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About Fresh, Inc.
Business services
About Fresh partners with healthcare organizations to get healthy food to the people who need it most. Our Fresh Connect prepaid debit card programs e...
Access2Care, LLC
Business services
Managed Transportation
Access2Care is one of the nation’s largest managers of Non-Emergency Medical Transportation (NEMT) services. Our experience be...
AccessHope LLC
Clinical services
AccessHope believes in putting the ever-growing body of cancer knowledge to work for the greater good. We deliver a revolutionary employee health bene...
Actium Health
Analytics
Actium's Health brings “precision” to consumer engagement by harnessing the power of diverse data, we then calculate the most valuable actions and de...
Advantasure
Technology solutions
Advantasure is a healthcare technology product and business process services company that improves the performance of health plans and provider organi...
Advantmed LLC
Business services
Founded in 2005 and based in Santa Ana, California, Advantmed, LLC is a healthcare information management company that provides healthcare organizatio...
ADVault, Inc.
Technology solutions
With consumer users in over 58 countries, MyDirectives®, a service of Dallas, Texas-based ADVault, Inc., is the world’s leading all-digital advance ca...
Alliance of Community Health Plans (ACHP)
Marketing services
The Alliance of Community Health Plans (ACHP) is a national leadership organization bringing together innovative health plans and provider groups that...
Alliant Employee Benefits
Consulting
Alliant Employee Benefits provides a full spectrum of risk management, employee benefits consulting, and insurance brokerage services to employers nat...
Aloe Care Health
Technology solutions
Aloe Care's voice-activated system is the world's most-advanced in-home medical alert and communication system for older adults. Aloe Care is breaking...
Amplifon Hearing Health Care
Clinical services
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...
Amwell
Technology solutions
Amwell is a leading telehealth platform in the United States and globally, connecting and enabling providers, insurers, patients, and innovators to de...
Apervita
Analytics
Apervita is committed to making the Learning Health System a reality. We make this possible through our quality measurement and clinical intelligence ...
Apixio
Technology solutions
Apixio is advancing healthcare with data-driven intelligence and analytics. Our Artificial Intelligence platform gives organizations across the health...
Arrive Health (formerly RxRevu)
Technology solutions
Arrive Health is a healthcare technology company dedicated to putting the needs of patients and providers first.
We improve access to the most affo...
Astrata, Inc.
Analytics
Astrata is a digital quality company, offering a full suite of products and services for health plans and value-driven providers who are moving from p...
ATTAC Consulting Group, LLC
Consulting
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
Analytics
Avalon Healthcare Solutions is the leader in Laboratory Benefit Management.
Avalon is a healthcare information technology and specialty benefit manag...
AxisPoint Health
Clinical services
HGS Healthcare combines technology-powered services with decades of healthcare domain expertise to drive positive outcomes. We optimize the entire mem...
BeaconLBS
Technology solutions
BeaconLBS is a laboratory benefits solutions company that provides health plans with a branded approach to improve the quality and cost of lab testing...
Benelynk
Technology solutions
BeneLynk’s integrated approach to impacting Social Determinants of Health serves Managed Care Organizations and their members. Our services drive risk...
BluePeak Advisors
Consulting
BluePeak is a leading national healthcare consultancy that focuses on government programs. Our veteran consultants assist health insurance plans and ...
BrainHQ - Posit Science Corporation
Technology solutions
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. ...
CareJourney
Analytics
CareJourney was founded in 2014 under the belief that our nation’s transition to value-based care is an important one, but without an “operating manua...
Carrot Fertility
Clinical services
Flexible fertility and maternity benefits for health plans and their members.
Carrot provides high-touch, clinically managed benefits that result in ...
Catalyst Solutions
Consulting
Outsourced BPO, IT, and consulting services. Based in the U.S., Catalyst Solutions is exclusively focused on the needs of health plans with 20+ years...
Cedar Gate Technologies
Technology solutions
Censinet
Technology solutions
Censinet enables healthcare providers and payers to take the risk out of their business while protecting patient care and confidential data with Censi...
Centauri Health Solutions
Technology solutions
Centauri Health Solutions is a leading provider of technology-enabled analytics and services helping health plans and health systems to manage their v...
Change Healthcare
Consulting
Our consultants are seasoned executives who previously spearheaded clinical, financial, and technology initiatives across healthcare, including with t...
CiOX Health
Technology solutions
Ciox’s leading clinical data platform leverages the industry’s most extensive clinical data network, data orchestration engine and data intelligence l...
CitiusTech Inc
Technology solutions
CitiusTech (www.citiustech.com) is a leading provider of healthcare technology services, solutions and platforms, with strong presence in the payer, p...
ClaimLogiq
Technology solutions
ClaimLogiq is a healthcare software and technology firm that delivers a proactive approach to payment integrity through a powerful, simplified solutio...
ClarisHealth
Technology solutions
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
Technology solutions
Clarity Software Solutions, Inc. assists clients to optimize customer relationships by enhancing flexibility and control over their document managemen...
ClearHealth Strategies, LLC
Technology solutions
- No Surprises Act turnkey program management
- Network-based Medicare pricing (contractual pricing)
- Rreference-based pricing (out-of-network)
- ...
CLOUD, Inc.
CLOUD is the Consortium for Local Ownership & Use of Data, an open-source standards organization building a new architecture for the Internet and its ...
Cognisight
Business services
Cognisight is a leading health care solutions vendor, specializing in risk adjustment services for Medicare Advantage plans, Health Insurance Exchange...
Cognizant
Technology solutions
Cognizant’s Healthcare Business Unit works with healthcare organizations to provide collaborative, innovative solutions that address the industry’s mo...
Cohere Health
Technology solutions
Cohere's digital health plan solutions fundamentally transform utilization management to drive truly collaborative care journeys. Our solutions not on...
Collective Medical
Collective, a PointClickCare company, helps care teams collaborate to support their most vulnerable patients — those whose needs cannot be met in any ...
ConnectureDRX
Technology solutions
For more than 20 years, ConnectureDRX has been developing innovative and compliant Medicare shopping/enrollment and drug transparency technologies, un...
Convey Health Solutions
Technology solutions
Convey Health Solutions (“Convey”) is a specialized healthcare technology and services company committed to providing clients with healthcare-specific...
Cotiviti, Inc.
Analytics
Cotiviti is a leading solutions and analytics company that is reshaping the economics of healthcare, helping its clients uncover new opportunities to ...
Cricket Health
Clinical services
Cricket Health is a comprehensive kidney care provider with a personalized, evidence-based, and value-based approach to managing chronic kidney diseas...
CrossBridge Health
Clinical services
CrossBridge has re-envisioned how to deliver the comprehensive care patients dealing with chronic inflammatory/autoimmune conditions deserve. Demand ...
Curation Health
Technology solutions
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
Technology solutions
Provider data management has been a fragmented undertaking, utilizing multiple vendors engaged by various operational areas within a health plan. This...
Decision Point Healthcare Solutions
Technology solutions
Decision Point is a member engagement management company that brings holistic predictive analytics, machine learning, and actionable insights to every...
Deft Research
Marketing services
Deft Research is a market research firm with deep expertise in the health insurance industry. We blend primary research with data from our syndicated ...
Delta Dental Plans Association
Insurance
Delta Dental Plans Association is comprised of a network of 39 independent Delta Dental companies operating in all 50 states, Puerto Rico, and other U...
Diagnostic Robotics
Analytics
Diagnostic Robotics works with health plans to support their Population Health efforts. In addition, we help you to predict Risk within your Populatio...
Discovery Health Partners
Business services
Discovery Health Partners offers payment and revenue integrity solutions that help health payers improve revenue, avoid costs, and enhance the member ...
Diversity Crew
Consulting
Diversity Crew is a consortium made up of equal partners focusing on diversity and inclusion. Our role at Diversity Crew is to create equity for an in...
Dominion National - Private-Label Dental & Vision
Reinsurance
Dominion National is a national administrator of Private-Label dental and vision programs. Our CORE expertise is partnering with Blues plans, health ...
Easy Health Medical Solutions
Clinical services
We partner with leading health plans and provider groups to deliver a broad array of enrollment and assessment services to members that improve healt...
ELLKAY
Technology solutions
As a nationwide leader in healthcare connectivity, ELLKAY has been making interoperability happen for 20 years. Proudly known in the healthcare indust...
Emergent Business
Consulting
For more than 30 years I’ve been adapting sales organizations to compete successfully in highly competitive markets.
As an experienced VP of Sales...
Emids Technologies
Consulting
Founded in 1999 and based in Nashville, Emids provides global digital transformation solutions across the healthcare ecosystem, providing tailored, cu...
emocha Health
Technology solutions
emocha uses video technology and human engagement to empower patients to take every dose of medication as prescribed. emocha facilitates a daily touch...
Employee Benefits Corporation
Technology solutions
At Employee Benefits Corporation, we provide a world-class customer experience and pride ourselves on our reputation as a service-oriented and technol...
Engagent Health, LLC
Technology solutions
We provide a flexible module based end to end solution for your sales administration. SeoTraxs encompasses agent onboarding, CRM, agent oversight an...
Engagys
Consulting
Engagys is the leading healthcare consumer engagement consulting and research firm....
Episource
Technology solutions
Episource is reinventing the way healthcare organizations manage their risk adjustment programs. From risk adjustment analytics, retrospective chart r...
Essential HealthCare Solutions, LLC
Consulting
Essential HealthCare Solutions, LLC is a full service Healthcare consulting firm. We offer the following services:
1) Provider Network Development...
eviCore healthcare
Business services
eviCore healthcare (eviCore) offers proven, diversified medical benefits management solutions that help clients reduce costs while increasing the safe...
Evolent Health
Benefits administration
Evolent Health Services provides modern administrative and clinical capabilities along with managed services to health plans and risk-bearing organiza...
EyeMed Vision Care
Clinical services
Cincinnati, Ohio-based EyeMed Vision Care, the fastest-growing vision benefits company in the U.S., is dedicated to helping members achieve better, he...
Finity, Inc.
Technology solutions
Finity is a mission-focused health technology and services company. Our health intelligence engagement solutions are designed to empower members to ma...
First Health Network
Business services
For more than 30 years, First Health® has worked extensively with regional health plans, TPAs, national insurance carriers, employer groups and Taft-H...
Flume Health
Technology solutions
Flume Health started as a tech-forward TPA and has evolved into a full scale technology platform that allows our clients to build and launch customize...
Frier Levitt, LLC
Business services
Frier Levitt, established in 2000, is a national boutique law firm focused exclusively on Healthcare and Life Sciences. The Firm draws on its experie...
Furst Group
Business services
Talent needs are not episodic or transactional. One part truly does affect the whole. Furst Group and NuBrick Partners, both companies of MPI, have de...
GA Foods
Business services
Headquartered in St. Petersburg, Fla., GA Foods has been preparing and delivering meals since 1973. We are the most trusted and experienced national m...
Gibson Consultants
Business services
Gibson Consultants is an executive search firm founded by former health plan veterans. Its national client base includes health plans, hospitals, and ...
Gorman Health Group
Consulting
Gorman Health Group is a leading consulting and software solutions firm specializing in government health programs, including Medicare, Medicaid and H...
Gradient AI
Technology solutions
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
Insurance
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
Business services
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...
Health e-Commerce
Business services
At Health-E Commerce, we believe in untangling and simplifying the health and wellness benefits marketplace so our partners can reach the 100+ million...
Health Fidelity, an Edifecs Company
Technology solutions
Health Fidelity's solutions and expert services enable organizations participating in Medicare Advantage, ACA commercial, Managed Medicaid, and/or Med...
Health Intelligence Company
Analytics
Leveraging the industry's largest conformed healthcare claims database, Health Intelligence Company (HIC) provides analytic solutions and consulting i...
healthAlign
Technology solutions
healthAlign, now owned by The Helper Bees, is a leading platform that connects health plan members to the care and support services needed to enable i...
HealthBridge Financial
Benefits administration
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
Technology solutions
Healthcare Fraud Shield offers a fully integrated Fraud, Waste and Abuse software solution platform called FWAShield. FWAShield utilizes unique and pr...
Healthcare Information Management
Business services
Since 2000, HealthCare Information Management, Inc. (HCIM) has delivered expert consulting services and robotic automation tools for small to mid-size...
HealthCorum, Inc.
Analytics
HealthCorum is a health data analytics company on a mission to impact wasteful health spending. With roughly 30% of all health spend being of low-valu...
HealthEdge
Technology solutions
HealthEdge provides modern, disruptive healthcare IT solutions that health insurers use to leverage new business models, improve outcomes, drastically...
HealthEquity
Business services
Health savings account (HSA) account management and advisors, and employer benefit cost management. HealthEquity offers a complete line of integrated ...
HealthHelp
Clinical services
HealthHelp partners with health plans to manage appropriate care in a complex, ever-changing environment. We have developed a predictable evidence-bas...
HealthScape Advisors, LLC
Consulting
HealthScape Advisors is a management consulting firm dedicated to serving clients in the healthcare industry.
HealthScape Advisors’ offers a bro...
HealthSparq
Technology solutions
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
Technology solutions
HealthTrio provides digital engagement solutions that optimize self-service, value-based care, healthcare consumerism and real-time data integration. ...
HGS Healthcare
A global leader in business process management and member/patient experience, HGS Healthcare combines technology-powered services with decades of Heal...
HighRoads
Technology solutions
HighRoads is a provider of sales-enabling product data management solutions. Our platform, P2A, is a purpose-built solution that automates complex pro...
hunterAI
Analytics
Group Purchasing Organization for IT and Sourcing Data Transparency Platform
GPO HEALTH has created the first near-real-time* (NRT) platform that br...
Icario
Business services
Icario is a health action platform that unites pioneering technology, data science, and behavioral insights to connect everyone to better health. Icar...
InComm Healthcare
Technology solutions
InComm Healthcare is the leader in innovative payment platforms and restricted-spend capabilities. Our proprietary OTC network currently consists of 6...
InfoMC
Technology solutions
InfoMC is a technology solutions provider offering a cloud-based medical management platform for managing vulnerable, at-risk populations with complex...
InfoMC Inc.
Technology solutions
InfoMC is a leading providers of cloud-based integrated healthcare management and care coordination software. It’s Incedo™ Healthcare Management Plat...
Inovaare Corporation
Technology solutions
Inovaare transforms complex compliance processes by designing configurable solutions so healthcare organizations can collect real-time data across int...
Inovalon, Inc
Technology solutions
Inovalon is a leading provider of cloud-based platforms empowering data-driven healthcare. Through the Inovalon ONE® Platform, Inovalon brings to the ...
Insightin Health
Technology solutions
Our cloud-based platform, inGAGE™, eliminates healthcare data silos to enable payers to deliver a highly satisfying, consumer-centric healthcare exper...
Insignia Health
Business services
Insignia Health empowers healthcare organizations and health professionals around the world to assess patient activation and develop strategies for ef...
Integrity Advantage
Consulting
Integrity Advantage provides niche expertise and services that are laser focused on combating healthcare fraud, waste and abuse (FWA). Our team of su...
Lark Health
Technology solutions
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...
Leadership Guidance Group
Consulting
Leadership Guidance Group is founded on best practices developed over 25 years serving clients and candidates. We are a retained executive search firm...
LifeBalance Program
Business services
Founded in 1996 in Portland, Oregon, The LifeBalance Program specializes in building exciting, community-based programs that help clients engage, sati...
LifeDojo
Clinical services
LifeDojo, powered by Ontrak Health, is an evidence-based well-being solution that delivers results. We partner with employers to help create a happier...
Magnum Actuarial Group
Consulting
Specialized Actuarial Consulting services, specializing in our MagnaFund product, a turn key solution for health plans to enter the Self-Funded market...
MC-Rx
Benefits administration
MC-Rx is a full-service Pharmacy Benefits Manager (PBM), offering innovative quality programs with straightforward pricing. We provide state-of-the a...
MCOL
Business services
MCOL is a leading publisher of health care business information, offering online memberships, newsletters, webinars, videos, training software, resour...
Med-Kick
Clinical services
Remote Patient Monitoring (RPM) and Chronic Care Management Services (CCM)
As well as other care management services like Principal Care Management(P...
MedeAnalytics, Inc
Analytics
Transforming Lives Through Data
We believe the future of healthcare lies in your data. By combining sophisticated analytics with the know-how to act ...
Medecision
Technology solutions
Medecision® is an integrated health analytics and software company, whose solutions and services are used today by 85+ leading health plans and care d...
MedEncentive
Technology solutions
MedEncentive is a health-improvement, cost-containment service for employers, insurers, and governments. The Company’s web-based and mobile-enabled Mu...
Medical Risk Managers, Inc.
Business services
In business since 1984, MRM is one of the largest stop loss underwriters in the country. Historically MRM has underwritten $3 billion in stop loss pr...
MedInsight, a Milliman company
Analytics
Milliman MedInsight® is one of the healthcare industry’s most robust platforms
for data warehousing and healthcare analytics. For more than 20 years,...
MedReview
Clinical services
MedReview is an independent auditor of healthcare claims and we correct those claims to fairly represent the care that was provided, saving our client...
Meru Health
Clinical services
Meru Health is a comprehensive mental health solution providing support and care around stress, resiliency, depression, anxiety, and burnout. Meru hel...
Messagepoint
Technology solutions
The Healthcare Touchpoint Exchange is purpose-built to streamline the creation and annual updates to your CMS compliance materials including Annual No...
Milliman
Consulting
Milliman is the world's largest provider of actuarial services and a leading experts in healthcare financing and delivery. We consult across a broad s...
Mindtree
Technology solutions
Mindtree is a global technology consulting and services company, helping enterprises marry scale with agility to achieve competitive advantage. “Born ...
ModivCare Solutions, LLC
Business services
ModivCare makes connections to care that are essential in helping people live life in their best health. As the leading non-emergency medical transpor...
Monument
Clinical services
Monument is a telehealth platform for those looking to change their relationship with alcohol. We offer peer support through community offering, and o...
Morgan Consulting Resources, Inc.
Business services
Morgan Consulting Resources is a nationally retained executive search firm with over twenty five years of experience filling executive roles at health...
Moxe Health
Technology solutions
Moxe helps health plans acquire, harmonize, and use clinical and administrative data.
Our clinical data retrieval platform fully integrates with E...
mPulse Mobile
Technology solutions
mPulse Mobile, the leader in Conversational AI solutions for the healthcare industry, drives improved health outcomes and business efficiencies by eng...
MPX
Technology solutions
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
Business services
MSP Recovery is the leading Medicare and Medicaid Recovery Specialist. We have developed the most comprehensive recovery platform in the industry. We...
MTM, Inc
Business services
MultiPlan
Business services
MultiPlan is committed to helping healthcare payers manage the cost of care, improve their competitiveness and inspire positive change. Leveraging sop...
NationsBenefits
Business services
NationsBenefits® is a leading supplemental benefits company that partners with managed care organizations to provide innovative healthcare solutions a...
New Century Health
Technology solutions
New Century Health is the nation's leading specialty care management company, with special focus on cancer and cardiology patients. New Century Health...
nirvanaHealth
Technology solutions
nirvanaHealth is an innovative Payer and pharmacy benefit manager (PBM) platform provider that leverages their robotic process automation (RPA) cloud ...
Nokomis
Business services
At Nokomis, we believe that health plans should only pay for the services that actually occurred. However, 3-7% of all claims are still inaccurately c...
Nossaman LLP
Consulting
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
Business services
NourishedRx provides highly personalized food solutions for health plan and providers' most vulnerable members -- those facing nutritionally sensitive...
Nymbl Science
Technology solutions
Healthcare as become great at identifying risk for older adults, but not at listening to what the older adult actually needs. Nymbl is a digital, evid...
Onduo LLC
Clinical services
At Onduo, we are dedicated to making “healthy” easier and more accessible. We understand that only through sustained behavior change can people achiev...
Online Insight
Technology solutions
Online Insight offers a true quote to pay insurance marketplace with the ability to strategically deploy modules as point solutions. We empower indivi...
Ontrak Health
Clinical services
Ontrak Health is a leading AI-driven healthcare company that finds and engages hard-to-reach populations with unaddressed behavioral health issues and...
Optum
Analytics
At Optum, we are a leading health services innovation company dedicated to helping make the health system work better for everyone. We create simple, ...
Papa, Inc.
Technology solutions
Papa is a family on-demand service providing assistance and companionship to older adults and families across the United States with a curated network...
Pareto Intelligence
Analytics
Robust Analytics. Modern Technologies. Deep Business Expertise.
Pareto rises above the rest because we exist at the intersection of robust analytics,...
Payer Compass
Technology solutions
Payer Compass is an innovator in healthcare cost control. We’re helping health plans minimize overall spend on claim pricing, administration and proc...
Picwell, Inc.
Analytics
Decision Support
Picwell provides tools to insurers to help consumers select health insurance coverage (both commercial and Medicare) that best fits ...
Prealize Health
Analytics
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 ...
Prognos Health
Analytics
Prognos Health is an AI platform company focused on predicting the trajectory of disease to drive decisions earlier in the patient journey for payers,...
ProviderTrust, Inc.
Technology solutions
ProviderTrust is a data & software solutions company based in Nashville, TN. We partner with health plans, hospitals, and health systems to eliminate ...
Provista LLC
Business services
The Health Plan Alliance partners with Provista to provide purchasing power to Alliance members. Provista is an established supply chain partner with ...
Pulse8
Analytics
Pulse8, a Veradigm™ Business, is a Healthcare Analytics and Technology Company delivering complete visibility into the efficacy of your Risk Adjustmen...
Pyx Health
Technology solutions
Pyx Health is a mobile, scalable platform built to address loneliness and social isolation for vulnerable populations through technology, by providing...
Quest Analytics
Analytics
Quest Analytics is the software platform trusted by the nation’s health plans and regulators to manage, measure and monitor health plan network perfor...
RBS Re (an HM Insurance Group company)
Reinsurance
HM Insurance Group offers Managed Care Reinsurance products to HMOs, health plans and provider organizations. Our products, services and solutions wor...
Real Time Medical Systems
Analytics
Real Time Medical Systems is the industry-leading Interventional Analytics platform that provides Health Plans and Payers with post-acute interoperabi...
Rebellis Group, LLC
Consulting
With decades of experience in health plan, PBM and government consulting and technology, we set out to create a consulting company designed for the ...
Reeder & Associates
Consulting
Founded in 1996, Reeder & Associates is a top rated, nationally recognized retained executive search firm specializing in the placement of senior exec...
Reema Health Inc
Technology solutions
Reema is a mix of a tech platform to engage members and an in person community guide, all aimed at meeting social needs for Medicaid, Medicare, and Du...
Reveleer (formerly Dynamic Healthcare Systems)
Technology solutions
Dynamic Healthcare Systems, Inc. delivers comprehensive enterprise software solutions and services for health plans with Medicare Advantage, Medicaid,...
Rialtic
Technology solutions
Founded in 2020, Rialtic serves as the central platform for healthcare payers and providers to run critical operations to lower costs, increase effici...
Roundtrip Health
Technology solutions
Roundtrip is the leading digital transportation marketplace for better health outcomes. We provide a simple, comprehensive member ride ordering softwa...
Rx Savings Solutions
Technology solutions
Rx Savings Solutions works on behalf of health plans and self-insured employers to help their members reduce out-of-pocket prescription drug costs and...
RxAnte
Analytics
RxAnte is a leading predictive analytics and clinical services company located in Portland, Maine, and Washington, D.C., dedicated to improving medica...
RxSense
Technology solutions
RxSense is a pharmacy technology company with an advanced pharmacy benefit platform, RxAgile®, working in concert with integrated analytics, RxIQ®. Wi...
Senture, LLC
Business services
Senture specializes in providing large-scale, multi-channel contact center and service desk services—including expertise with surge/quick-ramp operati...
Sheppard Mullin
Consulting
Sheppard Mullin is a full service Global 100 firm handling corporate and technology matters, high stakes litigation and complex financial transactions...
SilverBills
Technology solutions
Using software plus personal support, SilverBills receives, scrutinizes, stores and ensures payment of members' household bills. No computer use is n...
Simplify Healthcare
Technology solutions
Simplify Healthcare – About Us
Simplify Healthcare is one of the leading digital healthcare platform provider for Payors, TPAs, and ASOs. Simplify...
SKYGEN
Benefits administration
SKYGEN is the trusted partner to deliver confidence and peace of mind to specialty benefit payers and government agencies responsible for the delivery...
SmartRise Health, LLC
Consulting
Empowering and mobilizing healthcare organizations, their staff, and community partners to innovate and maximize value. Design and launch strategies, ...
Softheon
Technology solutions
Spiras Health
Clinical services
Spiras Health delivers comprehensive healthcare at home to patients at elevated risk of an emergency event or hospitalization....
Spring Street Exchange
Consulting
Spring Street Exchange (SSX) is a consultancy that was founded with the mission to help make healthcare right. As an organization we have a double bot...
SS&C Health (formerly DST Pharmacy Solutions)
Technology solutions
SS&C Health’s core purpose is to empower payers, providers and pharmacy benefit managers to provide better health services including improved quality,...
Stonebrook Risk Solutions
Technology solutions
We help regional health plans expand with a digital platform that offers more products to new customers in more states....
Summit Re
Reinsurance
Summit Re is a managing general underwriter and reinsurance advisor, working with health insurers, managed care plans, and self-funded employers throu...
SWORD Health
Clinical services
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...
Talix
Technology solutions
Talix delivers NLP powered, integrated workflow applications to improve the speed and accuracy of risk adjustment coding. Our proven applications ser...
TCS Healthcare Technologies
Technology solutions
TCS Healthcare Technologies provides ACUITY Advanced Care™, a cost-effective, feature-rich software solution that improves the efficiency and effectiv...
Tegria
Consulting
Cumberland is now Tegria. We are a leading healthcare consulting and services firm providing strategic advisory consulting services, technology servic...
The Healthcare360
Technology solutions
TheHealthcare360 partners with Medicare Advantage Plans, Commercial Payers, Medicaid Health Plans, ACOs, Provider Groups, IPAs, and any Risk Sharing O...
The Jacobson Group
Consulting
The Jacobson Group is the leading provider of talent to the insurance industry. For 50 years, Jacobson has been connecting health insurance organizati...
The Phia Group, LLC
Consulting
The Phia Group, LLC is an expert provider of health care cost containment techniques offering comprehensive consulting services, legal expertise, plan...
Toney Healthcare Consulting
Clinical services
Toney HealthCare Consulting provides advisory services, hands-on leadership and staffing in clinical operations, regulatory and compliance, quality, a...
Unite Us
Technology solutions
Unite Us is a technology company that builds coordinated care networks of health and social service providers. With Unite Us, providers across sectors...
United Concordia Dental
Business services
For more than 45 years, United Concordia Dental has provided dental care to millions of members across the nation. We provide dental solutions to more...
Uno Health
Business services
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
Technology solutions
Panviva is a Knowledge Management system that provides immediate access to standardized policies, procedures, call scripts, and work instructions. Pan...
VBA
Technology solutions
VBA is a proactive, healthcare technology company
providing comprehensive benefit administration, user experience, customer support, and business i...
Veda
Insurance
Veda blends science and imagination to solve healthcare’s most complex data issues. Through human-in-the-loop Smart Automation, our solutions dramatic...
Vericred Inc.
Technology solutions
We simplify the exchange of health insurance and employee benefits data.
Vericred is a one-to-many middleware solution, enabling carriers to partic...
Verifiable
Technology solutions
Verifiable is an API first platform to automate primary source verifications in seconds to streamline provider credentialing and simplify network mana...
Vida Health
Clinical services
From depression to diabetes, Vida is the only solution designed from the ground up to treat a wide range of comorbidities, physical and mental....
About Fresh, Inc.
Business services
About Fresh partners with healthcare organizations to get healthy food to the people who need it most. Our Fresh Connect prepaid debit card programs e...
Access2Care, LLC
Business services
Managed Transportation
Access2Care is one of the nation’s largest managers of Non-Emergency Medical Transportation (NEMT) services. Our experience be...
AccessHope LLC
Clinical services
AccessHope believes in putting the ever-growing body of cancer knowledge to work for the greater good. We deliver a revolutionary employee health bene...
Actium Health
Analytics
Actium's Health brings “precision” to consumer engagement by harnessing the power of diverse data, we then calculate the most valuable actions and de...
Advantasure
Technology solutions
Advantasure is a healthcare technology product and business process services company that improves the performance of health plans and provider organi...
Advantmed LLC
Business services
Founded in 2005 and based in Santa Ana, California, Advantmed, LLC is a healthcare information management company that provides healthcare organizatio...
ADVault, Inc.
Technology solutions
With consumer users in over 58 countries, MyDirectives®, a service of Dallas, Texas-based ADVault, Inc., is the world’s leading all-digital advance ca...
Alliance of Community Health Plans (ACHP)
Marketing services
The Alliance of Community Health Plans (ACHP) is a national leadership organization bringing together innovative health plans and provider groups that...
Alliant Employee Benefits
Consulting
Alliant Employee Benefits provides a full spectrum of risk management, employee benefits consulting, and insurance brokerage services to employers nat...
Aloe Care Health
Technology solutions
Aloe Care's voice-activated system is the world's most-advanced in-home medical alert and communication system for older adults. Aloe Care is breaking...
Amplifon Hearing Health Care
Clinical services
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...
Amwell
Technology solutions
Amwell is a leading telehealth platform in the United States and globally, connecting and enabling providers, insurers, patients, and innovators to de...
Apervita
Analytics
Apervita is committed to making the Learning Health System a reality. We make this possible through our quality measurement and clinical intelligence ...
Apixio
Technology solutions
Apixio is advancing healthcare with data-driven intelligence and analytics. Our Artificial Intelligence platform gives organizations across the health...
Arrive Health (formerly RxRevu)
Technology solutions
Arrive Health is a healthcare technology company dedicated to putting the needs of patients and providers first.
We improve access to the most affo...
Astrata, Inc.
Analytics
Astrata is a digital quality company, offering a full suite of products and services for health plans and value-driven providers who are moving from p...
ATTAC Consulting Group, LLC
Consulting
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
Analytics
Avalon Healthcare Solutions is the leader in Laboratory Benefit Management.
Avalon is a healthcare information technology and specialty benefit manag...
AxisPoint Health
Clinical services
HGS Healthcare combines technology-powered services with decades of healthcare domain expertise to drive positive outcomes. We optimize the entire mem...
BeaconLBS
Technology solutions
BeaconLBS is a laboratory benefits solutions company that provides health plans with a branded approach to improve the quality and cost of lab testing...
Benelynk
Technology solutions
BeneLynk’s integrated approach to impacting Social Determinants of Health serves Managed Care Organizations and their members. Our services drive risk...
BluePeak Advisors
Consulting
BluePeak is a leading national healthcare consultancy that focuses on government programs. Our veteran consultants assist health insurance plans and ...
BrainHQ - Posit Science Corporation
Technology solutions
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. ...
CareJourney
Analytics
CareJourney was founded in 2014 under the belief that our nation’s transition to value-based care is an important one, but without an “operating manua...
Carrot Fertility
Clinical services
Flexible fertility and maternity benefits for health plans and their members.
Carrot provides high-touch, clinically managed benefits that result in ...
Catalyst Solutions
Consulting
Outsourced BPO, IT, and consulting services. Based in the U.S., Catalyst Solutions is exclusively focused on the needs of health plans with 20+ years...
Cedar Gate Technologies
Technology solutions
Censinet
Technology solutions
Censinet enables healthcare providers and payers to take the risk out of their business while protecting patient care and confidential data with Censi...
Centauri Health Solutions
Technology solutions
Centauri Health Solutions is a leading provider of technology-enabled analytics and services helping health plans and health systems to manage their v...
Change Healthcare
Consulting
Our consultants are seasoned executives who previously spearheaded clinical, financial, and technology initiatives across healthcare, including with t...
CiOX Health
Technology solutions
Ciox’s leading clinical data platform leverages the industry’s most extensive clinical data network, data orchestration engine and data intelligence l...
CitiusTech Inc
Technology solutions
CitiusTech (www.citiustech.com) is a leading provider of healthcare technology services, solutions and platforms, with strong presence in the payer, p...
ClaimLogiq
Technology solutions
ClaimLogiq is a healthcare software and technology firm that delivers a proactive approach to payment integrity through a powerful, simplified solutio...
ClarisHealth
Technology solutions
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
Technology solutions
Clarity Software Solutions, Inc. assists clients to optimize customer relationships by enhancing flexibility and control over their document managemen...
ClearHealth Strategies, LLC
Technology solutions
- No Surprises Act turnkey program management
- Network-based Medicare pricing (contractual pricing)
- Rreference-based pricing (out-of-network)
- ...
CLOUD, Inc.
CLOUD is the Consortium for Local Ownership & Use of Data, an open-source standards organization building a new architecture for the Internet and its ...
Cognisight
Business services
Cognisight is a leading health care solutions vendor, specializing in risk adjustment services for Medicare Advantage plans, Health Insurance Exchange...
Cognizant
Technology solutions
Cognizant’s Healthcare Business Unit works with healthcare organizations to provide collaborative, innovative solutions that address the industry’s mo...
Cohere Health
Technology solutions
Cohere's digital health plan solutions fundamentally transform utilization management to drive truly collaborative care journeys. Our solutions not on...
Collective Medical
Collective, a PointClickCare company, helps care teams collaborate to support their most vulnerable patients — those whose needs cannot be met in any ...
ConnectureDRX
Technology solutions
For more than 20 years, ConnectureDRX has been developing innovative and compliant Medicare shopping/enrollment and drug transparency technologies, un...
Convey Health Solutions
Technology solutions
Convey Health Solutions (“Convey”) is a specialized healthcare technology and services company committed to providing clients with healthcare-specific...
Cotiviti, Inc.
Analytics
Cotiviti is a leading solutions and analytics company that is reshaping the economics of healthcare, helping its clients uncover new opportunities to ...
Cricket Health
Clinical services
Cricket Health is a comprehensive kidney care provider with a personalized, evidence-based, and value-based approach to managing chronic kidney diseas...
CrossBridge Health
Clinical services
CrossBridge has re-envisioned how to deliver the comprehensive care patients dealing with chronic inflammatory/autoimmune conditions deserve. Demand ...
Curation Health
Technology solutions
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
Technology solutions
Provider data management has been a fragmented undertaking, utilizing multiple vendors engaged by various operational areas within a health plan. This...
Decision Point Healthcare Solutions
Technology solutions
Decision Point is a member engagement management company that brings holistic predictive analytics, machine learning, and actionable insights to every...
Deft Research
Marketing services
Deft Research is a market research firm with deep expertise in the health insurance industry. We blend primary research with data from our syndicated ...
Delta Dental Plans Association
Insurance
Delta Dental Plans Association is comprised of a network of 39 independent Delta Dental companies operating in all 50 states, Puerto Rico, and other U...
Diagnostic Robotics
Analytics
Diagnostic Robotics works with health plans to support their Population Health efforts. In addition, we help you to predict Risk within your Populatio...
Discovery Health Partners
Business services
Discovery Health Partners offers payment and revenue integrity solutions that help health payers improve revenue, avoid costs, and enhance the member ...
Diversity Crew
Consulting
Diversity Crew is a consortium made up of equal partners focusing on diversity and inclusion. Our role at Diversity Crew is to create equity for an in...
Dominion National - Private-Label Dental & Vision
Reinsurance
Dominion National is a national administrator of Private-Label dental and vision programs. Our CORE expertise is partnering with Blues plans, health ...
Easy Health Medical Solutions
Clinical services
We partner with leading health plans and provider groups to deliver a broad array of enrollment and assessment services to members that improve healt...
ELLKAY
Technology solutions
As a nationwide leader in healthcare connectivity, ELLKAY has been making interoperability happen for 20 years. Proudly known in the healthcare indust...
Emergent Business
Consulting
For more than 30 years I’ve been adapting sales organizations to compete successfully in highly competitive markets.
As an experienced VP of Sales...
Emids Technologies
Consulting
Founded in 1999 and based in Nashville, Emids provides global digital transformation solutions across the healthcare ecosystem, providing tailored, cu...
emocha Health
Technology solutions
emocha uses video technology and human engagement to empower patients to take every dose of medication as prescribed. emocha facilitates a daily touch...
Employee Benefits Corporation
Technology solutions
At Employee Benefits Corporation, we provide a world-class customer experience and pride ourselves on our reputation as a service-oriented and technol...
Engagent Health, LLC
Technology solutions
We provide a flexible module based end to end solution for your sales administration. SeoTraxs encompasses agent onboarding, CRM, agent oversight an...
Engagys
Consulting
Engagys is the leading healthcare consumer engagement consulting and research firm....
Episource
Technology solutions
Episource is reinventing the way healthcare organizations manage their risk adjustment programs. From risk adjustment analytics, retrospective chart r...
Essential HealthCare Solutions, LLC
Consulting
Essential HealthCare Solutions, LLC is a full service Healthcare consulting firm. We offer the following services:
1) Provider Network Development...
eviCore healthcare
Business services
eviCore healthcare (eviCore) offers proven, diversified medical benefits management solutions that help clients reduce costs while increasing the safe...
Evolent Health
Benefits administration
Evolent Health Services provides modern administrative and clinical capabilities along with managed services to health plans and risk-bearing organiza...
EyeMed Vision Care
Clinical services
Cincinnati, Ohio-based EyeMed Vision Care, the fastest-growing vision benefits company in the U.S., is dedicated to helping members achieve better, he...
Finity, Inc.
Technology solutions
Finity is a mission-focused health technology and services company. Our health intelligence engagement solutions are designed to empower members to ma...
First Health Network
Business services
For more than 30 years, First Health® has worked extensively with regional health plans, TPAs, national insurance carriers, employer groups and Taft-H...
Flume Health
Technology solutions
Flume Health started as a tech-forward TPA and has evolved into a full scale technology platform that allows our clients to build and launch customize...
Frier Levitt, LLC
Business services
Frier Levitt, established in 2000, is a national boutique law firm focused exclusively on Healthcare and Life Sciences. The Firm draws on its experie...
Furst Group
Business services
Talent needs are not episodic or transactional. One part truly does affect the whole. Furst Group and NuBrick Partners, both companies of MPI, have de...
GA Foods
Business services
Headquartered in St. Petersburg, Fla., GA Foods has been preparing and delivering meals since 1973. We are the most trusted and experienced national m...
Gibson Consultants
Business services
Gibson Consultants is an executive search firm founded by former health plan veterans. Its national client base includes health plans, hospitals, and ...
Gorman Health Group
Consulting
Gorman Health Group is a leading consulting and software solutions firm specializing in government health programs, including Medicare, Medicaid and H...
Gradient AI
Technology solutions
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
Insurance
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
Business services
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...
Health e-Commerce
Business services
At Health-E Commerce, we believe in untangling and simplifying the health and wellness benefits marketplace so our partners can reach the 100+ million...
Health Fidelity, an Edifecs Company
Technology solutions
Health Fidelity's solutions and expert services enable organizations participating in Medicare Advantage, ACA commercial, Managed Medicaid, and/or Med...
Health Intelligence Company
Analytics
Leveraging the industry's largest conformed healthcare claims database, Health Intelligence Company (HIC) provides analytic solutions and consulting i...
healthAlign
Technology solutions
healthAlign, now owned by The Helper Bees, is a leading platform that connects health plan members to the care and support services needed to enable i...
HealthBridge Financial
Benefits administration
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
Technology solutions
Healthcare Fraud Shield offers a fully integrated Fraud, Waste and Abuse software solution platform called FWAShield. FWAShield utilizes unique and pr...
Healthcare Information Management
Business services
Since 2000, HealthCare Information Management, Inc. (HCIM) has delivered expert consulting services and robotic automation tools for small to mid-size...
HealthCorum, Inc.
Analytics
HealthCorum is a health data analytics company on a mission to impact wasteful health spending. With roughly 30% of all health spend being of low-valu...
HealthEdge
Technology solutions
HealthEdge provides modern, disruptive healthcare IT solutions that health insurers use to leverage new business models, improve outcomes, drastically...
HealthEquity
Business services
Health savings account (HSA) account management and advisors, and employer benefit cost management. HealthEquity offers a complete line of integrated ...
HealthHelp
Clinical services
HealthHelp partners with health plans to manage appropriate care in a complex, ever-changing environment. We have developed a predictable evidence-bas...
HealthScape Advisors, LLC
Consulting
HealthScape Advisors is a management consulting firm dedicated to serving clients in the healthcare industry.
HealthScape Advisors’ offers a bro...
HealthSparq
Technology solutions
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
Technology solutions
HealthTrio provides digital engagement solutions that optimize self-service, value-based care, healthcare consumerism and real-time data integration. ...
HGS Healthcare
A global leader in business process management and member/patient experience, HGS Healthcare combines technology-powered services with decades of Heal...
HighRoads
Technology solutions
HighRoads is a provider of sales-enabling product data management solutions. Our platform, P2A, is a purpose-built solution that automates complex pro...
hunterAI
Analytics
Group Purchasing Organization for IT and Sourcing Data Transparency Platform
GPO HEALTH has created the first near-real-time* (NRT) platform that br...
Icario
Business services
Icario is a health action platform that unites pioneering technology, data science, and behavioral insights to connect everyone to better health. Icar...
InComm Healthcare
Technology solutions
InComm Healthcare is the leader in innovative payment platforms and restricted-spend capabilities. Our proprietary OTC network currently consists of 6...
InfoMC
Technology solutions
InfoMC is a technology solutions provider offering a cloud-based medical management platform for managing vulnerable, at-risk populations with complex...
InfoMC Inc.
Technology solutions
InfoMC is a leading providers of cloud-based integrated healthcare management and care coordination software. It’s Incedo™ Healthcare Management Plat...
Inovaare Corporation
Technology solutions
Inovaare transforms complex compliance processes by designing configurable solutions so healthcare organizations can collect real-time data across int...
Inovalon, Inc
Technology solutions
Inovalon is a leading provider of cloud-based platforms empowering data-driven healthcare. Through the Inovalon ONE® Platform, Inovalon brings to the ...
Insightin Health
Technology solutions
Our cloud-based platform, inGAGE™, eliminates healthcare data silos to enable payers to deliver a highly satisfying, consumer-centric healthcare exper...
Insignia Health
Business services
Insignia Health empowers healthcare organizations and health professionals around the world to assess patient activation and develop strategies for ef...
Integrity Advantage
Consulting
Integrity Advantage provides niche expertise and services that are laser focused on combating healthcare fraud, waste and abuse (FWA). Our team of su...
Lark Health
Technology solutions
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...
Leadership Guidance Group
Consulting
Leadership Guidance Group is founded on best practices developed over 25 years serving clients and candidates. We are a retained executive search firm...
LifeBalance Program
Business services
Founded in 1996 in Portland, Oregon, The LifeBalance Program specializes in building exciting, community-based programs that help clients engage, sati...
LifeDojo
Clinical services
LifeDojo, powered by Ontrak Health, is an evidence-based well-being solution that delivers results. We partner with employers to help create a happier...
Magnum Actuarial Group
Consulting
Specialized Actuarial Consulting services, specializing in our MagnaFund product, a turn key solution for health plans to enter the Self-Funded market...
MC-Rx
Benefits administration
MC-Rx is a full-service Pharmacy Benefits Manager (PBM), offering innovative quality programs with straightforward pricing. We provide state-of-the a...
MCOL
Business services
MCOL is a leading publisher of health care business information, offering online memberships, newsletters, webinars, videos, training software, resour...
Med-Kick
Clinical services
Remote Patient Monitoring (RPM) and Chronic Care Management Services (CCM)
As well as other care management services like Principal Care Management(P...
MedeAnalytics, Inc
Analytics
Transforming Lives Through Data
We believe the future of healthcare lies in your data. By combining sophisticated analytics with the know-how to act ...
Medecision
Technology solutions
Medecision® is an integrated health analytics and software company, whose solutions and services are used today by 85+ leading health plans and care d...
MedEncentive
Technology solutions
MedEncentive is a health-improvement, cost-containment service for employers, insurers, and governments. The Company’s web-based and mobile-enabled Mu...
Medical Risk Managers, Inc.
Business services
In business since 1984, MRM is one of the largest stop loss underwriters in the country. Historically MRM has underwritten $3 billion in stop loss pr...
MedInsight, a Milliman company
Analytics
Milliman MedInsight® is one of the healthcare industry’s most robust platforms
for data warehousing and healthcare analytics. For more than 20 years,...
MedReview
Clinical services
MedReview is an independent auditor of healthcare claims and we correct those claims to fairly represent the care that was provided, saving our client...
Meru Health
Clinical services
Meru Health is a comprehensive mental health solution providing support and care around stress, resiliency, depression, anxiety, and burnout. Meru hel...
Messagepoint
Technology solutions
The Healthcare Touchpoint Exchange is purpose-built to streamline the creation and annual updates to your CMS compliance materials including Annual No...
Milliman
Consulting
Milliman is the world's largest provider of actuarial services and a leading experts in healthcare financing and delivery. We consult across a broad s...
Mindtree
Technology solutions
Mindtree is a global technology consulting and services company, helping enterprises marry scale with agility to achieve competitive advantage. “Born ...
ModivCare Solutions, LLC
Business services
ModivCare makes connections to care that are essential in helping people live life in their best health. As the leading non-emergency medical transpor...
Monument
Clinical services
Monument is a telehealth platform for those looking to change their relationship with alcohol. We offer peer support through community offering, and o...
Morgan Consulting Resources, Inc.
Business services
Morgan Consulting Resources is a nationally retained executive search firm with over twenty five years of experience filling executive roles at health...
Moxe Health
Technology solutions
Moxe helps health plans acquire, harmonize, and use clinical and administrative data.
Our clinical data retrieval platform fully integrates with E...
mPulse Mobile
Technology solutions
mPulse Mobile, the leader in Conversational AI solutions for the healthcare industry, drives improved health outcomes and business efficiencies by eng...
MPX
Technology solutions
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
Business services
MSP Recovery is the leading Medicare and Medicaid Recovery Specialist. We have developed the most comprehensive recovery platform in the industry. We...
MTM, Inc
Business services
MultiPlan
Business services
MultiPlan is committed to helping healthcare payers manage the cost of care, improve their competitiveness and inspire positive change. Leveraging sop...
NationsBenefits
Business services
NationsBenefits® is a leading supplemental benefits company that partners with managed care organizations to provide innovative healthcare solutions a...
New Century Health
Technology solutions
New Century Health is the nation's leading specialty care management company, with special focus on cancer and cardiology patients. New Century Health...
nirvanaHealth
Technology solutions
nirvanaHealth is an innovative Payer and pharmacy benefit manager (PBM) platform provider that leverages their robotic process automation (RPA) cloud ...
Nokomis
Business services
At Nokomis, we believe that health plans should only pay for the services that actually occurred. However, 3-7% of all claims are still inaccurately c...
Nossaman LLP
Consulting
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
Business services
NourishedRx provides highly personalized food solutions for health plan and providers' most vulnerable members -- those facing nutritionally sensitive...
Nymbl Science
Technology solutions
Healthcare as become great at identifying risk for older adults, but not at listening to what the older adult actually needs. Nymbl is a digital, evid...
Onduo LLC
Clinical services
At Onduo, we are dedicated to making “healthy” easier and more accessible. We understand that only through sustained behavior change can people achiev...
Online Insight
Technology solutions
Online Insight offers a true quote to pay insurance marketplace with the ability to strategically deploy modules as point solutions. We empower indivi...
Ontrak Health
Clinical services
Ontrak Health is a leading AI-driven healthcare company that finds and engages hard-to-reach populations with unaddressed behavioral health issues and...
Optum
Analytics
At Optum, we are a leading health services innovation company dedicated to helping make the health system work better for everyone. We create simple, ...
Papa, Inc.
Technology solutions
Papa is a family on-demand service providing assistance and companionship to older adults and families across the United States with a curated network...
Pareto Intelligence
Analytics
Robust Analytics. Modern Technologies. Deep Business Expertise.
Pareto rises above the rest because we exist at the intersection of robust analytics,...
Payer Compass
Technology solutions
Payer Compass is an innovator in healthcare cost control. We’re helping health plans minimize overall spend on claim pricing, administration and proc...
Picwell, Inc.
Analytics
Decision Support
Picwell provides tools to insurers to help consumers select health insurance coverage (both commercial and Medicare) that best fits ...
Prealize Health
Analytics
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 ...
Prognos Health
Analytics
Prognos Health is an AI platform company focused on predicting the trajectory of disease to drive decisions earlier in the patient journey for payers,...
ProviderTrust, Inc.
Technology solutions
ProviderTrust is a data & software solutions company based in Nashville, TN. We partner with health plans, hospitals, and health systems to eliminate ...
Provista LLC
Business services
The Health Plan Alliance partners with Provista to provide purchasing power to Alliance members. Provista is an established supply chain partner with ...
Pulse8
Analytics
Pulse8, a Veradigm™ Business, is a Healthcare Analytics and Technology Company delivering complete visibility into the efficacy of your Risk Adjustmen...
Pyx Health
Technology solutions
Pyx Health is a mobile, scalable platform built to address loneliness and social isolation for vulnerable populations through technology, by providing...
Quest Analytics
Analytics
Quest Analytics is the software platform trusted by the nation’s health plans and regulators to manage, measure and monitor health plan network perfor...
RBS Re (an HM Insurance Group company)
Reinsurance
HM Insurance Group offers Managed Care Reinsurance products to HMOs, health plans and provider organizations. Our products, services and solutions wor...
Real Time Medical Systems
Analytics
Real Time Medical Systems is the industry-leading Interventional Analytics platform that provides Health Plans and Payers with post-acute interoperabi...
Rebellis Group, LLC
Consulting
With decades of experience in health plan, PBM and government consulting and technology, we set out to create a consulting company designed for the ...
Reeder & Associates
Consulting
Founded in 1996, Reeder & Associates is a top rated, nationally recognized retained executive search firm specializing in the placement of senior exec...
Reema Health Inc
Technology solutions
Reema is a mix of a tech platform to engage members and an in person community guide, all aimed at meeting social needs for Medicaid, Medicare, and Du...
Reveleer (formerly Dynamic Healthcare Systems)
Technology solutions
Dynamic Healthcare Systems, Inc. delivers comprehensive enterprise software solutions and services for health plans with Medicare Advantage, Medicaid,...
Rialtic
Technology solutions
Founded in 2020, Rialtic serves as the central platform for healthcare payers and providers to run critical operations to lower costs, increase effici...
Roundtrip Health
Technology solutions
Roundtrip is the leading digital transportation marketplace for better health outcomes. We provide a simple, comprehensive member ride ordering softwa...
Rx Savings Solutions
Technology solutions
Rx Savings Solutions works on behalf of health plans and self-insured employers to help their members reduce out-of-pocket prescription drug costs and...
RxAnte
Analytics
RxAnte is a leading predictive analytics and clinical services company located in Portland, Maine, and Washington, D.C., dedicated to improving medica...
RxSense
Technology solutions
RxSense is a pharmacy technology company with an advanced pharmacy benefit platform, RxAgile®, working in concert with integrated analytics, RxIQ®. Wi...
Senture, LLC
Business services
Senture specializes in providing large-scale, multi-channel contact center and service desk services—including expertise with surge/quick-ramp operati...
Sheppard Mullin
Consulting
Sheppard Mullin is a full service Global 100 firm handling corporate and technology matters, high stakes litigation and complex financial transactions...
SilverBills
Technology solutions
Using software plus personal support, SilverBills receives, scrutinizes, stores and ensures payment of members' household bills. No computer use is n...
Simplify Healthcare
Technology solutions
Simplify Healthcare – About Us
Simplify Healthcare is one of the leading digital healthcare platform provider for Payors, TPAs, and ASOs. Simplify...
SKYGEN
Benefits administration
SKYGEN is the trusted partner to deliver confidence and peace of mind to specialty benefit payers and government agencies responsible for the delivery...
SmartRise Health, LLC
Consulting
Empowering and mobilizing healthcare organizations, their staff, and community partners to innovate and maximize value. Design and launch strategies, ...
Softheon
Technology solutions
Spiras Health
Clinical services
Spiras Health delivers comprehensive healthcare at home to patients at elevated risk of an emergency event or hospitalization....
Spring Street Exchange
Consulting
Spring Street Exchange (SSX) is a consultancy that was founded with the mission to help make healthcare right. As an organization we have a double bot...
SS&C Health (formerly DST Pharmacy Solutions)
Technology solutions
SS&C Health’s core purpose is to empower payers, providers and pharmacy benefit managers to provide better health services including improved quality,...
Stonebrook Risk Solutions
Technology solutions
We help regional health plans expand with a digital platform that offers more products to new customers in more states....
Summit Re
Reinsurance
Summit Re is a managing general underwriter and reinsurance advisor, working with health insurers, managed care plans, and self-funded employers throu...
SWORD Health
Clinical services
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...
Talix
Technology solutions
Talix delivers NLP powered, integrated workflow applications to improve the speed and accuracy of risk adjustment coding. Our proven applications ser...
TCS Healthcare Technologies
Technology solutions
TCS Healthcare Technologies provides ACUITY Advanced Care™, a cost-effective, feature-rich software solution that improves the efficiency and effectiv...
Tegria
Consulting
Cumberland is now Tegria. We are a leading healthcare consulting and services firm providing strategic advisory consulting services, technology servic...
The Healthcare360
Technology solutions
TheHealthcare360 partners with Medicare Advantage Plans, Commercial Payers, Medicaid Health Plans, ACOs, Provider Groups, IPAs, and any Risk Sharing O...
The Jacobson Group
Consulting
The Jacobson Group is the leading provider of talent to the insurance industry. For 50 years, Jacobson has been connecting health insurance organizati...
The Phia Group, LLC
Consulting
The Phia Group, LLC is an expert provider of health care cost containment techniques offering comprehensive consulting services, legal expertise, plan...
Toney Healthcare Consulting
Clinical services
Toney HealthCare Consulting provides advisory services, hands-on leadership and staffing in clinical operations, regulatory and compliance, quality, a...
Unite Us
Technology solutions
Unite Us is a technology company that builds coordinated care networks of health and social service providers. With Unite Us, providers across sectors...
United Concordia Dental
Business services
For more than 45 years, United Concordia Dental has provided dental care to millions of members across the nation. We provide dental solutions to more...
Uno Health
Business services
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
Technology solutions
Panviva is a Knowledge Management system that provides immediate access to standardized policies, procedures, call scripts, and work instructions. Pan...
VBA
Technology solutions
VBA is a proactive, healthcare technology company
providing comprehensive benefit administration, user experience, customer support, and business i...
Veda
Insurance
Veda blends science and imagination to solve healthcare’s most complex data issues. Through human-in-the-loop Smart Automation, our solutions dramatic...
Vericred Inc.
Technology solutions
We simplify the exchange of health insurance and employee benefits data.
Vericred is a one-to-many middleware solution, enabling carriers to partic...
Verifiable
Technology solutions
Verifiable is an API first platform to automate primary source verifications in seconds to streamline provider credentialing and simplify network mana...
Vida Health
Clinical services
From depression to diabetes, Vida is the only solution designed from the ground up to treat a wide range of comorbidities, physical and mental....