation Health helps providers and health plans navigate and scale from fee-for-service to value-based care. Our advanced clinical decision support p...

Curatus LLC

Provider data management has been a fragmented undertaking, utilizing multiple vendors engaged by various operational areas within a health plan. This...

Damore Health Advisors LLC

We provide consulting services to health plans, health systems, and other organizations who are developing, implementing, and enhancing value-based ca...

Decision Point Healthcare Solutions

Decision Point is a member engagement management company that brings holistic predictive analytics, machine learning, and actionable insights to every...

ELLKAY

As a nationwide leader in healthcare connectivity, ELLKAY has been making interoperability happen for 20 years. Proudly known in the healthcare indust...

Emids Technologies

Founded in 1999 and based in Nashville, Emids provides global digital transformation solutions across the healthcare ecosystem, providing tailored, cu...

Employee Benefits Corporation

At Employee Benefits Corporation, we provide a world-class customer experience and pride ourselves on our reputation as a service-oriented and technol...

Encore Integrity, LLC

Encore Integrity, LLC (Encore) is a healthcare consulting company rooted in technical solutions to support Affordable Care Act and Medicare Advantage ...

Endear Health

Endear is an API-connected, white labeled platform that empowers payors to deliver cutting-edge benefits and programs, without the associated technica...

Evensun Consulting

Evensun Consulting is a boutique consulting firm focused on the Affordable Care Act Individual Marketplace strategy and operations. In addition to con...

EyeMed Vision Care

Cincinnati, Ohio-based EyeMed Vision Care, the fastest-growing vision benefits company in the U.S., is dedicated to helping members achieve better, he...

First Health Network

For more than 30 years, First Health® has worked extensively with regional health plans, TPAs, national insurance carriers, employer groups and Taft-H...

Foodsmart

We are the world’s largest telenutrition and foodcare solution, backed by a national network of Registered Dietitians and designed to yield consistent...

GA Foods

Headquartered in St. Petersburg, Fla., GA Foods has been preparing and delivering meals since 1973. We are the most trusted and experienced national m...

Gradient AI

Gradient AI was founded in order to address the need for state-of-the-art Artificial Intelligence (AI) solutions designed specifically for the trillio...

Guardian

Guardian has been helping people protect their future and secure their lives for more than 160 years. Every day, we serve 29 million people by helping...

Hayes, a Symplr Company

Hayes is now part of symplr!
Hayes was part of a recent acquisition by symplr (symplr.com), the global leader in enterprise healthcare operations sof...

HealthBridge Financial

HealthBridge Financial, Inc. offers a first-of-its-kind financial security solution to help members bridge the gap between the cost of their portion o...

Healthcare Fraud Shield

Healthcare Fraud Shield offers a fully integrated Fraud, Waste and Abuse software solution platform called FWAShield. FWAShield utilizes unique and pr...

Healthcare Information Management

Since 2000, HealthCare Information Management, Inc. (HCIM) has delivered expert consulting services and robotic automation tools for small to mid-size...

HealthEdge

HealthEdge is the digital foundation enabling next-gen health plans to provide a transparent and consumer-centric experience at lower cost, higher qua...

HealthEquity

Health savings account (HSA) account management and advisors, and employer benefit cost management. HealthEquity offers a complete line of integrated ...

HealthHelp

HealthHelp partners with health plans to manage appropriate care in a complex, ever-changing environment. We have developed a predictable evidence-bas...

Healthmine

Healthmine is the industry’s leading quality improvement solution focused on empowering people to take the right actions to improve their health. We b...

HealthSherpa

0 years, >35 million shopping sessions, and 32% of all ACA enrollment have helped us create the most efficient, streamlined ACA Marketplace in the bus...

HealthSparq

At HealthSparq, we help people make smarter health care choices by partnering with health plans to provide members with cost and quality information a...

HealthTrio, LLC

HealthTrio provides digital engagement solutions that optimize self-service, value-based care, healthcare consumerism and real-time data integration. ...

Hilabs Inc.

HiLabs was founded at Yale with the mission of refining dirty health plan data. Our team of healthcare professionals has worked alongside data scienti...

HolaDoctor Inc

HolaDoctor offers Hispanic and multicultural engagement, retention solutions, and provides content for health plans. Our turn-key solutions is compris...

Inovaare Corporation

Inovaare transforms complex compliance processes by designing configurable solutions so healthcare organizations can collect real-time data across int...

Inovalon, Inc

Inovalon is a leading provider of cloud-based platforms empowering data-driven healthcare. Through the Inovalon ONE® Platform, Inovalon brings to the ...

Itiliti Health

Itiliti Health is on a mission to streamline prior authorizations using medical policy transparency and AI to deliver widely available, automated prio...

Lark Health

Lark is the world's largest A.I. healthcare provider, having served nearly 2 million patients suffering from or at risk of chronic and behavioral heal...

McCormack Consultants, Inc.

McCormack Consultants provides client with deep experience in system implementations and data integrations across the Healthcare Industry....

MDFlow System

MDFlow Systems is a premier Healthcare Information Technology (HIT) company whose products and solutions help healthcare providers and payers work mor...

MedImpact Healthcare Systems, Inc.

MedImpact is the PBM that puts clients and consumers first. For 30 years, it has had a single mission: To make pharmacy benefits affordable, understan...

MedInsight, a Milliman company

Milliman MedInsight® stands at the forefront of the healthcare industry as one of the most comprehensive and sophisticated analytics and data platform...

mPulse Mobile

mPulse Mobile, the leader in Conversational AI solutions for the healthcare industry, drives improved health outcomes and business efficiencies by eng...

MPX

Healthcare payer fulfillment services for all print and digital communications, outbound and inbound, completely managed by one platform, one team: E...

MSP Recovery Associates, LLC

MSP Recovery is the leading Medicare and Medicaid Recovery Specialist. We have developed the most comprehensive recovery platform in the industry. We...

NationsBenefits

NationsBenefits® is a leading supplemental benefits company that partners with managed care organizations to provide innovative healthcare solutions a...

nirvanaHealth

nirvanaHealth is an innovative Payer and pharmacy benefit manager (PBM) platform provider that leverages their robotic process automation (RPA) cloud ...

Nokomis

NOKOMIS: Experts in Claim Accountability

At the core of Nokomis is Claim Accountability, a holistic approach to claim submission review that combin...

Nossaman LLP

Founded in 1942, Nossaman LLP is an innovative, midsize national law firm with seven offices in the U.S. We have a strong foundation in California and...

NourishedRx

NourishedRx provides highly personalized food solutions for health plan and providers' most vulnerable members -- those facing nutritionally sensitive...

Omada Health, Inc.

Omada is the virtual-first provider that improves population health through sustained behavior change. We tackle the most pervasive conditions at scal...

Parker Dennison and Associates, Ltd

Healthcare consulting company...

PayMedix

PayMedix is an innovative healthcare payment platform dedicated to solving the serious problem of high out-of-pocket costs for everyone: providers, al...

Porter

Porter helps connects people with what they need to manage at home after an illness or injury. The platform creates connected, meaningful interactions...

Prealize Health

Today, members have to wait for a health crisis before receiving care, often too late, leaving the health plan to foot the bill. Health plans rely on ...

Provista LLC

The Health Plan Alliance partners with Provista to provide purchasing power to Alliance members. Provista is an established supply chain partner with ...

Pyx Health

Pyx Health is a mobile, scalable platform built to address loneliness and social isolation for vulnerable populations through technology, by providing...

Rebellis Group, LLC

With decades of experience in health plan, PBM and government consulting and technology, we set out to create a consulting company designed for the mo...

Reveleer

Reveleer is revolutionizing the health plan industry with the only end-to-end, cloud-based SaaS, AI-driven workflow solution enabling healthcare organ...

Rialtic

Rialtic is a modern healthcare technology platform focused on payment accuracy. Built by a team of seasoned industry veterans, Rialtic addresses the m...

Roundtrip Health

Roundtrip is the leading digital transportation benefit manager for better health outcomes. We provide a simple, comprehensive member ride ordering so...

Rx Savings Solutions

Founded by a pharmacist, Rx Savings Solutions helps people and payers reduce prescription drug costs through a combination of clinical technology, tra...

RxSense

RxSense is a pharmacy technology company with an advanced pharmacy benefit platform, RxAgile®, working in concert with integrated analytics, RxIQ®. Wi...

Sagility

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw ...

SecureSeniorConnections

More than 15 million U.S. seniors struggle with loneliness and social isolation. That stress often triggers physical illnesses that have a $60 billion...

Shift Technology

Shift Improper Payment Detection uses enhanced data, combined with healthcare-trained AI models to uncover 4x more fraud, waste and abuse, increase de...

Simplify Healthcare

Simplify Healthcare is focused on powering connected benefits and provider journeys on a foundation of clean and rich product, benefits, and provider ...

Smart Data Solutions

As a technology leader in healthcare process automation and interoperability, Smart Data Solutions (SDS) is a strategic partner in healthcare process ...

SmartRise Health, LLC

Empowering and mobilizing healthcare organizations, their staff, and community partners to innovate and maximize value. Design and launch strategies, ...

Softheon

SoluteHealth

SoluteHealth is an onshore custom development firm focused on building SaaS solutions based on our clients needs. Including operations management, pay...

SS&C Health (formerly DST Pharmacy Solutions)

SS&C Health partners with plans, PBMs, and providers to create health solutions that power their vision and enable their success. For nearly 40 years,...

Summit Re

Summit Re is a managing general underwriter and reinsurance advisor, working with health insurers, managed care plans, and self-funded employers throu...

Sword Health

SWORD Health is the world’s fastest growing virtual musculoskeletal (MSK) care provider, on a mission to free two billion people from chronic and post...

Tegria

Cumberland is now Tegria. We are a leading healthcare consulting and services firm providing strategic advisory consulting services, technology servic...

The Healthcare360

TheHealthcare360 partners with Medicare Advantage Plans, Commercial Payers, Medicaid Health Plans, ACOs, Provider Groups, IPAs, and any Risk Sharing O...

The Jacobson Group

The Jacobson Group is the leading provider of talent to the insurance industry. For more than 50 years, we have been providing executive search and an...

Toney Healthcare Consulting

Toney HealthCare Consulting provides advisory services, hands-on leadership and staffing in clinical operations (UM, CM, MOC), regulatory and complian...

Trusty.care

Built for the health insurance ecosystem of insurers, distributors, and members, Trusty.care is the end to-end sales enablement platform that uses tec...

TurningPoint Healthcare Solutions

TurningPoint is an integrated complex condition management solution, guided by deep clinical expertise and capable of bearing risk across a set of com...

Unite Us

Unite Us is a technology company that builds coordinated care networks of health and social service providers. With Unite Us, providers across sectors...

United Spinal Association

Uno Health

Uno specializes in enrolling your Medicare members in state and federal programs that deliver targeted cash assistance for all of the government progr...

Upland Panviva

Panviva is a Knowledge Management system that provides immediate access to standardized policies, procedures, call scripts, and work instructions. Pan...

Upside

The only vertically integrated housing benefit for all health plan members....

UST HealthProof

Technology, Consulting, and BPaaS services...

Valenz Health

Valenz® simplifies the complexities of self-insurance for employers through a steadfast commitment to data transparency and decision enablement powere...

Van Dellen Solutions

Expertise spanning from row-level claim data to strategic health care economics. We have proven success in:
• Plan data, analytics & insights driving...

Vatica Health

Founded in 2011, Vatica Health is the leading provider-centric risk adjustment and quality of care solution for health plans and health systems. By pa...

VBA

VBA is a proactive, healthcare technology company
providing comprehensive benefit administration, user experience, customer support, and business i...

Veradigm Payer Analytics (formerly Pulse8)

Veradigm is a healthcare technology company that drives value through its unique combination of platforms, data, expertise, connectivity, and scale. T...

Verifiable

Verifiable is an API first platform to automate primary source verifications in seconds to streamline provider credentialing and simplify network mana...

Vida Health

From depression to diabetes, Vida is the only solution designed from the ground up to treat a wide range of comorbidities, physical and mental....

Vimly Benefit Solutions

Vimly Benefit Solutions began in 1993 by serving small to mid-sized businesses (SMBs) through Association Health Plans (AHPs) and Multi-employer trust...

Virta Health

Virta Health is a leading healthcare technology organization dedicated to the reversal of type 2 diabetes and other metabolic conditions. A national m...

Virtix Health

Providing Virtual Wellness Visits and in-home health risk assessments for Medicare Advantage, Medicaid and ACA health plans.

Clinical data connec...

VirtualHealth

Virtual Health is the first true population health management platform; an end-to-end ecosystem, purpose built for the transition to value-based care....

Vitality Group

Guided by a core purpose of making people healthier, Vitality is the leader in improving health to unlock outcomes that matter. By blending industry-l...

Wellth, Inc.

Wellth is a behavior change company that builds motivation and habits while addressing health equity in populations with chronic conditions through th...

West Monroe

West Monroe is a national consulting firm that was born in technology but built for business—partnering with companies in transformative industries to...

WEX Health, Inc.

About WEX
Powered by the belief that complex payment systems can be made simple, WEX (NYSE: WEX) is a leading financial technology service provider i...

Wider Circle

Wider Circle works with health plans nationally to deliver unique hyper-local care programs that connect neighbors for better health. The company’s tr...

Zelis Healthcare, LLC

Zelis is modernizing the healthcare financial experience by providing a connected platform that bridges the gaps and aligns interests across payers, p...