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200 Results

Accountable Care Solutions Group

Technology solutions

Accountable Care Solutions Group (ACSG) was organized to capitalize on our processes and strengths built over 30+ years with payers and self-insured e...

Advanced Plan for Health

Analytics

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

Advantasure

Technology solutions

Performance Clinical Systems is a privately held healthcare information technology and business solutions company based in San Francisco, CA. Founde...

Advantmed, LLC

Technology solutions

Advantmed is a healthcare solutions company, dedicated to partnering with risk-bearing entities. The ELEVATE! technology-enabled platform integrates ...

Aerial by Medecision

Technology solutions

Aerial by Medecision delivers the best customer experience in integrated health management for consumers and their care teams. By providing a 360-degr...

Alegeus

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

Allegeant LLC

Business services

Allegeant is a full service third party administrator (Claims processing, enrollment and billing, member services, underwriting, data analytics) and a...

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...

Altruista Health, Inc

Technology solutions

Altruista Health delivers population health management solutions that support value-based and person-centered care models. Our GuidingCareâ„¢ technolo...

American Well

Technology solutions

American Well is the leading telehealth platform in the United States, connecting the nation’s largest hospitals, insurers, employers, and consumer el...

Animas Data Solutions

Technology solutions

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

Aon Benfield

Reinsurance

As the healthcare industry continues to evolve, Aon Benfield’s Accident, Health and Life Broker Team builds strong partnerships with health plans, pro...

Apixio, Inc.

Technology solutions

Founded in 2009 and based in San Mateo, California, Apixio’s Artificial Intelligence (AI) platform has analyzed more than 700 million clinical documen...

Arcadia.io

Analytics

Arcadia.io (http://www.arcadia.io) is a population health management technology company supporting healthcare enterprises taking on risk and transitio...

ArmadaHealth

Clinical services

ArmadaHealth® has developed the most robust and comprehensive recommendation intelligence in the industry and is the market leader in High Tech, Right...

Assist America

As the largest provider of global emergency medical services through employee and student benefit plans, we serve more than 35 million members and ove...

Avalon Healthcare Solutions

Analytics

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

AXA Partners

Business services

Cost containment provider for health networks, third party administration, and assistance services....

Babel Health

Technology solutions

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

Clinical services

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...

BloomAPI

Clinical services

Our product, called ChartPull, helps payers connect to real-time EMR data in less than 5 minutes.

The ChartPull technology is an unprecedented way ...

BluePeak Advisors

Consulting

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

Bright.md

Technology solutions

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...

BroadPath Healthcare Solutions

Business services

Field Sales, Telesales, Contact Center, Member Services, Provider Services, Outbound Contact Center, Member Engagement, Claims, Clinical, Care Managem...

Captiol Coding Management

Business services

Capitol Coding Management custom coding solutions for your risk management needs.
HCC Risk adjustment coding, Retrospective Chart review, Commercial...

Cardinal Analytx

Analytics

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

Care3, Inc.

Technology solutions

Care3 is a new generation platform using machine learning and proprietary algorithms to offer health plans a mobile solution for managing member exper...

Care4ward, Inc.

Clinical services

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

CareCentrix

Clinical services

CareCentrix has been managing post-acute solutions for over 20 years, working with payers and providers to create programs that improve quality and lo...

CareJourney

Analytics

CareJourney is a leading provider of clinically-relevant analytics for value-based networks. Headquartered in Arlington, VA, CareJourney currently sup...

Carrot Health, Inc.

Technology solutions

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

Carver Media

Marketing services

We're a full-service Social Media Marketing & Branding Agency.
-Social Media Management
-Creative Services
-Video
-Branding
-Content Development ...

Cavulus

Technology solutions

We specialize in Medicare Advantage and put our experience to work to create leading member engagement, management, and retention solutions. Our Cloud...

Centauri Health Solutions

Business services

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

Consulting

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

Chem-Tainer Ind. Inc.

Business services

We are a manufacturer of Plastic Carts/Trucks for the collection/sorting/transport/exchange/processing of soiled/clean linens and material handling. T...

CiOX Health

Technology solutions

ClarisHealth

Technology solutions

How are you addressing the information silos, supplier confusion, missed prevention opportunities, provider friction and member dissatisfaction that h...

Clarity Software Solutions

Technology solutions

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

Clinigence Health

Analytics

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 ...

Coble Health Group

Consulting

We accelerate revenue growth for our clients, providing the marketplace with innovative, patient-driven healthcare solutions, by fostering partnership...

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...

Colibrium

Technology solutions

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

Competiscan, LLC

Marketing services

Concentra, Inc.

Clinical services

Connecture

Technology solutions

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

ConsejoSano

Consulting

Constantia Health

Consulting

Our mission is to assist health plans and providers in the development and management of their provider networks, ensuring regulatory compliance and ...

Context4 Healthcare

Technology solutions

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

Technology solutions

Convey Health Solutions is a specialized healthcare technology and services company that is committed to providing clients with healthcare-specific, c...

Cotiviti (formerly Verscend Technologies)

Analytics

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

Covermymeds

Technology solutions

Our mission is to help patients get the medication they need to live healthy lives.
We offer marketing leading ePA and Real Time Benefit check servic...

CQ fluency

Marketing services

CQ fluency specializes in providing language services to health plans. We have the following capabilities:
document translation
Section 508 Complian...

CredibleMind, Inc.

Technology solutions

As the annual costs for mental health increase twice as fast as all other medical expenses and mental disorders account for the largest burden of glob...

CredSimple

Technology solutions

CredSimple is an NCQA-certified CVO whose technology redefines the credentialing process.

Through our automated, cloud-based platform, we are able ...

Cumberland Consulting Group

Consulting

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

Data Saints Auditing

Business services

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

Decision Analyst, Inc.

Consulting

Decision Analyst is a strategic analytical consulting and marketing research organization with an expert Medical & Healthcare team that serves the med...

Deerwalk Incorporated

Analytics

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

Deft Research

Marketing services

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

DialAmerica Healthcare Solutions

Business services

Established contact center provider with 19 U.S.-based centers staffing 3,500 agents. Have successfully supported over 28 managed care plans in Enroll...

Diameter Health

Technology solutions

Diameter Health is a leading health IT company addressing the critical need of refining clinical data from multiple sources into a single comprehensiv...

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 ...

DST Health Solutions

DST Health Solutions combines one of the richest stores of pharmacy, medical, and behavioral data with advanced analytics, industry-leading technolog...

DST Pharmacy Solutions

Clinical services

DST Pharmacy Solutions helps health plans optimize the value in pharmacy benefits and improve clinical outcomes for their members, improve financial p...

Dynamic Healthcare Systems

Technology solutions

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

emids

Technology solutions

emids is a global provider of healthcare technology expertise and consulting services and solutions that serves payers, providers and tech enablers. H...

Engagent Health, LLC

Technology solutions

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 is driven to collect data that’s insightful and accurate to improve Risk Adjustment and Quality outcomes for Medicare, Commercial, and Medi...

Epstein Becker Green (EBG)

Business services

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

Consulting

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

1) Provider Network Development...

ESX, Inc.

ESX, Inc. is a full service software solutions company providing turnkey implementation and ongoing support for your organization’s website, continuin...

eviCore healthcare

Business services

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

ExactCare

Clinical services

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

Pharmacy

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

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...

Faegre Drinker Biddle & Reath LLP

Consulting

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

First Consulting & Administration, Inc.

Consulting

A premier consulting firm assisting insurance entities to meet their business goals faster and more efficiently, with a focus on compliance and regul...

FlexTech, Inc.

Technology solutions

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

Fluent Health

Business services

Fluent Health, a subsidiary of Presbyterian Healthcare Services in Albuquerque, New Mexico, is the partnership and health plan service entity that sca...

Forecast Health

We help ACOs, health systems and plans predict impactable risk with pinpoint accuracy and then provide guidance to care managers to prevent adverse ev...

forty-one 12 (4112 Agency, LLC)

Marketing services

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

FraudScope, Inc

Technology solutions

Built from the ground up with the special investigations unit (SIU) team in mind, FraudScope gives organizations the tools to quickly identify suspici...

Front Edge Consulting

Consulting

Front Edge is a health care consultancy with over 30 years’ experience of solving problems for health plans who are in need of differentiation and gro...

Furst Group

Business services

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

GA Foods

Business services

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

Glooko, Inc.

Clinical services

Glooko provides insights into diabetes by enabling both people with diabetes (PWDs) and their care teams with technology to understand and manage diab...

GoHealth, LLC

Technology solutions

GoHealth Carrier Solutions include enterprise technology and outsourced sales and retention programs. Our single unified shopping and enrollment platf...

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...

HackerAgency

Marketing services

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

Business services

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

Health Care Cost Institute

Analytics

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

Technology solutions

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

Health Integrated

Clinical services

Health Integrated® leads the industry with its Precision Empowered Care Management™, which enables health plans to effectively manage their most vulne...

Health Payment Systems

Technology solutions

Health Payment Systems (HPS) is a privately-held healthcare technology and services organization offering solutions to enhance the consumer healthcare...

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

Our flagship offering, HealthCorum NOW, helps health plans save money by reducing the prevalence of unnecessary care that is of low value to patients....

HealthEdge

Technology solutions

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

HealthEquity

Business services

HealthMine

Technology solutions

HealthMine is a clinical member engagement solution that increases Star Ratings, improves risk adjustment scores, and reduces gaps in care directly th...

HealthScape Advisors, LLC

Consulting

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

HealthScape Advisors’ offers a bro...

HealthshareBlox, LLC (DBA "HSBlox")

Technology solutions

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

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...

Helios Software

Technology solutions

HHC Group

Consulting

National Health Insurance consulting company specializing in cost savings programs for the insurance industry. Services offered include Claims Editing...

HighPoint Solutions

HighPoint Solutions is a premier, global provider of specialized IT services with vertically
focused solutions for Life Science and Healthcare compan...

HMS Essette

Technology solutions

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

HolaDoctor Inc

Marketing services

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

Hyperlift

Technology solutions

Hyperlift is the only end-to-end solution
for high-performance Stars
management.

We offer a technology-enabled
approach to Stars management that...

ILLUMINATE.HEALTH

Technology solutions

Mobile apps for simplifying the management of family health in a safe and easy manner. Our mission is to protect, educate, and connect the end user (...

IMAT Solutions

Analytics

IMAT Solutions is a new, disruptive medical data management and decision support company.
Every day, our software processes tens of millions of recor...

Impact4Health

Consulting

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

InfoMC Inc.

Technology solutions

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

Juxly LLC

Technology solutions

Juxly builds apps that partner with existing EHRs to improve provider productivity and patient outcomes. We customize content and workflows to seamles...

KEPRO

Clinical services

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.

Technology solutions

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

KPS3 Marketing, Communications & Digital

Marketing services

Web and Digital Marketing. Healthcare marketing, advertising, public relations and crisis communications, marketing to underinsured, complex website s...

Landmark Health

Clinical services

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

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...

LinkedHealth

Technology solutions

Direct Enrollment w/ Enhanced CMS Integration
Profitable Member Acquisition Software
Broker Management Software...

Lumeris

Business services

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

Technology solutions

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

Consulting

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

Mazars USA LLP

Consulting

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

MCG Health

Clinical services

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

MCOL

Business services

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

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 ...

Media Logic

Marketing services

Media Logic is a national leader in health care marketing – providing strategic, breakthrough solutions that drive business. Media Logic offers deep e...

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...

MedImpact Healthcare Systems, Inc.

Business services

MedImpact, an independent, trend-focused pharmacy benefit manager (PBM), is the nation’s largest privately held PBM, serving health plans, self-funded...

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,...

MediQuire

Technology solutions

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

Medullan

Consulting

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

Merrill Corporation

You can improve member satisfaction and healthier outcomes by leveraging Merrill’s Merrill Connect Solution to deliver data-driven personalized commun...

MHK (formerly MedHOK)

Clinical services

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

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...

Mindful Meal

Technology solutions

Mindful Meal is 'Fitbit for Nutrition'

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

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...

MultiPlan

Business services

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

MyDirectives

Technology solutions

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.

Technology solutions

Navigant Consulting, Inc.

Consulting

Navigant’s healthcare segment is comprised of consultants, former provider administrators, clinicians, and other experts with decades of strategy, ope...

NETCENTRIC TECHNOLOGIES INC.

Business services

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

NextHealth Technologies

Analytics

Know what works. Make it better. ® NextHealth’s AI-powered advanced analytics platform integrates data-driven decision making into workflow to improve...

Northstar Strategies

Northstar Strategies' primary clients are Managed Care Organizations, specifically Regional Health Plans.
Our primary product is the development, i...

Novu

Business services

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

NuBrick Partners

Consulting

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...

Omega Health Group, LLC

Marketing services

Oncology Analytics

Technology solutions

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

Onduo LLC

Clinical services

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

One Touch Telehealth

Pharmacy

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

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...

Oracle

Technology solutions

Oracle offers IT solutions that enable health insurers to transform to Digital Health and increase business agility through the Cloud. Organizations c...

Owl Insights

Technology solutions

Owl Insights (“the Owl”) is a user-friendly cloud-based outcomes and analytics software platform that simplifies the deployment of measurement-based c...

Panviva, Inc.

Technology solutions

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

Analytics

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

PartnerRe

Reinsurance

PartnerRe is an acknowledged leader in providing risk management solutions to accident and health markets around the world.

Our team of experienced...

Payer Compass

Analytics

Picwell, Inc.

Analytics

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

Pivot

Technology solutions

Pivot is a digital smoking cessation platform proven to help even smokers who say they aren’t ready to quit. Smoking is still the leading cause of pre...

Policy Reporter

Business services

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

Technology solutions

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...

Prognos

Analytics

Prognos is a healthcare AI company focused on predicting disease to drive decisions earlier in healthcare in collaboration with Payers, Life Sciences,...

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...

PYA

Consulting

For 35 years, PYA, a national healthcare consulting firm, has helped clients navigate and derive value amid complex challenges related to regulatory c...

Quest Analytics

Analytics

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

RADAR, Inc.

Technology solutions

In today’s world of increasingly complex and changing privacy regulations, cyber attacks, and data breaches, leading organizations trust RADAR®, a pat...

RBS Re (an HM Insurance Group company)

Reinsurance

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

Red Privet LLC

Business services

Healthcare experiences can't always be delightful - but they can be better designed.

We help your brand deliver the best experience possible, even ...

RedCard

Technology solutions

RedCard provides data management and BPO services for the production of checks, EOBs, enrollment materials, electronic payments, ID Cards, letters and...

Reeder & Associates

Consulting

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

Reflexion Health

Clinical services

Reflexion Health is a digital healthcare company dedicated to bringing physical therapy home, leveraging innovations in technology and clinical delive...

Retium Health

Consulting

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

Business services

The RR Donnelley Healthcare Solutions team is focused on assisting our health plan clients communicate more effectively with their current and prospec...

RSM US LLP

Consulting

Accounting, tax and business consulting services, including risk advisory services, data security, technology services, digital transformation and fin...

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...

RxEOB

Technology solutions

For 20 years, RxEOB has built and deployed software and systems to allow our clients to tame, manage and leverage their medical and pharmacy data for ...

RxREVU

Technology solutions

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

RxSense

Technology solutions

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

SAE & Associates

Consulting

SAE is a leader in helping plans comply with the parity requirements of federal and state laws.

SAE & Associates (SAE) was privileged to serve as ...

Sage Health Management Solutions, a DSS, Inc. company

Technology solutions

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

Sagitec Health

Technology solutions

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

Saisystems Health

Business services

Saisystems Health is a nationally independent managed service organization (MSO) specializing in medical coding, billing, and provider risk solutions ...

Sapphire Digital (formerly Vitals)

Technology solutions

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

Marketing services

We partner with global B2B and B2C brands to simplify the complexity of their strategy, messaging and customer experience that goes beyond the click. ...

SCOR

Reinsurance

A Global Tier 1 Reinsurer for Health (Provider, HMO, Medical Excess and Stoploss) Life and Accident coverage....

Secliance, LLC

Consulting

Secliance provides risk management; controls assessment including PCI-DSS, NIST, FISMA, HITRUST, HIPAA/HITECH compliance; policy management; and secur...

Self Care Decisions, LLC

Marketing services

We connect members and patients to the decision support information doctors trust most. Our tools: online and mobile application Symptom Checker, Self...

SentryHealth

Technology solutions

We offer technology-enabled population health management solutions that combine the power of data analytics, education, and evidence-based medicine. B...

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...

Signify Health

Technology solutions

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

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Accountable Care Solutions Group

Technology solutions

Accountable Care Solutions Group (ACSG) was organized to capitalize on our processes and strengths built over 30+ years with payers and self-insured e...

Advanced Plan for Health

Analytics

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

Advantasure

Technology solutions

Performance Clinical Systems is a privately held healthcare information technology and business solutions company based in San Francisco, CA. Founde...

Advantmed, LLC

Technology solutions

Advantmed is a healthcare solutions company, dedicated to partnering with risk-bearing entities. The ELEVATE! technology-enabled platform integrates ...

Aerial by Medecision

Technology solutions

Aerial by Medecision delivers the best customer experience in integrated health management for consumers and their care teams. By providing a 360-degr...

Alegeus

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

Allegeant LLC

Business services

Allegeant is a full service third party administrator (Claims processing, enrollment and billing, member services, underwriting, data analytics) and a...

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...

Altruista Health, Inc

Technology solutions

Altruista Health delivers population health management solutions that support value-based and person-centered care models. Our GuidingCareâ„¢ technolo...

American Well

Technology solutions

American Well is the leading telehealth platform in the United States, connecting the nation’s largest hospitals, insurers, employers, and consumer el...

Animas Data Solutions

Technology solutions

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

Aon Benfield

Reinsurance

As the healthcare industry continues to evolve, Aon Benfield’s Accident, Health and Life Broker Team builds strong partnerships with health plans, pro...

Apixio, Inc.

Technology solutions

Founded in 2009 and based in San Mateo, California, Apixio’s Artificial Intelligence (AI) platform has analyzed more than 700 million clinical documen...

Arcadia.io

Analytics

Arcadia.io (http://www.arcadia.io) is a population health management technology company supporting healthcare enterprises taking on risk and transitio...

ArmadaHealth

Clinical services

ArmadaHealth® has developed the most robust and comprehensive recommendation intelligence in the industry and is the market leader in High Tech, Right...

Assist America

As the largest provider of global emergency medical services through employee and student benefit plans, we serve more than 35 million members and ove...

Avalon Healthcare Solutions

Analytics

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

AXA Partners

Business services

Cost containment provider for health networks, third party administration, and assistance services....

Babel Health

Technology solutions

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

Clinical services

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...

BloomAPI

Clinical services

Our product, called ChartPull, helps payers connect to real-time EMR data in less than 5 minutes.

The ChartPull technology is an unprecedented way ...

BluePeak Advisors

Consulting

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

Bright.md

Technology solutions

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...

BroadPath Healthcare Solutions

Business services

Field Sales, Telesales, Contact Center, Member Services, Provider Services, Outbound Contact Center, Member Engagement, Claims, Clinical, Care Managem...

Captiol Coding Management

Business services

Capitol Coding Management custom coding solutions for your risk management needs.
HCC Risk adjustment coding, Retrospective Chart review, Commercial...

Cardinal Analytx

Analytics

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

Care3, Inc.

Technology solutions

Care3 is a new generation platform using machine learning and proprietary algorithms to offer health plans a mobile solution for managing member exper...

Care4ward, Inc.

Clinical services

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

CareCentrix

Clinical services

CareCentrix has been managing post-acute solutions for over 20 years, working with payers and providers to create programs that improve quality and lo...

CareJourney

Analytics

CareJourney is a leading provider of clinically-relevant analytics for value-based networks. Headquartered in Arlington, VA, CareJourney currently sup...

Carrot Health, Inc.

Technology solutions

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

Carver Media

Marketing services

We're a full-service Social Media Marketing & Branding Agency.
-Social Media Management
-Creative Services
-Video
-Branding
-Content Development ...

Cavulus

Technology solutions

We specialize in Medicare Advantage and put our experience to work to create leading member engagement, management, and retention solutions. Our Cloud...

Centauri Health Solutions

Business services

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

Consulting

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

Chem-Tainer Ind. Inc.

Business services

We are a manufacturer of Plastic Carts/Trucks for the collection/sorting/transport/exchange/processing of soiled/clean linens and material handling. T...

CiOX Health

Technology solutions

ClarisHealth

Technology solutions

How are you addressing the information silos, supplier confusion, missed prevention opportunities, provider friction and member dissatisfaction that h...

Clarity Software Solutions

Technology solutions

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

Clinigence Health

Analytics

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 ...

Coble Health Group

Consulting

We accelerate revenue growth for our clients, providing the marketplace with innovative, patient-driven healthcare solutions, by fostering partnership...

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...

Colibrium

Technology solutions

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

Competiscan, LLC

Marketing services

Concentra, Inc.

Clinical services

Connecture

Technology solutions

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

ConsejoSano

Consulting

Constantia Health

Consulting

Our mission is to assist health plans and providers in the development and management of their provider networks, ensuring regulatory compliance and ...

Context4 Healthcare

Technology solutions

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

Technology solutions

Convey Health Solutions is a specialized healthcare technology and services company that is committed to providing clients with healthcare-specific, c...

Cotiviti (formerly Verscend Technologies)

Analytics

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

Covermymeds

Technology solutions

Our mission is to help patients get the medication they need to live healthy lives.
We offer marketing leading ePA and Real Time Benefit check servic...

CQ fluency

Marketing services

CQ fluency specializes in providing language services to health plans. We have the following capabilities:
document translation
Section 508 Complian...

CredibleMind, Inc.

Technology solutions

As the annual costs for mental health increase twice as fast as all other medical expenses and mental disorders account for the largest burden of glob...

CredSimple

Technology solutions

CredSimple is an NCQA-certified CVO whose technology redefines the credentialing process.

Through our automated, cloud-based platform, we are able ...

Cumberland Consulting Group

Consulting

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

Data Saints Auditing

Business services

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

Decision Analyst, Inc.

Consulting

Decision Analyst is a strategic analytical consulting and marketing research organization with an expert Medical & Healthcare team that serves the med...

Deerwalk Incorporated

Analytics

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

Deft Research

Marketing services

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

DialAmerica Healthcare Solutions

Business services

Established contact center provider with 19 U.S.-based centers staffing 3,500 agents. Have successfully supported over 28 managed care plans in Enroll...

Diameter Health

Technology solutions

Diameter Health is a leading health IT company addressing the critical need of refining clinical data from multiple sources into a single comprehensiv...

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 ...

DST Health Solutions

DST Health Solutions combines one of the richest stores of pharmacy, medical, and behavioral data with advanced analytics, industry-leading technolog...

DST Pharmacy Solutions

Clinical services

DST Pharmacy Solutions helps health plans optimize the value in pharmacy benefits and improve clinical outcomes for their members, improve financial p...

Dynamic Healthcare Systems

Technology solutions

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

emids

Technology solutions

emids is a global provider of healthcare technology expertise and consulting services and solutions that serves payers, providers and tech enablers. H...

Engagent Health, LLC

Technology solutions

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 is driven to collect data that’s insightful and accurate to improve Risk Adjustment and Quality outcomes for Medicare, Commercial, and Medi...

Epstein Becker Green (EBG)

Business services

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

Consulting

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

1) Provider Network Development...

ESX, Inc.

ESX, Inc. is a full service software solutions company providing turnkey implementation and ongoing support for your organization’s website, continuin...

eviCore healthcare

Business services

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

ExactCare

Clinical services

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

Pharmacy

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

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...

Faegre Drinker Biddle & Reath LLP

Consulting

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

First Consulting & Administration, Inc.

Consulting

A premier consulting firm assisting insurance entities to meet their business goals faster and more efficiently, with a focus on compliance and regul...

FlexTech, Inc.

Technology solutions

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

Fluent Health

Business services

Fluent Health, a subsidiary of Presbyterian Healthcare Services in Albuquerque, New Mexico, is the partnership and health plan service entity that sca...

Forecast Health

We help ACOs, health systems and plans predict impactable risk with pinpoint accuracy and then provide guidance to care managers to prevent adverse ev...

forty-one 12 (4112 Agency, LLC)

Marketing services

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

FraudScope, Inc

Technology solutions

Built from the ground up with the special investigations unit (SIU) team in mind, FraudScope gives organizations the tools to quickly identify suspici...

Front Edge Consulting

Consulting

Front Edge is a health care consultancy with over 30 years’ experience of solving problems for health plans who are in need of differentiation and gro...

Furst Group

Business services

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

GA Foods

Business services

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

Glooko, Inc.

Clinical services

Glooko provides insights into diabetes by enabling both people with diabetes (PWDs) and their care teams with technology to understand and manage diab...

GoHealth, LLC

Technology solutions

GoHealth Carrier Solutions include enterprise technology and outsourced sales and retention programs. Our single unified shopping and enrollment platf...

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...

HackerAgency

Marketing services

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

Business services

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

Health Care Cost Institute

Analytics

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

Technology solutions

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

Health Integrated

Clinical services

Health Integrated® leads the industry with its Precision Empowered Care Management™, which enables health plans to effectively manage their most vulne...

Health Payment Systems

Technology solutions

Health Payment Systems (HPS) is a privately-held healthcare technology and services organization offering solutions to enhance the consumer healthcare...

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

Our flagship offering, HealthCorum NOW, helps health plans save money by reducing the prevalence of unnecessary care that is of low value to patients....

HealthEdge

Technology solutions

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

HealthEquity

Business services

HealthMine

Technology solutions

HealthMine is a clinical member engagement solution that increases Star Ratings, improves risk adjustment scores, and reduces gaps in care directly th...

HealthScape Advisors, LLC

Consulting

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

HealthScape Advisors’ offers a bro...

HealthshareBlox, LLC (DBA "HSBlox")

Technology solutions

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

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...

Helios Software

Technology solutions

HHC Group

Consulting

National Health Insurance consulting company specializing in cost savings programs for the insurance industry. Services offered include Claims Editing...

HighPoint Solutions

HighPoint Solutions is a premier, global provider of specialized IT services with vertically
focused solutions for Life Science and Healthcare compan...

HMS Essette

Technology solutions

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

HolaDoctor Inc

Marketing services

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

Hyperlift

Technology solutions

Hyperlift is the only end-to-end solution
for high-performance Stars
management.

We offer a technology-enabled
approach to Stars management that...

ILLUMINATE.HEALTH

Technology solutions

Mobile apps for simplifying the management of family health in a safe and easy manner. Our mission is to protect, educate, and connect the end user (...

IMAT Solutions

Analytics

IMAT Solutions is a new, disruptive medical data management and decision support company.
Every day, our software processes tens of millions of recor...

Impact4Health

Consulting

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

InfoMC Inc.

Technology solutions

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

Juxly LLC

Technology solutions

Juxly builds apps that partner with existing EHRs to improve provider productivity and patient outcomes. We customize content and workflows to seamles...

KEPRO

Clinical services

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.

Technology solutions

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

KPS3 Marketing, Communications & Digital

Marketing services

Web and Digital Marketing. Healthcare marketing, advertising, public relations and crisis communications, marketing to underinsured, complex website s...

Landmark Health

Clinical services

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

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...

LinkedHealth

Technology solutions

Direct Enrollment w/ Enhanced CMS Integration
Profitable Member Acquisition Software
Broker Management Software...

Lumeris

Business services

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

Technology solutions

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

Consulting

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

Mazars USA LLP

Consulting

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

MCG Health

Clinical services

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

MCOL

Business services

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

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 ...

Media Logic

Marketing services

Media Logic is a national leader in health care marketing – providing strategic, breakthrough solutions that drive business. Media Logic offers deep e...

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...

MedImpact Healthcare Systems, Inc.

Business services

MedImpact, an independent, trend-focused pharmacy benefit manager (PBM), is the nation’s largest privately held PBM, serving health plans, self-funded...

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,...

MediQuire

Technology solutions

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

Medullan

Consulting

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

Merrill Corporation

You can improve member satisfaction and healthier outcomes by leveraging Merrill’s Merrill Connect Solution to deliver data-driven personalized commun...

MHK (formerly MedHOK)

Clinical services

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

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...

Mindful Meal

Technology solutions

Mindful Meal is 'Fitbit for Nutrition'

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

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...

MultiPlan

Business services

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

MyDirectives

Technology solutions

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.

Technology solutions

Navigant Consulting, Inc.

Consulting

Navigant’s healthcare segment is comprised of consultants, former provider administrators, clinicians, and other experts with decades of strategy, ope...

NETCENTRIC TECHNOLOGIES INC.

Business services

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

NextHealth Technologies

Analytics

Know what works. Make it better. ® NextHealth’s AI-powered advanced analytics platform integrates data-driven decision making into workflow to improve...

Northstar Strategies

Northstar Strategies' primary clients are Managed Care Organizations, specifically Regional Health Plans.
Our primary product is the development, i...

Novu

Business services

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

NuBrick Partners

Consulting

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...

Omega Health Group, LLC

Marketing services

Oncology Analytics

Technology solutions

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

Onduo LLC

Clinical services

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

One Touch Telehealth

Pharmacy

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

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...

Oracle

Technology solutions

Oracle offers IT solutions that enable health insurers to transform to Digital Health and increase business agility through the Cloud. Organizations c...

Owl Insights

Technology solutions

Owl Insights (“the Owl”) is a user-friendly cloud-based outcomes and analytics software platform that simplifies the deployment of measurement-based c...

Panviva, Inc.

Technology solutions

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

Analytics

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

PartnerRe

Reinsurance

PartnerRe is an acknowledged leader in providing risk management solutions to accident and health markets around the world.

Our team of experienced...

Payer Compass

Analytics

Picwell, Inc.

Analytics

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

Pivot

Technology solutions

Pivot is a digital smoking cessation platform proven to help even smokers who say they aren’t ready to quit. Smoking is still the leading cause of pre...

Policy Reporter

Business services

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

Technology solutions

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...

Prognos

Analytics

Prognos is a healthcare AI company focused on predicting disease to drive decisions earlier in healthcare in collaboration with Payers, Life Sciences,...

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...

PYA

Consulting

For 35 years, PYA, a national healthcare consulting firm, has helped clients navigate and derive value amid complex challenges related to regulatory c...

Quest Analytics

Analytics

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

RADAR, Inc.

Technology solutions

In today’s world of increasingly complex and changing privacy regulations, cyber attacks, and data breaches, leading organizations trust RADAR®, a pat...

RBS Re (an HM Insurance Group company)

Reinsurance

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

Red Privet LLC

Business services

Healthcare experiences can't always be delightful - but they can be better designed.

We help your brand deliver the best experience possible, even ...

RedCard

Technology solutions

RedCard provides data management and BPO services for the production of checks, EOBs, enrollment materials, electronic payments, ID Cards, letters and...

Reeder & Associates

Consulting

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

Reflexion Health

Clinical services

Reflexion Health is a digital healthcare company dedicated to bringing physical therapy home, leveraging innovations in technology and clinical delive...

Retium Health

Consulting

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

Business services

The RR Donnelley Healthcare Solutions team is focused on assisting our health plan clients communicate more effectively with their current and prospec...

RSM US LLP

Consulting

Accounting, tax and business consulting services, including risk advisory services, data security, technology services, digital transformation and fin...

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...

RxEOB

Technology solutions

For 20 years, RxEOB has built and deployed software and systems to allow our clients to tame, manage and leverage their medical and pharmacy data for ...

RxREVU

Technology solutions

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

RxSense

Technology solutions

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

SAE & Associates

Consulting

SAE is a leader in helping plans comply with the parity requirements of federal and state laws.

SAE & Associates (SAE) was privileged to serve as ...

Sage Health Management Solutions, a DSS, Inc. company

Technology solutions

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

Sagitec Health

Technology solutions

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

Saisystems Health

Business services

Saisystems Health is a nationally independent managed service organization (MSO) specializing in medical coding, billing, and provider risk solutions ...

Sapphire Digital (formerly Vitals)

Technology solutions

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

Marketing services

We partner with global B2B and B2C brands to simplify the complexity of their strategy, messaging and customer experience that goes beyond the click. ...

SCOR

Reinsurance

A Global Tier 1 Reinsurer for Health (Provider, HMO, Medical Excess and Stoploss) Life and Accident coverage....

Secliance, LLC

Consulting

Secliance provides risk management; controls assessment including PCI-DSS, NIST, FISMA, HITRUST, HIPAA/HITECH compliance; policy management; and secur...

Self Care Decisions, LLC

Marketing services

We connect members and patients to the decision support information doctors trust most. Our tools: online and mobile application Symptom Checker, Self...

SentryHealth

Technology solutions

We offer technology-enabled population health management solutions that combine the power of data analytics, education, and evidence-based medicine. B...

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...

Signify Health

Technology solutions

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