Vendor Directory

1upHealth

1upHealth is a healthcare technology startup, leading in the FHIR® interoperability space and bridging the gap between patient-centered data and provi...

Advanced Plan for Health

Since 2004, Advanced Plan for Health’s advanced & predictive analytics platform, Poindexter, has delivered cost-saving insights & actions to help heal...

Advantasure

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

Aerial by Medecision

Aerial™ by Medecision connects the care ecosystem and enables consumers to be surrounded with personalized experiences focused on efficient and effect...

Alegeus

Market leader in healthcare and benefit payments – offering the industry’s most comprehensive platform for the administration of tax-advantaged benefi...

Alliance of Community Health Plans (ACHP)

The Alliance of Community Health Plans (ACHP) is a national leadership organization bringing together innovative health plans and provider groups that...

Alliant Insurance Services

Alliant Insurance Services, Inc. provides a full spectrum of risk management, employee benefits consulting, and insurance brokerage services to employ...

Altruista Health, Inc

Altruista Health delivers care management and population health management solutions that support value-based and person-centered care models. Altruis...

Amwell

Amwell is a leading telehealth platform in the United States and globally, connecting and enabling providers, insurers, patients, and innovators to de...

Animas Data Solutions

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

Apixio, Inc.

Improving healthcare outcomes requires access to the right data at the right time. Apixio is advancing value-based care with data-driven intelligence ...

AscellaHealth

A Pharmacy Benefit Administrator with focus on the specialty pharmacy and Infusion services and solutions....

Assist America

As the largest provider of global emergency medical services through employee and student benefit plans, we serve approximately 40 million members and...

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...

Babel Health

Babel Health offers the only fully integrated platform for risk adjustment data submissions. Our single, easy-to-use interface manages all complex ris...

Beacon Health Options

Beacon is the largest specialty behavioral health company in the U.S. For 35 years, Beacon has changed the way people live with behavioral health cond...

Benefitfocus

AI-driven platform solution that connects & enables all members of the benefits ecosystem. From quoting and enrollment to administration, billing and ...

BluePeak Advisors

BluePeak is a leading national healthcare consultancy that focuses on government programs. Our veteran consultants assist health insurance plans and ...

Bright.md

We've developed an automated virtual medical resident called the SmartExam that can have your providers giving care remotely for low-acuity in less th...

Buoy Health

These days, when most Americans get sick, they google their symptoms. But the information they find is unreliable and risky. Buoy is an online sympto...

Cardinal Analytx

Cardinal Analytx Solutions combines state-of-the-art AI-enabled data science with “next-best action” health insights. Based in Palo Alto, Calif., the ...

Care4ward, Inc.

Care4ward is a digital health company leveraging a unique blend of technology and human-touch to personalize therapeutic nutrition in high-acuity pati...

CareJourney

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 Health, Inc.

Carrot MarketView, gives payers and providers a better way to understand the social determinants of health – and the actions they should take to impro...

Catalyst Solutions

Catalyst Solutions is a 20-year old consulting firm partnered exclusively with health plans. Our clients serve all lines of business and range from st...

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...

Change Healthcare Consulting

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

ClaimLogiq

ClaimLogiq is a healthcare software and technology firm that delivers a proactive approach to payment integrity through a powerful, simplified solutio...

Clarity Software Solutions

Clarity Software Solutions, Inc. assists clients to optimize customer relationships by enhancing flexibility and control over their document managemen...

Clinigence Health

Clinigence Health, a leading health data aggregation and analytics provider, enables healthcare organizations to realize the full potential of populat...

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

Cognisight is a leading health care solutions vendor, specializing in risk adjustment services for Medicare Advantage plans, Health Insurance Exchange...

Cognizant

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

Colibrium

Colibrium provides award winning software solutions, including an analytics-driven shopping, enrollment, management, payment and renewal system, an ED...

Competiscan, LLC

Connecture

Connecture offers the most widely adopted Medicare shopping and enrollment solution, providing millions of consumers every year with a simple digital ...

ConsejoSano

Context4 Healthcare

Context 4 Healthcare is a leader in automated payment integrity analytics, UCR and Medicare pricing. Our advanced logic is delivered through cloud ba...

Convey Health Solutions

Convey Health Solutions (“Convey”) is a specialized healthcare technology and services company committed to providing clients with healthcare-specific...

Cotiviti, Inc.

Cotiviti (formerly Verscend Technologies) is a leading solutions and analytics company that is reshaping the economics of healthcare, helping its clie...

CredibleMind, Inc.

CredibleMind, a digital behavioral health platform company, has created a COVID-19 Resource Center to help combat the psychological toll of the pandem...

Cumberland Consulting Group

Cumberland Consulting Group is a leading healthcare consulting firm that provides IT advisory, implementation, optimization and outsourcing services t...

Curation Health

Curation Health, formerly TrustHealthcare, was founded by a team of healthcare veterans and clinicians to help providers and health plans navigate and...

Data Saints Auditing

Pre and post pay recovery audit services. 100% United States based senior auditors. Common search terms - DRG and APC auditing, DRG Validation, Medi...

Decision Point Healthcare Solutions

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

Deerwalk Incorporated

Deerwalk has incorporated elastic search technology to build a powerful population health management and employer group reporting platform in a NoSQL ...

Deft Research

Deft Research is a market research consultancy with deep expertise in the health insurance industry. We blend primary research with data from our synd...

Discovery Health Partners

Discovery Health Partners offers payment and revenue integrity solutions that help health payers improve revenue, avoid costs, and enhance the member ...

Dynamic Healthcare Systems

Dynamic Healthcare Systems, Inc. delivers comprehensive enterprise software solutions and services for health plans with Medicare Advantage, Medicaid,...

Emergent Business

Emergent Business works with businesses in highly competitive markets that require significant shifts in their approach to sales, account management a...

emocha Health

emocha uses video technology and human engagement to empower patients to take every dose of medication as prescribed. emocha facilitates a daily touch...

Engagent Health, LLC

We provide a flexible module based full end to end solution for your sales administration that encompasses agent onboarding, CRM and commission payme...

Episource

Episource reinvents risk adjustment program management across healthcare organizations. We empower the most recognizable names in healthcare with end-...

Epstein Becker Green (EBG)

Epstein Becker Green (“EBG”) has served as a thought leader in the health care industry for more than 45 years. The breadth of experience delivered by...

Essential HealthCare Solutions, LLC

Essential HealthCare Solutions, LLC is a full service Healthcare consulting firm. We offer the following services:

1) Provider Network Development...

eviCore healthcare

eviCore healthcare (eviCore) is a medical benefits management (MBM) company committed to making a positive impact in healthcare. Our strength and bre...

ExactCare

ExactCare provides solutions to help health plans, risk-taking physician groups, and ACOs enhance care for medically-complex, chronic and high-risk me...

Excelsior Solutions

Excelsior Solutions is the nation’s leading pharmacy consulting firm. We provide unique value by combining traditional consulting services with an on...

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...

Faegre Drinker Biddle & Reath LLP

Faegre Drinker is a top 50 firm designed for clients. A full-service law firm handling complex transactions, litigation and regulatory work for multin...

Feeding Children Everywhere

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...

FlexTech, Inc.

For 30 years, FlexTech has been the leading implementation consulting company in the healthcare payer marketplace. Our services revolve around the im...

forty-one 12 (4112 Agency, LLC)

forty-one 12 is a full service Advertising Agency that specializes in marketing health insurance products to both businesses and consumers. The agency...

Furst Group

At Furst Group, we provide executive search and consulting services for the healthcare industry. Our experience in evaluating talent, leadership and c...

GA Foods

Aligning supplemental benefits, with the recent CMS Medicare Advantage benefit changes, as well as providing SDOH support to both Medicare and Medicai...

Gibson Consultants

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

Gorman Health Group is a leading consulting and software solutions firm specializing in government health programs, including Medicare, Medicaid and H...

GPO HEALTH

Group Purchasing Organization for IT Services...

HackerAgency

For over 32 years, HackerAgency has focused on performance marketing across consumer categories for Fortune 500 companies, challenger brands and start...

Hayes, a TractManager Company

Hayes, Inc., now part of TractManager, provides clinically focused, evidence-based research and analysis to health plans, insurers, hospitals, healthc...

Health Care Cost Institute

HCCI is an independent, non-profit research institute.

The Health Care Cost Institute’s mission is to get to the heart of the key issues impacting ...

Health Fidelity

Health Fidelity's solutions and expert services enable organizations participating in Medicare Advantage, ACA commercial, Managed Medicaid, and/or Med...

Health Intelligence Company

Leveraging the industry's largest conformed healthcare claims database, Health Intelligence Company (HIC) provides analytic solutions and consulting i...

healthAlign

healthAlign is a leading platform that connects health plan members to community-based providers. Our services create a single point of accountabilit...

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...

HealthCrowd

HealthCrowd is the first truly unified SaaS platform for healthcare communications. By fusing healthcare domain expertise with ad analytics and machin...

HealthEdge

HealthEdge is an agile and innovative 21st century software company focused on providing next-generation, business-transforming technology products to...

HealthEquity

HealthMine

HealthMine is a leading engagement and reward solution, empowering individuals to take the right actions to improve their health. Creating personalize...

HealthScape Advisors, LLC

HealthScape Advisors is a management consulting firm dedicated to serving clients in the healthcare industry.

HealthScape Advisors’ offers a bro...

HealthshareBlox, LLC (DBA "HSBlox")

HSBlox is a healthcare technology company. Our solutions incorporate Distributed Ledger Technology (aka, "blockchain") to deliver cutting edge soluti...

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. ...

HMS Essette

Essette is a modular care management platform offering utilization management, case management and population health solutions. Essette modules are fl...

Impact4Health

Impact4Health consults health systems, public health agencies, nonprofits and foundations seeking innovations to advance health equity. We provide ex...

InfoMC Inc.

InfoMC is a healthcare technology company delivering a person-centered, collaborative care platform to health plans, payers, and provider organization...

Inovalon, Inc

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

KEPRO

KEPRO, a care management company, has worked with public program and commercial health insurance payers and employers for over 30 years. We currently...

Kiriworks, Inc.

Kiriworks, Inc. is a leading provider of process management solutions and services that optimize and transform today’s business. For over 50 years, in...

Landmark Health

Landmark Health contracts with health plans and health systems in value-based arrangements to manage complex, chronic patients through longitudinal an...

LifeBalance Program

Founded in 1996 in Portland, Oregon, The LifeBalance Program specializes in building exciting, community-based programs that help clients engage, sati...

Lumeris

At Lumeris, we envision a world where care decisions are clear, and everyone shares in the rewards. To bring our vision of value-based care to life, w...

Lyft Healthcare

Lyft Healthcare connects the power of Lyft's technology platform and 1.6 million drivers with healthcare. Every year 3.6 million people miss or delay ...

Magnum Actuarial Group

Specialized Actuarial Consulting services, specializing in Individual, Small Group and Small Group Self Funded product design and pricing...

Mazars USA LLP

Health care consulting, including health care finance and compliance consulting, among other areas....

MCG Health

MCG Health offers evidence-based care guidelines and software solutions that help health plans and care providers implement informed care strategies t...

MCOL

MCOL is a leading publisher of health care business information, offering online memberships, newsletters, webinars, training software, resource books...

MedeAnalytics, Inc

Transforming Lives Through Data
We believe the future of healthcare lies in your data. By combining sophisticated analytics with the know-how to act ...

Medical Risk Managers, Inc.

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...

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® is one of the healthcare industry’s most robust platforms
for data warehousing and healthcare analytics. For more than 20 years,...

MediQuire

MediQuire's mission is to accelerate the move towards value-based contracting, with its suite of contract management and population health management ...

Medullan

Medullan is a privately-held, self-funded digital healthcare solutions firm that specializes in amazing digital product strategy and user experience. ...

MHK (formerly MedHOK)

MHK, part of the Hearst Health network, is a Medical House of Knowledge, where care and knowledge converge. The only service provider that combines ph...

Milliman

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...

Mindful Meal

Mindful Meal is 'Fitbit for Nutrition'

Problem: Cooking and eating healthy is complicated since families have to alter their diets based on nutriti...

Moxe Health

Moxe helps health plans acquire, harmonize, and use clinical and administrative data.

Our clinical data retrieval platform fully integrates with 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...

MultiPlan

MultiPlan is committed to helping healthcare payers manage the cost of care, improve their competitiveness and inspire positive change. Leveraging sop...

MyDirectives

With consumer users in over 40 countries, MyDirectives®, a service of Dallas, Texas-based ADVault, Inc., is the world’s leading all-digital advance ca...

Mymee Inc.

NETCENTRIC TECHNOLOGIES INC.

NetCentric Technologies offers software and services for PDF and online electronic document remediation. We ensure that any PDF, Microsoft Word, and P...

NovuHealth

NovuHealth is the leading healthcare consumer engagement company, driven to improve consumer health and health plan performance. NovuHealth motivates ...

NuBrick Partners

At NuBrick Partners, clients appreciate our ability to add value to their vision and tangible tools for their talent as they develop, retain and deplo...

Oncology Analytics

Oncology Analytics is a leading technology-enabled service company providing health plans, providers, and patients with an evidence-based, analytics f...

Onduo LLC

Onduo's Virtual Clinic, built upon Verily/Google technology and staffed with clinical experts, gives patients access to specialized care, personalized...

One Touch Telehealth

One Touch Telehealth is a SaaS-based telehealth branded platform that embeds right on your website and mobile application. Patients and Doctors enjoy...

Online Insight

Online Insight offers a true quote to pay insurance marketplace with the ability to strategically deploy modules as point solutions. We empower indivi...

Optum

At Optum, we are a leading health services innovation company dedicated to helping make the health system work better for everyone. We create simple, ...

Panviva, Inc.

Panviva’s technology is a “guide on the side”, always there but never in the way, providing your staff with 3 clicks or less access to the information...

Pareto Intelligence

Robust Analytics. Modern Technologies. Deep Business Expertise.
Pareto rises above the rest because we exist at the intersection of robust analytics,...

Payer Compass

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.

Decision Support
Picwell provides tools to insurers to help consumers select health insurance coverage (both commercial and Medicare) that best fits ...

Policy Reporter

Policy Reporter provides:
1. Email Alerts: Everyday Policy Reporter's behind the scenes software checks every payer / MAC / Medicaid / PBM in the U.S...

Pops Diabetes Care

Managing Diabetes is a 24/7/365 job. The POPS!® one System is a new approach to diabetes management. The digital health system combines the power of t...

Provista LLC

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

Pulse8

Pulse8, a Veradigm™ Business, is a Healthcare Analytics and Technology Company delivering complete visibility into the efficacy of your Risk Adjustmen...

Quest Analytics

Quest Analytics is the first comprehensive platform that enables health plans to optimize their member experience, while complying with federal and st...

RBS Re (an HM Insurance Group company)

RBS Re (an HM Insurance Group company) offers Managed Care Reinsurance products to HMOs, health plans and provider organizations. Our products, servic...

Reeder & Associates

Founded in 1996, Reeder & Associates is a top rated, nationally recognized retained executive search firm specializing in the placement of senior exec...

Retium Health

Retium Health supports health plans to develop Medicare Advantage (MA) networks that are compliant with CMS's network adequacy criteria. We can assist...

RR Donnelley Healthcare Solutions

The RRD Healthcare Solutions team is focused on assisting our health plan clients communicate more effectively with their current and prospective memb...

Rx Savings 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...

RxREVU

RxRevu is a physician-founded organization on a mission to become the leader in prescription decision support, helping prescribers identify the most c...

RxSense

RxSense has flexible technology and services to support client-specific pharmacy programs through its proprietary enterprise platform solution. Plan s...

Sage Health Management Solutions, a DSS, Inc. company

Sage Health Management Solutions, Inc. (Sage HMS) offers RadWise® qCDSM (qualified Clinical Decision Support Mechanism) that meets the CMS requiremen...

Sagitec Health

Sagitec's HealConnect is a member engagement platform for Medicaid health plans. It helps reduce administrative burden for annual re-determination, s...

Sapphire Digital (formerly Vitals)

Sapphire Digital (formerly Vitals) is a mission-driven company that drives competition in health care to lower cost and improve quality for all. The ...

Scheiner Inc

We forge digital solutions that transform brands and invigorate growth and purpose.

We partner with global B2C and B2B organizations and brands in ...

SentryHealth

SentryHealth drives better health and wellness nationwide through personalized, full-service well-being management solutions. Their unique, technology...

Senture, LLC

Senture specializes in providing large-scale, multi-channel contact center and service desk services—including expertise with surge/quick-ramp operati...

Sheppard Mullin

Sheppard Mullin is a full service Global 100 firm handling corporate and technology matters, high stakes litigation and complex financial transactions...

Signify Health

Signify Health partners with leading health plans, healthcare providers, biotechnology and pharmaceutical companies, and technology companies to impro...

Simplify Healthcare

Description of Services:
Founded in 2008, focused exclusively on Health Plans, Simplify Healthcare has developed deep expertise in Benefit Plan Manag...

Spring Street Exchange

Spring Street Exchange is consultancy based that was founded with the mission to help make healthcare right. As an organization we have a double botto...

Stellar Health

Stellar Health is a technology company that helps healthcare providers and insurers improve quality and financial performance by prompting providers w...

Stonegate Advisors, LLC

Stonegate Advisors, LLC (dba Stonegate); Acquire | Retain | Grow

Stonegate, as part of the Health Plan Alliance GPO, is excited to bring to you STA...

Strategic Health Law

Summit Re

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

Talix

Talix delivers NLP powered, integrated workflow applications to improve the speed and accuracy of risk adjustment coding. Our proven applications ser...

TCS Healthcare Technologies

TCS Healthcare Technologies provides ACUITY Advanced Care™, a cost-effective, feature-rich software solution that improves the efficiency and effectiv...

The Mihalik Group, LLC

The Mihalik Group (TMG) is a national healthcare consulting, software, and audit solutions firm that offers accreditation and risk adjustment-related ...

The Phia Group, LLC

The Phia Group, LLC is an expert provider of health care cost containment techniques offering comprehensive consulting services, legal expertise, plan...

Tivity Health

Care support programs (core & impact conditions), health support programs (health and wellness services & health provider network)

...

Toney Healthcare Consulting

Toney HealthCare Consulting (THCC) provides advisory services, hands-on leadership, integrated medical/behavioral health program and staffing in clini...

Tonic Advisors

We are a Health Care Management Consulting Firm with over 40 years of health care experience. Our diverse background draws from time spent at large he...

Turn-Key Health

Turn-Key Health, an Enclara Healthcare company, serves health plans, provider organizations and their members who are experiencing a serious or advanc...

UHAS, a Division of Risk Strategies

As a team of actuarial experts and support staff, UHAS provides health actuarial, management and underwriting consulting services relating to a wide r...

Vericred Inc.

We build APIs, so don't Carriers don't have to.

Vericred is a many-to-many, middleware solution that enables carriers to meet the needs of InsurTe...

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...

Virtix Health

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

Vital Data Technology LLC

Vital Data Technology is a data science driven health care solutions company giving payers, providers and members the power to drive efficiencies and ...

Vital Decisions

Vital Decisions ensures that the care of individuals with complex medical situations and nearing end of life aligns with their values and preferences....

Wakely Consulting Group

Wakely Consulting Group actuaries provide a comprehensive full-service array of expert actuarial services and consulting to the medical and health car...

WebMD Health Services

WebMD Health Services has more experience and serves more health plans with our well-being engagement platform than any other company in the industry....

Welldoc

Welldoc® is a leading digital health company revolutionizing chronic disease management to help transform lives. BlueStar® helps guide individuals thr...

Wellframe

Wellframe partners with leading health plans and care delivery organizations to enable them to evolve the way in which services are delivered to patie...

Welltok

Welltok is an award-winning consumer activation company that improves people’s total wellbeing. Only Welltok leverages proprietary data and advanced a...

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 a...

Wunderman Health

We are proud to be strategic partners of nearly 60 managed healthcare clients including providers and payers – Medicare, senior products, group and un...

Zelis

Zelis is a healthcare and financial technology growth company and market-leading provider of claims cost management and payments optimization solution...

Zipari

Zipari is a modern consumer experience solution that serves more than 10 million members through our partnerships with health carriers. Zipari has pio...